PROVIDER QUALIFICATIONS
| Physical Therapy Services Must Be Provided By: |
• A Physical Therapist Licensed by the Virginia Board of Medicine • A Graduate (trainee) of a physical therapy program, approved by the American Medical Association and American Physical Therapy Association who is engaged in clinical experience under the direct supervision of a licensed physical therapist as described above • A physical therapist assistant licensed by the Virginia Board of Medicine and directly supervised by a licensed physical therapist as described above |
| Occupational Therapy Services Must Be Provided By: |
• An occupational therapist licensed by the Virginia Board of Medicine • A graduate of an occupational therapy program approved by the American Medical Association or the American Occupational Therapy Association who is engaged in clinical experience under the direct supervision of a licensed occupational therapist as described above • An occupational therapist assistant certified by the National Board for Certification in Occupational Therapy and is directly supervised by a licensed occupational therapist as described above |
| Speech-Language Pathology Services Must Be Provided By: |
• A Masters level prepared SLP licensed by the Va. Dept. of Health Professionals, Board of Audiology and Speech-language Pathology • A SLP with their Certificate of Clinical Competence (CCC) from ASHA • A SLP who is licensed by the Board of Education with an endorsement in Speech-Language Disorders, prek-12 and a masters degree, licensed without exam by the Board of Audiology and Speech-Language Pathology • A SLP licensed by the Board of Education with an endorsement in Speech Language Disorders, prek-12, but does not hold a master’s degree in Speech-Language Pathology who must be directly supervised by a Board of Audiology and Speech Language Pathology or a SLP with their CCC |
| Skilled Nursing Services Must Be Provided By: |
• A Registered Nurse or Licensed Practical Nurse licensed by the Virginia Department of Health Professionals • A Licensed Practical Nurse must be supervised by a Registered Nurse as required by the Code of Virginia |
| Hearing Screens Must Be Provided By: |
• A Nurse Practitioner, Registered Nurse, Licensed Practical Nurse, Licensed Audiologist,or a Speech-Language Pathologist |
| EPSDT |
• Must Be Provided by a Physician or a Nurse Practitioner • This is an unclothed Physical Examination that can be completed according to a periodicity schedule. • Only the EPSDT can be billed to Medicaid/CMSIP, no episodic care. • Copies of all physicals should be sent to recipients primary care physician. |