This is a Complaint pleading for use in litigation of the title matter. Adapt this form to comply with your facts and circumstances, and with your specific state law. Not recommended for use by non-attorneys.
This is a Complaint pleading for use in litigation of the title matter. Adapt this form to comply with your facts and circumstances, and with your specific state law. Not recommended for use by non-attorneys.
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All 50 states now allow for some form of direct access. Kentucky was one of the first states to have direct access built into its' practice act.
Direct access means the removal of the physician referral mandated by state law to access physical therapist services for evaluation and treatment. Every state, the District of Columbia, and the US Virgin Islands allow for evaluation and some form of treatment without physician referral.
Although all 50 states, Washington, D.C., and the U.S. Virgin Islands enjoy a form of direct access to physical therapist services, provisions and limitations vary among jurisdictions. This map and the key below identify each jurisdiction's level of direct access.
Kentucky. Kentucky is one of 20 states that allow patients total, unrestricted access to a physical therapist. No type of physician referral is required for a physical therapist to treat a patient.
This is because therapeutic exercise and manual therapy each require ?direct one-on-one patient contact? in order to bill those CPT codes to the insurance carrier. The key thing to remember is that PT or PTA can only be one-on-one with one patient at a time.
Cost and Overutilization Concerns As previously discussed, increased costs, and potential for overutilization of services has been an issue of concern relating to implementation and reimbursement of direct access to physical therapy.
PT Supervision Ratios StateSupervision RatioKentucky4 (Reference: 201 KAR 3.Section 4 (1)(a))Louisiana5 (Reference: LA Admin Code §339.A) Louisiana has a cap of 5 maximum, however there are individual limits for number of PTAs or technicians (4), provisional license (1), or students (5)MaineNo Supervision Ratio51 more rows