SD19 - The Mandated Direct Reimbursement of Physical Therapists Pursuant to Sections 38.2-3408 and 38.2-4221 of the Code of Virginia
Executive Summary: Sections 38.2-3408 and 38.2-4221 of the Code of Virginia require insurers regulated by the state to reimburse directly physical therapists who provide covered services within the scope of their licensure. These statutes do not extend coverage to additional services offered by physical therapists, but only require that physical therapists be reimbursed for services that are otherwise covered by a policy. Virginia has mandated the direct reimbursement of physical therapists for covered services since 1987. The Special Advisory Commission on Mandated Health Insurance Benefits (Advisory Commission) reviewed the physical therapist mandate as part of its review of Virginia's existing mandated benefit and provider requirements pursuant to §§ 9-298 and 9-299 of the Code of Virginia. The Advisory Commission held a public hearing on June 7, 1993 to receive comments on the mandated provider category. |
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