How is the referral for therapy different from the prescription for therapy?
Currently in the State of New York, a physical or occupational therapist is required to have a physician prescription in order to provide therapy. This is always necessary and is not related to insurance or reimbursement. A referral, on the other hand, may be required by your insurance carrier in order for your therapy to be reimbursed. This requirement may differ depending on your insurance company. This referral is in addition to the legal prescription that is needed.
Related Questions
- How often must a referral/prescription for physical therapy/occupational therapy or speech therapy services be obtained?
- May a district bill Medicaid for therapy provided prior to the date of the signed referral/prescription?
- How is the referral for therapy different from the prescription for therapy?