Department of Health
Physical Therapy Services Provided by Clinics to Medicaid Recipients (Follow-Up Report) In audit 2006-S-63, we analyzed claims paid by Medicaid for physical therapy services provided by clinics. To be eligible for reimbursement, such services should be provided by currently licensed physical therapists. However, many of the claims we reviewed did not positively affirm that the services were provided by such individuals. To reduce the risk that payments may inappropriately be made for physical therapy services not provided by such individuals, we recommended claims for such services not be paid unless it was clearly indicated that the services were provided by such individuals. When we followed up on this matter, we found that controls over payments for physical therapy services had been strengthened as we recommended.
For a complete copy of Report 2008-F-21 click here.
For a copy of the 90-day response click here.