Many insurance carriers, including many state Medicaid programs, have different outpatient therapy benefit coverage dependent upon whether the therapy is rehabilitative in nature or habilitative in nature. In addition, some insurance carriers are requiring a modifier be reported on the claim form to indicate if the therapy provided was rehabilitative or habilitative. In this article, I will explain the difference between habilitative therapy and rehabilitative therapy and discuss the new modifier that some insurance carriers are requiring when providing habilitative therapy services.
All material posted on our website is the intellectual property of Gawenda Seminars & Consulting, Inc. and can’t be used, reproduced, or posted as your own material without the prior written approval of Gawenda Seminars & Consulting, Inc.
This article is not intended to and does not serve as legal advice or as consultative services, but is for general information purposes only.