Delaware PT, OT and SLP guide

For OT, PT and SLP clinics in Delaware: three state boards license the disciplines; the licensing law allows treatment without a referral for up to 90 days, and the board’s rules require a practitioner consult after 30 days; Delaware Medicaid covers children’s therapy under EPSDT and adults within its own rules; and telehealth follows the patient’s location.⁠^1,2,3,4,5,6

Who licenses OTs, PTs and SLPs in Delaware?

Three state boards license the three disciplines in Delaware, and each publishes its own licensing law, rules, renewal cycle and continuing-education requirement.⁠^1,7,8 A clinic that employs more than one discipline keeps three registers, not one.

Physical therapists and physical therapist assistants answer to the Examining Board of Physical Therapists and Athletic Trainers.⁠^{1,56,57,58,59,60,61,62,63,64,65,66,67,68,69,70,71} Occupational therapists and occupational therapy assistants answer to the Board of Occupational Therapy Practice.⁠^{7,72,73,74,75,76,77,78,79,80,81,82,83,84} Speech-language pathologists answer to the Board of Speech/Language Pathologists, Audiologists, and Hearing Aid Dispensers.⁠^{8,85,86,87,88,89,90,91,92,93,94,95,96,97,98,99} The State Examining Board of Physical Therapists and Athletic Trainers, created by the licensing law with 10 members, administers and enforces the chapter within the Division of Professional Regulation, and the Division’s page says the Board issues licenses to physical therapists, physical therapist assistants and athletic trainers.⁠^{1,56,57,58,59,60,61,62,63,64,65,66,67,68,69,70,71} No one may practice or hold themselves out as able to practice physical therapy, or act as a physical therapist or physical therapist assistant, without a license in good standing under the chapter.⁠^{1,56,57,58,59,60,61,62,63,64,65,66,67,68,69,70,71} The Board of Occupational Therapy Practice, five members appointed by the Governor including two occupational therapists and one occupational therapy assistant, administers and enforces the chapter within the Division of Professional Regulation, and the Division’s page says the Board issues licenses to occupational therapists and occupational therapy assistants.⁠^{7,72,73,74,75,76,77,78,79,80,81,82,83,84} No one may practice occupational therapy, or hold themselves out as an occupational therapist or occupational therapy assistant, without a license under the chapter.⁠^{7,72,73,74,75,76,77,78,79,80,81,82,83,84} The State Board of Speech/Language Pathologists, Audiologists, and Hearing Aid Dispensers, nine members appointed by the Governor including three speech/language pathologists, administers and enforces the chapter within the Division of Professional Regulation; the Board also licenses audiologists, hearing aid dispensers and, since Senate Bill 320 was signed on September 19, 2024, speech/language pathology assistants.⁠^{8,85,86,87,88,89,90,91,92,93,94,95,96,97,98,99} No one may practice speech/language pathology, or hold themselves out as a speech/language pathologist or speech/language pathology assistant, without a license under the chapter.⁠^{8,85,86,87,88,89,90,91,92,93,94,95,96,97,98,99} A license is a state authorization; a national certification (NBCOT for occupational therapy, the ASHA certificate for speech-language pathology, the NPTE for physical therapy) is a different thing and does not replace it. Compact privileges for practitioners licensed elsewhere are covered under telehealth below.

What does a Delaware license renewal require?

Each board sets its own cycle and hours, listed in the table above, and the register template at the end of this page tracks them per clinician.⁠^1,7,8 A renewal missed is a lapse, and the board’s own rules say what a lapsed licensee may and may not do; the clinic reads those rules before a clinician’s renewal date passes, not after.

Can a patient see a Delaware PT, OT or SLP without a referral?

State law answers this discipline by discipline, and a payer may still require a referral the law does not. For physical therapy, the licensing law says a licensed physical therapist may consult, evaluate or treat with or without a referral by a licensed medical or osteopathic physician, refers the individual to another health practitioner when symptoms are present whose treatment is outside the physical therapist’s knowledge, may treat an individual without a referral for up to 90 days, after which a physician must be consulted, and needs a physician referral specific for dry needling; the board’s rules say a licensed health practitioner with prescriptive authority must be consulted if a patient is still receiving physical therapy after 30 calendar days from the initial assessment.⁠^{2,9,10,11,12,13} Delaware Medicaid, as a payer, requires therapy billed to it to be medically necessary and ordered by a physician or other licensed practitioner acting within the scope of that practitioner’s practice under state law. For physical therapy, Delaware Medicaid’s manual for members exempt from managed care requires the patient to be under a physician’s care, with the clinical record showing a physician visit at least every 30 days.⁠^{2,9,10,11,12,13} For occupational therapy, the licensing act requires a license to practice occupational therapy and defines the practice as the use of goal-directed activities with individuals limited by injury, illness, psychiatric and emotional disorders, developmental or learning disabilities, poverty and cultural differences, or aging, to maximize independence, prevent disability and maintain health.⁠^{100,101,102,103} Delaware Medicaid’s manual for members exempt from managed care applies the same physician-care rule to occupational therapy, with the clinical record showing a physician visit at least every 30 days.⁠^{100,101,102,103} For speech-language pathology, the licensing act requires a license and defines the practice of speech/language pathology as the measurement, testing, evaluation, prediction, counseling, instruction, habilitation or rehabilitation of speech, language, voice, fluency, cognition and swallowing disorders.⁠^104,105,106 Delaware Medicaid’s manual for members exempt from managed care requires a written plan of treatment for speech/language pathology, established by the physician or the therapist before treatment starts.⁠^104,105,106

The payer’s rule is separate. Medicare pays for outpatient therapy under a plan of care certified by a physician or nonphysician practitioner, and the regulation’s 2025 text lets a signed order or referral on file, with the plan delivered within 30 days of the initial evaluation, stand in for that signature on an initial plan.⁠⁴¹ Delaware Medicaid’s referral and prior-authorization rules are in the next section. A commercial plan’s rule is in its member contract and provider manual, and the clinic keeps a copy of each.

