DDRS Waiver Manual

Section 10.21: Physical Therapy
Service Definition
Physical Therapy services means services provided by a licensed physical therapist.
These services cannot be provided as a substitute for services offered under the Medicaid State Plan.
Reimbursable Activities
Reimbursable activities include the following:
Screening and assessment
Treatment and training programs designed to preserve and improve abilities for independent
functioning, such as gross and fine motor skills, range of motion, strength, muscle tone, and
activities of daily living
Planning, reporting, and write-up when in association with the actual one-on-one direct
care/therapy service delivery with the waiver participant
Direct therapeutic intervention
Training and assistance with adaptive aids and devices
Consultation or demonstration of techniques with other service providers and family members
Service Standards
The following service standards apply to Physical Therapy services:
Individual Physical Therapy Services must be reflected in the ISP regardless of the funding source.
The need for such services must be documented by an appropriate assessment and authorized in the
ISP.
Documentation Standards
Physical Therapy services documentation must include
Documentation by appropriate assessment
Services provided both under the Medicaid State Plan and the waiver must be outlined in the ISP
Appropriate credentials for service providers
Attendance record, therapist logs, and chart detailing services provided, dates, and times
Documentation in compliance with 460 IAC 6 Supported Living Services and Supports requirements
Documentation of this service being requested on Medicaid State Plan shall be included in the ISP
As applicable, monthly/quarterly reports must be uploaded to Advocare by the chosen service provider on
130