Many physical therapy clinics and hospitals accept Medicaid, but coverage and availability may vary depending on your location and specific Medicaid plan. Here are some options to find physical therapy services that accept Medicaid:
- National Chains
1. Select Physical Therapy: With over 1,800 locations across the US, Select Physical Therapy is one of the largest physical therapy providers in the country. They accept Medicaid in many states.
2. Physical Therapy Now: This national chain has over 150 locations and accepts Medicaid in several states.
3. Athletico Physical Therapy: Athletico has over 500 locations and accepts Medicaid in some states.
- Local Clinics
1. Private Practices: Many private physical therapy practices accept Medicaid. Search online for "physical therapy near me" or "physical therapy Medicaid" to find local options.
2. Community Health Centers: Community Health Centers (CHCs) often offer physical therapy services and accept Medicaid.
3. Hospitals: Many hospitals have physical therapy departments that accept Medicaid.
- Online Directories
*American Physical Therapy Association (APTA)*: The APTA website has a "Find a PT" tool that allows you to search for physical therapists in your area.
- Tips
1. Verify Coverage: Before scheduling an appointment, confirm that the physical therapy clinic or hospital accepts your specific Medicaid plan.
2. Check Availability: Some physical therapy clinics may have limited availability for Medicaid patients, so it's essential to check their schedule and availability.
3. Ask About Wait Times: Some clinics may have longer wait times for Medicaid patients. Be sure to ask about wait times when scheduling an appointment.
Remember to always verify coverage and availability before scheduling an appointment.
Medicaid accepted physical therapist
If you're looking for a physical therapist who accepts Medicaid, here are some options to consider:
- Luna Physical Therapy: Offers in-home physical therapy services to Medicaid patients, with no waiting lists or waiting rooms. They provide one-on-one attention, helping patients achieve their goals faster and more effectively.
- BenchMark Physical Therapy: Accepts most major healthcare insurance programs, including Medicaid. They offer flexible payment options and have locations throughout the US.
- Zocdoc: This online platform allows you to search for physical therapists in your area who accept Medicaid insurance. You can book an appointment and see the physical therapist within 24 hours .
When searching for a physical therapist who accepts Medicaid, make sure to verify their credentials and check their availability. Some physical therapists may have specific requirements or restrictions for Medicaid patients, so it's essential to ask about their policies before scheduling an appointment.
How long does Medicaid pay for physical therapy?
Medicaid coverage for physical therapy varies by state and specific Medicaid plan. Here are some general guidelines:
Federal Medicaid Requirements
1. *Physical therapy services*: Medicaid must cover physical therapy services, including evaluation, treatment, and rehabilitation, as part of the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit for children under 21.
2. *No arbitrary limits*: Medicaid cannot impose arbitrary limits on the number of physical therapy sessions or visits.
State-Specific Coverage
1. *Session limits*: Some states impose session limits on physical therapy services, ranging from 6 to 60 sessions per year.
2. *Visit limits*: Other states limit the number of physical therapy visits per year, often ranging from 12 to 36 visits.
3. *Prior authorization*: Many states require prior authorization for physical therapy services, especially for extended treatment periods.
Examples of State-Specific Coverage
1. *California*: Medi-Cal (California's Medicaid program) covers physical therapy services with no session limits, but requires prior authorization after 12 visits.
2. *New York*: Medicaid in New York covers physical therapy services with a limit of 20 sessions per year, but allows for additional sessions with prior authorization.
3. *Texas*: Medicaid in Texas covers physical therapy services with a limit of 12 sessions per year, but requires prior authorization for extended treatment.
Important Notes
1. *Check with your state Medicaid agency*: For specific information on physical therapy coverage and limitations in your state.
2. *Verify coverage with your Medicaid plan*: As coverage may vary depending on your specific Medicaid plan.
3. *Advocate for necessary care*: If you require ongoing physical therapy services, work with your healthcare provider and Medicaid agency to ensure you receive necessary care.
Does Medicaid cover physical therapy?
Yes, Medicaid typically covers physical therapy services, but the specific coverage and limitations may vary depending on the state and individual Medicaid plan.
Federal Medicaid Requirements
1. *Mandatory coverage*: Medicaid must cover physical therapy services, including evaluation, treatment, and rehabilitation, as part of the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit for children under 21.
2. *Optional coverage*: States may choose to cover physical therapy services for adults and children over 21.
Types of Physical Therapy Covered
1. *Outpatient physical therapy*: Medicaid typically covers outpatient physical therapy services, including clinic-based and home-based care.
2. *Inpatient physical therapy*: Medicaid may cover inpatient physical therapy services, including hospital-based and skilled nursing facility-based care.
3. *Rehabilitation services*: Medicaid may cover rehabilitation services, including physical therapy, occupational therapy, and speech therapy.
Limitations and Restrictions
1. *Prior authorization*: Many states require prior authorization for physical therapy services, especially for extended treatment periods.
2. *Session limits*: Some states impose session limits on physical therapy services, ranging from 6 to 60 sessions per year.
3. *Visit limits*: Other states limit the number of physical therapy visits per year, often ranging from 12 to 36 visits.
Verification of Coverage
1. *Check with your state Medicaid agency*: For specific information on physical therapy coverage and limitations in your state.
2. *Verify coverage with your Medicaid plan*: As coverage may vary depending on your specific Medicaid plan.
Remember to always verify coverage and limitations with your state Medicaid agency and individual Medicaid plan to ensure you receive necessary physical therapy services.
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