How does Delaware Medicaid pay for pediatric and adult therapy?

Delaware Medicaid is run by the Delaware Division of Medicaid and Medical Assistance (DMMA), and a clinic enrolls through its provider enrollment route before it bills.⁠^107,108,109 For children, the federal EPSDT benefit requires the state to cover services that correct or ameliorate a condition found at a screening, whether or not the state plan covers them for adults.⁠¹¹⁰ For members under 21, Delaware Medicaid’s EPSDT benefit covers screening and diagnostic services and the health care, treatment and other measures that correct or ameliorate defects and chronic conditions the screening finds, including any other medically necessary service identified during screening whether or not the state’s Medicaid program normally provides it. Medicaid is a payer for Part C Birth to Three early intervention services, which include physical therapy.⁠^3,4,5,6

For members exempt from managed care, Delaware Medicaid’s Independent Therapist manual requires the patient to be under a physician’s care, seen at least every 30 days, with a written plan of treatment established before treatment starts and signed by the physician or therapist. Physical therapy is covered when reasonable and necessary to restore function lost or reduced by illness or injury, occupational therapy when restorative or for designing a home program, and speech/language pathology when reasonable and necessary under accepted standards of practice. Independent therapy is limited to the therapist’s office or the member’s home.⁠^{14,15,16,17,18,19,20} Where Delaware Medicaid requires prior authorization, the provider obtains it from the DMAP through the DMAP Portal before starting the service, or payment is denied. For members in a managed care plan, the plan may require prior authorization for therapy and the provider follows the plan’s guidelines.⁠^111,112 Delaware’s Medicaid program is called Diamond State Health Plan, and benefits are provided mainly through a managed care organization under contract with the state. The state contracts with three plans, AmeriHealth Caritas, Delaware First Health and Highmark Health Options, and members enrolled with a plan receive therapy through it. Members entitled to Medicare, residents of a nursing facility and other listed groups are not enrolled in a plan.⁠^{113,114,115,116,117} The fee schedule is published by the agency, and a clinic reads the current file rather than a remembered rate.⁠^118,119

How does Delaware Medicaid want OT, PT and SLP claims coded?

Therapists bill Delaware Medicaid with Physical Medicine and Rehabilitation CPT procedure codes and a diagnosis code, are paid a set rate per HCPCS procedure code with supplies included, bill assistants’ services under the supervising therapist, submit claims to the fiscal agent Gainwell within twelve months of the date of service, and maintain documentation supporting each code billed.⁠^{120,121,122,123,124,125,126,127} The codes, modifiers and authorization forms are the manual’s and change with it, so the clinic reads the current therapy sections before its first claim and records the manual’s page-updated date in the payer register.

Does Delaware Medicaid pay for therapy in schools?

For school-based health services, the local school district is the enrolled Medicaid provider for health-related services defined in a student’s IEP or the school health program, and each individual provider whose covered services are billed on the district’s behalf also enrolls with Medicaid.⁠¹²⁸ A school’s billing is the district’s, under its own program; an outpatient clinic’s claim for the same child is a separate matter with its own eligibility and authorization.

Does Delaware Medicaid cover therapy by telehealth?

Delaware Medicaid covers telemedicine services under the Practitioner manual’s telehealth criteria: providers at both sites are enrolled with DMAP, the service is medically necessary and written in the patient’s treatment plan, the provider-patient relationship meets 24 Del. C. § 6003, and the patient’s consent and the telehealth delivery are documented in the record.⁠^{129,130,131,132} The telehealth section below covers the state’s own rules for the session itself.

What are Delaware’s telehealth rules for therapy?

A therapist treating a patient by video needs authority to practice where the patient is located at the time of the session, and the federal telehealth site says so plainly: licensure follows the patient’s location, and a compact privilege is one route to it.⁠²¹ The physical therapy board’s rules require a licensee providing treatment through telehealth to hold an active Delaware license, to treat a patient located in Delaware, and to obtain written informed consent first. The occupational therapy board’s rules carry their own license and written-consent requirements, and the speech board’s rules require an active Delaware license to serve patients located in Delaware. Delaware’s Telehealth and Telemedicine Act, 24 Del. C. ch. 60, authorizes providers licensed by the boards it lists, among them the Board of Occupational Therapy Practice, to deliver services by telehealth and telemedicine, requires a provider-patient relationship, and offers an interstate telehealth registration through the Division of Professional Regulation to providers licensed in a state that has not adopted an applicable compact.⁠^{133,134,135,136,137,138,139,140}

A compact privilege is not a national license: it is a privilege to practice in the specific member state that issued it, under that state’s licensing law, and a state that has enacted the compact may not yet be issuing privileges, which is why the table names the commission’s current status.⁠^{22,23,24,25,26} Delaware’s insurance code requires insurers, health service corporations and health maintenance organizations to cover health-care services provided through telemedicine, bars excluding a service solely because it is provided through telemedicine rather than in person, and requires reimbursement on the same basis and at least at the rate paid for the same service in person. The physical therapy act entitles a physical therapist authorized to perform a service to compensation under health plans and bars annual or lifetime numerical limits on physical therapy visits for the spine and other neuromusculoskeletal structures, with copayments or coinsurance capped at 25 percent of the fee.⁠^{141,142,143,144,145,146}

Which business steps are specific to Delaware?

