Updated: Changes to MaineCare Benefits Manual, Section 68 Occupational Therapy and Section 85 Physical Therapy

January 2, 2014

Effective 1/1/14, the Department will adopt rules to require certain members to request Prior Authorization for Physical Therapy and Occupational Therapy Services. In order to accommodate providers, the Department is allowing a three (3) week grace period. Therefore, Prior Authorization requirements for Physical Therapy and Occupational Therapy will not be effective until 1/21/14. A new Prior Authorization Request form has been posted on the HealthPas portal. Log in to your trading partner account to access the new form. The adopted policy can be found at http://www.maine.gov/dhhs/oms/rules/index.shtml as of 1/1/14.