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Out-Patient Physical Therapy/Speech Pathology

There are three types of organizations that may qualify as OPT/OSP providers:

  1. Rehabilitation Agency - An agency that provides an integrated, multidisciplinary program designed to upgrade the physical functions of handicapped, disabled individuals by bringing together, as a team, specialized rehabilitation personnel.
  2. Clinic- A facility established primarily for the provision of outpatient physicians’ services.  To meet the definition of a clinic, the facility must meet the following test of physician participation:
    • The medical services of the clinic are provided by a group of three or more physicians practicing medicine together; and
    • A physician is present in the clinic at all times during hours of operation to perform medical services (rather than only administrative services).
  3. Public Health Agency - An official agency established by a State or local government, the primary function of which is to maintain the health of the population served by providing environmental health services, preventive medical services, and in certain instances, therapeutic services.

How to Become Medicare Certified

Complaints

For information on filing a complaint or checking the status of a current complaint, please visit our complaint section

Medicare guidance for type of clinic, relocation of existing OPT, additional extension sites (locations) added to the existing OPT provider’s Medicare Certification is in the Center for Medicare & Medicaid Services website, in the State Operations Manual, Chapter 2, section- Providers of Outpatient Physical Therapy, and/or Outpatient Speech Pathology Services in section 2290-2308.

Resources

Forms

Laws & Rules