The entity is registered with the Delaware Division of Corporations, and the choice of entity is shaped by the state’s rule on who may own a therapy business.⁠^46,47 Delaware’s Professional Service Corporation Act defines a professional service as a personal service to the public that requires a license or other legal authorization before it may be rendered, and a professional corporation as one organized to render a single professional service, or qualified related professional services, whose shareholders are all individuals licensed or legally authorized in Delaware to render that service. A professional corporation renders professional services only through officers, employees and agents who are licensed or legally authorized to render them in Delaware.⁠^48,49 State tax registration is with the Delaware Division of Revenue, through the One Stop business registration and licensing portal.⁠^147,148,149 Delaware’s Division of Revenue levies a gross receipts tax on the seller of goods or the provider of services in the state, with no deduction for costs. Its tax tip for occupations and general service lists occupational therapy offices among licensees, says a Division of Revenue business license is required of every person providing services in Delaware for a fee, and the health care facilities tip adds that goods sold in addition to services are subject to other licensing requirements.⁠^{150,151,152,153} Every employer with one or more employees carries workers’ compensation insurance through a licensed carrier or qualifies as an approved self-insurer.⁠^154,155,156 A city or county business license is a local question, answered by the city hall of the clinic’s address. The startup-costs guide carries the budget worksheet these registrations go into.

What record and privacy rules apply in Delaware?

For a physical therapist, inaccurately recording, falsifying or altering a patient or facility record is unprofessional conduct under the board’s rules. For Delaware Medicaid, the therapist’s signed plan of treatment is incorporated into the therapist’s permanent record for the patient, the clinical record shows the physician visits, and the provider maintains documentation supporting each code billed.⁠^42,43,44,45 Two federal periods sit beside it and are often confused with it: Medicare requires 7 years for documentation of orders, certifications, referrals and payment requests, and HIPAA requires 6 years for its own compliance documentation, and neither sets the retention period for the clinical chart.⁠^157,158

Violating the confidentiality of information concerning the patient is unprofessional conduct under the physical therapy board’s rules, and the occupational therapy and speech boards’ telehealth rules require the licensee to keep electronic communication secure so that the patient’s medical information stays confidential as HIPAA and other federal and state laws require.⁠^159,160,161 A person who conducts business in Delaware and owns or licenses computerized data with personal information gives notice of a breach of security to each Delaware resident whose personal information was breached, unless an investigation reasonably finds the breach unlikely to harm them, without unreasonable delay and no later than 60 days after determining the breach. Personal information includes a name with medical history, medical treatment or a diagnosis by a health care professional.⁠^{162,163,164,165} Any person who knows or in good faith suspects child abuse, neglect or human trafficking reports it to the Department of Services for Children, Youth and Their Families. The report is made orally to the Department’s report line in the listed urgent circumstances and otherwise orally or through the Department’s online reporting portal.⁠^{166,167,168,169}

Which Delaware rules shape a pediatric clinic?

Delaware’s Part C Birth to Three program is administered by the Department of Health and Social Services, whose Division of Management Services is the lead agency and whose Child Development Watch, in the Division of Public Health, runs program operations and determines eligibility through a multidisciplinary team. Eligible children are infants and toddlers with established conditions or developmental delays, from birth until the third birthday. A child suspected of being eligible but not yet determined eligible may be referred to a provider for an evaluation, and that evaluation and assessment are paid for through Part C.⁠^{50,51,52,53,54,55} A child who turns three moves from early intervention to the school district’s evaluation, and a private clinic’s services run beside both systems rather than inside them. Delaware’s individual health benefit plans cover the screening, diagnosis and treatment of autism spectrum disorders in individuals under 21. Treatment includes therapeutic care, meaning services by speech, occupational or physical therapists or an aide or assistant under their supervision, when prescribed or ordered by a licensed physician or licensed psychologist who determines it medically necessary. Applied behavior analysis is subject to a dollar maximum per 12-month period that the Insurance Commissioner adjusts each year, and the group and blanket plan statute carries the same coverage requirement.⁠^{170,171,172,173,174} The autism insurance mandates guide covers how such a mandate meets a plan’s own terms.

Which Delaware rules shape an adult clinic?

Medicare claims from Delaware go to Novitas Solutions, Inc., the Medicare Administrative Contractor for Jurisdiction L, Parts A and B (Delaware, District of Columbia, Maryland, New Jersey and Pennsylvania), whose local coverage articles for therapy are the ones a Delaware clinic reads.⁠^175,176 Delaware Medicaid’s adult therapy rules are in the Medicaid section above. Delaware’s workers’ compensation law sets a health-care payment system under which the maximum allowable payment is the lesser of the provider’s actual charge or the fee the payment system sets, published online through the Office of Workers’ Compensation. The Office’s Medical Component Unit page offers fee schedules and utilization review resources for health care providers.⁠^177,178,179

Which associations and directory pages serve Delaware?

