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Direct Access to Physical Therapy

Direct Access

 

What is direct access (or self-referral) to physical therapy?

The State of New York passed a law in 2008 that allows patients to be seen by a Physical Therapist without a physician referral. However, some private insurance companies still require a referral before they will reimburse for Physical Therapy services. For this reason, we recommend that you contact your insurance company to find out their policy on direct access.

Medicare, Medicaid (including Managed Medicaid plans such as Total Care, Fidelis), Workers' Compensation and No-Fault DO require a physician referral.

If your insurance covers Physical Therapy without physician referral, you can be seen for up to 10 visits or 30 days, whichever comes first, and the Physical Therapist must have been licensed for at least 3 years (all of our therapists satisfy this requirement). If you still need additional therapy after that, a physician referral would be required.

If you need additional information, please feel free to contact us. We look forward to working with you!