Did you know?
Some states allow physical therapists to be the primary provider for musculoskeletal pain. Meaning...individuals can receive physical therapy services without a referral from a physician or other qualified healthcare provider.
What about Mississippi?
Mississippi currently allows "Limited Direct Access" which means that direct access to physical therapy services is allowed but only under certain circumstances.
The American Physical Therapy Association states that physical therapists may perform physical therapy services without a prescription or referral under the following circumstances:
To children with a diagnosed developmental disability pursuant to the patient's plan of care.
As part of a home health care agency pursuant to the patient's plan of care.
To a patient in a nursing home pursuant to the patient's plan of care.
Related to conditioning or to providing education or activities in a wellness setting for the purpose of injury prevention, reduction of stress or promotion of fitness.
To an individual for a previously diagnosed condition or conditions for which physical therapy services are appropriate after informing the health care provider rendering the diagnosis. The diagnosis must have been made within the previous one hundred eighty (180) days. The physical therapist shall provide the health care provider who rendered the diagnosis with a plan of care for physical therapy services within the first fifteen (15) days of physical therapy intervention.
So what's the catch?
Most insurance companies require a referral for physical therapy in order to pay for services; however, there are a few insurance companies that allow their members to seek treatment from a physical therapist without a referral as long as one of the above circumstances applies.
Not sure what your insurance requires? Contact our office so that we can help.