The state chapters are APTA Delaware for physical therapy, the Delaware Occupational Therapy Association (DOTA) for occupational therapy and the Delaware Speech-Language-Hearing Association (DSHA) for speech-language pathology.⁠^180,181,182 On DrSensory, families browse Delaware clinics by discipline on the occupational therapy, physical therapy and speech therapy pages for the state, which the directory builds from the clinic addresses it holds; a clinic appears on the pages of its own address.⁠¹⁸³

Which Delaware cities have DrSensory city pages?

Beyond its three Delaware pages, the directory publishes city pages for one Delaware city, Wilmington, three pages across the three disciplines, each listing the clinics whose address is in that city; a clinic appears on the city page of its address without any action of its own, and a city or discipline without a page is reached through the state page.⁠¹⁸³

How many Delaware PT, OT and SLP clinics does DrSensory list?

DrSensory lists 22 PT, OT and SLP clinics in Delaware, on its occupational therapy, physical therapy and speech therapy pages for the state.⁠¹⁸³

Where does each requirement come from, and what does the clinic do?

Which templates does a Delaware launch need?

How might two Delaware clinics plan a launch?

Sources

1. Delaware Division of Professional Regulation. Examining Board of Physical Therapists and Athletic Trainers. Checked October 30, 2026.
2. Delaware General Assembly (Delaware Code Online). 24 Del. C. § 2612, Practice, referral, and consultation (Chapter 26, Physical Therapy and Athletic Training). Checked October 30, 2026.
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   “(a) A licensed physical therapist may enter a case for the purpose of consultation, evaluation or treatment of an individual as it relates to the individual’s need for physical therapy services, with or without a referral by a licensed medical or osteopathic physician; provided, however, that a physical therapist shall refer the individual to another health practitioner if symptoms are present for which treatment is outside the scope of the physical therapist’s knowledge. A physical therapist may treat an individual without a referral up to 90 days after which time a physician must be consulted. Physical therapy treatment of any individual shall be administered only by a licensed physical therapist.”
3. Delaware Division of Medicaid and Medical Assistance (DHSS). Section 1.27.1, Early and Periodic Screening, Diagnosis and Treatment (EPSDT) (General Policy Provider Policy Manual (Delaware Medical Assistance Program)). Checked October 30, 2026.
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   “"Early and Periodic Screening, Diagnosis and Treatment" means: 1.27.1.1 Screening and diagnostic services provided to determine physical or mental defects in Medicaid eligible individuals under age twenty-one (through age twenty); and, 1.27.1.2 Health care, treatment and other measures to correct or ameliorate any defects and chronic conditions discovered during the screening process.”
4. Delaware Division of Medicaid and Medical Assistance (DHSS). Section 1.22.1.2.7, Covered Services (General Policy Provider Policy Manual (Delaware Medical Assistance Program)). “Periodic preventive health screens and other necessary diagnostic and treatment services for children under age twenty-one (Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Program).” Checked October 30, 2026.
5. Delaware Division of Medicaid and Medical Assistance (DHSS). Section 1.27.3.5, Early and Periodic Screening, Diagnosis and Treatment (EPSDT) (General Policy Provider Policy Manual (Delaware Medical Assistance Program)). “Any other medically necessary services identified during the screening process whether normally provided under the State’s Medicaid program or not ...” Checked October 30, 2026.
6. Delaware Division of Medicaid and Medical Assistance (DHSS). Part C Birth to Three Early Intervention Services Provider Policy Manual (revised November 17, 2023). “Physical therapy under Part C consists of services to address the promotion of sensorimotor function through enhancement of musculoskeletal status, neurobehavioral organization, perceptual and motor development, cardiopulmonary status, and effective environmental adaptation.” Checked October 30, 2026.
7. Delaware Division of Professional Regulation. Board of Occupational Therapy Practice. Checked October 30, 2026.
8. Delaware Division of Professional Regulation. Board of Speech/Language Pathologists, Audiologists, and Hearing Aid Dispensers. Checked October 30, 2026.
9. Delaware General Assembly (Delaware Code Online). 24 Del. C. § 2612, Practice, referral, and consultation (Chapter 26, Physical Therapy and Athletic Training). “(c) Notwithstanding any other provision in this section, a physician referral specific for dry needling is required. If the initial referral is received orally, it must be followed up with a written referral.” Checked October 30, 2026.
10. Delaware Registrar of Regulations (Delaware Administrative Code). Section 1.1.1, Consultation in direct access (Examining Board of Physical Therapists and Athletic Trainers, 24 DE Admin. Code 2600). Checked October 30, 2026.
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    “Consultation in direct access. A licensed health practitioner who has been granted prescriptive authority must be consulted if a patient is still receiving physical therapy after 30 calendar days have lapsed from the date of the initial assessment. This consultation must be documented and could take place at any time during the initial 30 day period.”
11. Delaware Registrar of Regulations (Delaware Administrative Code). Section 1.1.1, Consultation in direct access (Examining Board of Physical Therapists and Athletic Trainers, 24 DE Admin. Code 2600). Checked October 30, 2026.
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    “If no licensed health practitioner consult has been made in this initial 30 day period, treatment must be terminated and no treatment may be resumed without a licensed health practitioner consult.”
