(a) In this section, “therapy services” includes occupational, physical, and speech therapy services.
(b) After implementing the objective assessment process for acute nursing services in accordance with § 531.02417, the commission shall consider whether implementing age- and diagnosis-appropriate objective assessment processes for assessing the needs of a Medicaid recipient for therapy services would be feasible and beneficial.
(c) If the commission determines that implementing age- and diagnosis-appropriate processes with respect to one or more types of therapy services is feasible and would be beneficial, the commission may implement the processes within:
(1) the Medicaid fee-for-service model;
(2) the primary care case management Medicaid managed care model; and
(3) the STAR and STAR + PLUS Medicaid managed care programs.
(d) An objective assessment process implemented under this section must include a process that allows a provider of therapy services to request and obtain a review of the results of an assessment conducted as provided by this section that is comparable to the process implemented under rules adopted under § 531.02417(e).


Text of section effective until April 01, 2025