12. Delaware Division of Medicaid and Medical Assistance (DHSS). Independent Therapist Provider Specific Policy Manual (revised February 1, 2023). “All therapy services must be medically necessary and ordered by a physician or other licensed practitioner of the healing arts within the scope of his or her practice under State law.” Checked October 30, 2026.
13. Delaware Division of Medicaid and Medical Assistance (DHSS). Independent Therapist Provider Specific Policy Manual (revised February 1, 2023). “The patient must be under the care of a physician. There must be evidence in the clinical record maintained by the therapist that the patient has been seen by the physician at least every 30 days.” Checked October 30, 2026.
14. Delaware Division of Medicaid and Medical Assistance (DHSS). Independent Therapist Provider Specific Policy Manual (revised February 1, 2023). “The patient must be under the care of a physician. There must be evidence in the clinical record maintained by the therapist that the patient has been seen by the physician at least every 30 days.” Checked October 30, 2026.
15. Delaware Division of Medicaid and Medical Assistance (DHSS). Independent Therapist Provider Specific Policy Manual (revised February 1, 2023). Checked October 30, 2026.
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    “This manual reflects the policies as they relate to Medicaid members who are exempt from managed care coverage. A list of members exempt from managed care coverage is found in the Managed Care Section of the General Policy Manual.”
16. Delaware Division of Medicaid and Medical Assistance (DHSS). Independent Therapist Provider Specific Policy Manual (revised February 1, 2023). Checked October 30, 2026.
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    “The therapy must be furnished under a written plan of treatment established by the physician or therapist caring for the patient (i.e., written either by the physician who makes the plan available to the therapist or by the therapist). The plan must be established before treatment is started. The plan must be signed by the physician or therapist and incorporated into the therapist’s permanent record for the patient.”
17. Delaware Division of Medicaid and Medical Assistance (DHSS). Independent Therapist Provider Specific Policy Manual (revised February 1, 2023). “The physical therapy is performed to restore the individual’s level of function that has been lost or reduced by illness or injury.” Checked October 30, 2026.
18. Delaware Division of Medicaid and Medical Assistance (DHSS). Independent Therapist Provider Specific Policy Manual (revised February 1, 2023). “The services provided must be restorative or for the purpose of designing and teaching a program for the individual to conduct at home.” Checked October 30, 2026.
19. Delaware Division of Medicaid and Medical Assistance (DHSS). Independent Therapist Provider Specific Policy Manual (revised February 1, 2023). “Speech/language pathology services must be reasonable and necessary to the treatment of the individual’s illness or injury.” Checked October 30, 2026.
20. Delaware Division of Medicaid and Medical Assistance (DHSS). Independent Therapist Provider Specific Policy Manual (revised February 1, 2023). “Independent physical therapy services are limited to services provided in the therapist’s office or member’s home.” Checked October 30, 2026.
21. U.S. Department of Health and Human Services. Getting started with licensure (Telehealth.HHS.gov, last updated February 21, 2024). Checked October 26, 2026.
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    “Health professionals must meet the licensure requirements of the state where they are located and be licensed or legally permitted to practice in the state where the patient is located”. Its companion page, Licensing across state lines (last updated April 30, 2025): “The ability to deliver health care services across state lines varies based on state regulations”; “Prior to an appointment, providers should verify patient location and obtain consent”; “Compacts allow participating health care providers to practice in participating states”.
22. PT Compact Commission. PT Compact Map. “Member States (38) Alabama Alaska Arizona Arkansas Colorado Connecticut Delaware ...” Checked October 30, 2026.
23. PT Compact Commission. PT Compact Map. “38 Member States Actively Issuing and Accepting Compact Privileges ...” Checked October 30, 2026.
24. Delaware General Assembly (Delaware Code Online). 24 Del. C. § 2601C, Physical Therapy Licensure Compact; purpose (Chapter 26C, Physical Therapy Licensure Compact). “(a) The State hereby enters into the Physical Therapy Licensure Compact (“Compact”) as set forth in this chapter. The text of the Compact is as set forth in this chapter.” Checked October 30, 2026.
25. Delaware General Assembly (Delaware Code Online). 24 Del. C. § 2601C, Physical Therapy Licensure Compact; purpose (Chapter 26C, Physical Therapy Licensure Compact). “82 Del. Laws, c. 169, § 1 ...” Checked October 30, 2026.
26. Delaware Division of Professional Regulation. Examining Board of Physical Therapists and Athletic Trainers. “Important: The Physical Therapy Compact Commission has amended its rules and regulations. See the 2026 Notice of Proposed Rulemaking for details.” Checked October 30, 2026.
27. Occupational Therapy Compact Commission. Before You Apply for an OT Compact Privilege. “Delaware Not Yet not required DE OT Regulations ...” Checked October 30, 2026.
28. Occupational Therapy Compact Commission. Before You Apply for an OT Compact Privilege. “State Accepting OTC Applications? Jurisprudence Information State Regulations Practice Acts ...” Checked October 30, 2026.
29. Occupational Therapy Compact Commission. Before You Apply for an OT Compact Privilege. “States not listed below are not a member of the Occupational Therapy Compact.” Checked October 30, 2026.
30. Delaware General Assembly (Delaware Code Online). 24 Del. C. § 2001A, Interstate Occupational Therapy Licensure Compact (Chapter 20A). “The State hereby enters into the Interstate Occupational Therapy Licensure Compact (“Compact”) as set forth in the chapter. The text of the Compact is as set forth in this chapter.” Checked October 30, 2026.
31. Delaware General Assembly (Delaware Code Online). 24 Del. C. § 2001A, Interstate Occupational Therapy Licensure Compact (Chapter 20A). “83 Del. Laws, c. 394, § 1 ...” Checked October 30, 2026.
32. Delaware Division of Professional Regulation. OT Compact (Board of Occupational Therapy Practice). “The Occupational Therapy Licensure Compact allows eligible licensed occupational therapists and occupational therapy assistants an alternative method for providing services in other member states.” Checked October 30, 2026.
33. Audiology and Speech-Language Pathology Interstate Compact Commission. Compact Map (the map’s location data for Delaware). “"title":"Delaware","id":"DE"” Checked October 30, 2026.
34. Audiology and Speech-Language Pathology Interstate Compact Commission. Compact Map. “Legislation Enacted - Not Yet Issuing Privileges: 33 Legislation Enacted - Issuing Privileges: 4 ...” Checked October 30, 2026.
35. Audiology and Speech-Language Pathology Interstate Compact Commission. Compact Map (the map’s location data for Delaware). “SB 272 (2022)” Checked October 30, 2026.
36. Audiology and Speech-Language Pathology Interstate Compact Commission. Compact Map (the map’s location data for Delaware). “"pin":"hidden","style":"Enacted","action":"default","x":"0.8191","y":"0.3260"” Checked October 30, 2026.
37. Audiology and Speech-Language Pathology Interstate Compact Commission. Compact Privilege Status Update. Checked October 30, 2026.
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    “May 28, 2026 Licensed practitioners in Tennessee can register and begin the privilege to practice process. February 9, 2026 Licensed practitioners in Ohio can register and begin the privilege to practice process. October 28, 2025 The ASLP-IC Operationalizes! Licensed practitioners in Louisiana and West Virginia can register and begin the privilege to practice process.”
38. Delaware General Assembly (Delaware Code Online). 24 Del. C. § 3701A, Audiology and Speech-Language Pathology Interstate Compact (Chapter 37A). “The State hereby enters into the Audiology and Speech-Language Pathology Interstate Compact (“Compact”) as set forth in this chapter. The text of the Compact is set forth in this chapter.” Checked October 30, 2026.
39. Delaware General Assembly (Delaware Code Online). 24 Del. C. § 3701A, Audiology and Speech-Language Pathology Interstate Compact (Chapter 37A). “83 Del. Laws, c. 396, § 1 ...” Checked October 30, 2026.
40. Delaware Division of Professional Regulation. Board of Speech/Language Pathologists, Audiologists and Hearing Aid Dispensers. “The Audiology and Speech-Language Pathology Interstate Compact (ASLP-IC) allows eligible licensed audiologists and speech-language pathologists an alternative method for providing services in other member states.” Checked October 30, 2026.
41. Code of Federal Regulations. 42 CFR 424.24, Requirements for medical and other health services furnished by providers under Medicare Part B (eCFR, up to date as of October 22, 2026; paragraph (c), outpatient physical therapy, occupational therapy and speech-language pathology services). Checked October 26, 2026.
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    “The individual needs, or needed, physical therapy, occupational therapy, or speech-language pathology services.”; “The services were furnished while the individual was under the care of a physician, nurse practitioner, clinical nurse specialist, or physician assistant.”; “The initial certification must be obtained as soon as possible after the plan is established.”; “Recertification is required at least every 90 days.”; “When it is recertified, the plan or other documentation in the patient’s record must indicate the continuing need for physical therapy, occupational therapy or speech-language pathology services.”; “the therapist has documented evidence that the plan of treatment has been delivered to the physician, NP, PA, or CNS within 30 days of completion of the initial evaluation, the certification does not need to be signed by a physician, NP, CNS, or PA who has knowledge of the case.”; “No references to an order or referral in this subsection shall be construed to require an order or referral for outpatient physical therapy, occupational therapy, or speech-language pathology services.”.
42. Delaware Registrar of Regulations (Delaware Administrative Code). Section 12.7, Unprofessional Conduct (Examining Board of Physical Therapists and Athletic Trainers, 24 DE Admin. Code 2600). “Inaccurately recording, falsifying, or altering a patient or facility record.” Checked October 30, 2026.
43. Delaware Registrar of Regulations (Delaware Administrative Code). Section 12.0, Unprofessional Conduct (Examining Board of Physical Therapists and Athletic Trainers, 24 DE Admin. Code 2600). Checked October 30, 2026.
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    “Unprofessional conduct shall mean the departure from or the failure to conform to the minimal standards of acceptable and prevailing physical therapy practice or athletic training practice, in which actual injury to a patient need not be established.”
44. Delaware Division of Medicaid and Medical Assistance (DHSS). Independent Therapist Provider Specific Policy Manual (revised February 1, 2023). “The plan must be signed by the physician or therapist and incorporated into the therapist’s permanent record for the patient.” Checked October 30, 2026.
45. Delaware Division of Medicaid and Medical Assistance (DHSS). Section 1.20.3.5, Procedure Codes (General Policy Provider Policy Manual (Delaware Medical Assistance Program)). “Providers must maintain documentation supporting the code billed.” Checked October 30, 2026.
46. Delaware Division of Corporations. How to Form a New Business Entity. “Corporations, Public Benefit Corporations effective August 1, 2013, Limited Liability Companies (LLC), Limited Partnerships (LP), Statutory Trusts and many General Partnerships (GP) are required to file with the Delaware Division of Corporations. Sole proprietorships do not file with the Delaware Division of Corporations.” Checked October 30, 2026.
47. Delaware Division of Corporations. How to Form a New Business Entity. Checked October 30, 2026.
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    “Delaware law requires that every business entity have and maintain a Registered Agent in the State of Delaware who may be either an individual resident or business entity that is authorized to do business in the State of Delaware. The registered agent must have a physical street address in Delaware. You may view a list of Delaware Registered Agents on our website. If the business is physically located in Delaware, then the business may act as its own registered agent.”
48. Delaware General Assembly (Delaware Code Online). 8 Del. C. § 603, Definitions (Chapter 6, Professional Service Corporations). Checked October 30, 2026.
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    “(1) The term “professional service” shall mean any type of personal service to the public which requires as a condition precedent to the rendering of the service the obtaining of a license or other legal authorization, and which, by reason of law, prior to June 7, 1969, could not be performed by a corporation. In addition, and by way of example without limiting the generality thereof, the personal services which come within this chapter are the personal services rendered by architects, certified or other public accountants, chiropodists, chiropractors, doctors of dentistry, doctors of medicine, optometrists, doctors of osteopathy, doctors of podiatric medicine, professional engineers, veterinarians, and, subject to the Rules of the Supreme Court, attorneys-at-law. (2) The term “professional corporation” means a corporation which is organized and incorporated, under this chapter, for the sole and specific purpose of rendering a single professional service or qualified related professional services, and which has as its shareholders only individuals who themselves are duly licensed or otherwise legally authorized within this State to render the same professional service, or those component qualified related professional services, as the corporation.”
49. Delaware General Assembly (Delaware Code Online). 8 Del. C. § 607, Rendition of professional services through licensed officers, employees and agents (Chapter 6, Professional Service Corporations). Checked October 30, 2026.
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    “No professional corporation may render professional services except through its officers, employees and agents who are duly licensed or otherwise legally authorized to render such professional services within this State ...”
50. Delaware Division of Medicaid and Medical Assistance (DHSS). Part C Birth to Three Early Intervention Services Provider Policy Manual (revised November 17, 2023). Checked October 30, 2026.
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    “Delaware Health and Social Services (DHSS), Division of Management Services (DMS) is the Lead Agency responsible for administering the Part C Birth to Three Program. A range of early intervention services are available to eligible members through participating providers.”
51. Delaware Division of Medicaid and Medical Assistance (DHSS). Part C Birth to Three Early Intervention Services Provider Policy Manual (revised November 17, 2023). Checked October 30, 2026.
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    “While Child Development Watch within the Division of Public Health, is responsible for Part C Birth to Three program operations, the Division of Management Services is responsible for implementing the Part C mandate including service delivery, billing and contractual arrangements with providers.”
52. Delaware Division of Medicaid and Medical Assistance (DHSS). Part C Birth to Three Early Intervention Services Provider Policy Manual (revised November 17, 2023). “Eligibility is determined by a Multidisciplinary Team from Child Development Watch under the Division of Public Health.” Checked October 30, 2026.
53. Delaware Division of Medicaid and Medical Assistance (DHSS). Part C Birth to Three Early Intervention Services Provider Policy Manual (revised November 17, 2023). Checked October 30, 2026.
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    “... under Part C of the Individuals with Disabilities Education Act includes infants and toddlers with established conditions (disabilities) and/or developmental delays. The age of eligibility is from birth until the child’s third birthday.”
54. Delaware Division of Medicaid and Medical Assistance (DHSS). Part C Birth to Three Early Intervention Services Provider Policy Manual (revised November 17, 2023). Checked October 30, 2026.
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    “Sometimes children who are suspected of being eligible but not yet determined to be eligible will be referred to a provider for an evaluation. These children are eligible to have their evaluation and assessment services paid for through Part C (in addition to services listed on the interim IFSP).”
55. Delaware Department of Health and Social Services. Birth to Three Program. “Birth to Three Program Provides support for statewide partners to build and integrate early childhood service systems that promote the health and well-being of Delaware’s young children ...” Checked October 30, 2026.
56. Delaware General Assembly (Delaware Code Online). 24 Del. C. § 2603, Examining Board of Physical Therapists and Athletic Trainers (Chapter 26, Physical Therapy and Athletic Training). Checked October 30, 2026.
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    “(a) There is hereby created the State Examining Board of Physical Therapists and Athletic Trainers. The Board shall consist of 10 members, all of whom shall be residents of Delaware.”
57. Delaware General Assembly (Delaware Code Online). 24 Del. C. § 2602, Definitions (Chapter 26, Physical Therapy and Athletic Training). “(4) “Board” means the State Examining Board of Physical Therapists and Athletic Trainers which shall administer and enforce this chapter. (5) “Division” means the Delaware Division of Professional Regulation.” Checked October 30, 2026.
58. Delaware Division of Professional Regulation. Examining Board of Physical Therapists and Athletic Trainers. “The Board issues licenses to physical therapists, physical therapist assistants and athletic trainers, including temporary licenses. The Board’s statutory authority is in 24 Del. C., Chapter 26.” Checked October 30, 2026.
59. Delaware General Assembly (Delaware Code Online). 24 Del. C. § 2605, License required; exceptions (Chapter 26, Physical Therapy and Athletic Training). Checked October 30, 2026.
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    “(a) No person shall practice nor hold oneself out as being able to practice physical therapy or athletic training in this State or act as a physical therapist, physical therapist assistant or athletic trainer in any manner whatsoever whether or not compensation is received or expected unless the person is licensed in accordance with this chapter and such license is in good standing or has not been suspended or revoked.”
60. Delaware General Assembly (Delaware Code Online). 24 Del. C. § 2602, Definitions (Chapter 26, Physical Therapy and Athletic Training). “(9) “Physical therapist assistant” means a person who assists licensed physical therapists subject to this chapter and rules and regulations adopted pursuant thereto.” Checked October 30, 2026.
61. Delaware General Assembly (Delaware Code Online). 24 Del. C. § 2607, Issuance and renewal of licenses; inactive status (Chapter 26, Physical Therapy and Athletic Training). Checked October 30, 2026.
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    “(b) Each license must be renewed biennially, in such manner as is determined by the Division, and upon payment of the appropriate fee and attestation, as set forth in the Board’s rules and regulations, that the licensee has met the continuing education requirements established by the Board. (c) The Board, in its rules and regulations, shall determine the period of time, not to exceed 1 year, within which a licensee may still renew the licensee’s license, notwithstanding the fact that such licensee has failed to renew on or before the renewal date.”
62. Delaware Registrar of Regulations (Delaware Administrative Code). Section 7.5, Renewal of Licenses (Examining Board of Physical Therapists and Athletic Trainers, 24 DE Admin. Code 2600). Checked October 30, 2026.
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    “Licenses shall expire biennially on every odd numbered year. License renewal shall be accomplished online at www.dpr.delaware.gov and shall include: 7.5.1 The applicable fee; and 7.5.2 Attestation of completion of continuing education courses required by Section 13.0.”
63. Delaware Division of Professional Regulation. Physical Therapy License Renewal. “Licenses expire on January 31 of odd years (e.g., 2017, 2019).” Checked October 30, 2026.
64. Delaware Registrar of Regulations (Delaware Administrative Code). Section 13.1, Mandatory Continuing Education Units (Examining Board of Physical Therapists and Athletic Trainers, 24 DE Admin. Code 2600). Checked October 30, 2026.
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    “Three CEUs are required for every biennial license renewal for Physical Therapists, Physical Therapist Assistants, and Athletic Trainers. The required CEUs shall be completed no later than January 31 of every odd-numbered year and every 2 years after such date. The required hours shall include 0.2 units of Ethics and proof of current CPR certification by the American Red Cross, American Heart Association, National Safety Council or other agency approved by the Board and posted on the Division of Professional Regulation’s website. Proof of current CPR certification will count for 0.1 CEU.”
65. Delaware Registrar of Regulations (Delaware Administrative Code). Section 13.1.1, Mandatory Continuing Education Units (Examining Board of Physical Therapists and Athletic Trainers, 24 DE Admin. Code 2600). “One CEU will be given for every 10 hours of an approved continuing education course. (1 contact hour = .1 CEU).” Checked October 30, 2026.
66. Delaware Division of Professional Regulation. Physical Therapy Continuing Education and Audit Information. “Active Physical Therapist, Physical Therapy Assistants and Athletic Trainers must complete 3.0 units of approved CE during each full licensure renewal period between February 1 and January 31 odd-numbered years (2017-2019, 2019-2021, etc.).” Checked October 30, 2026.
67. Delaware Division of Professional Regulation. Physical Therapy Continuing Education and Audit Information. Checked October 30, 2026.
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    “Random audits are performed by the Board to ensure compliance with the license requirements. License holders selected for the random audit must verify that they have maintained the required CEU and any other information required by the Board to confirm their continued eligibility for the permit.”
68. Delaware Registrar of Regulations (Delaware Administrative Code). Section 4.0, Physical Therapist Assistants (Examining Board of Physical Therapists and Athletic Trainers, 24 DE Admin. Code 2600). Checked October 30, 2026.
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    “The Physical Therapist Assistant may treat patients only under the direction of a Physical Therapist as defined in subsections 1.2.2 and 1.2.3. The Physical Therapist Assistant may perform physical therapy procedures and related tasks that have been selected and delegated by the supervising Physical Therapist. The Physical Therapist Assistant may administer treatment with therapeutic exercise, massage, mechanical devices, and therapeutic agents that use the properties of air, water, electricity, sound or light. The Physical Therapist Assistant may make minor modifications to treatment plans within the predetermined plan of care, assist the Physical Therapist with evaluations, and document treatment progress. The ability of the Physical Therapist Assistant to perform the selected and delegated tasks shall be assessed by the supervising Physical Therapist. The Physical Therapist Assistant shall not perform interpretation of referrals, physical therapy evaluation and reevaluation, major modification of the treatment plan, final discharge of the patient, or therapeutic techniques beyond the skill and knowledge of the Physical Therapist Assistant without proper supervision.”
69. Delaware Registrar of Regulations (Delaware Administrative Code). Section 1.2.2, Definitions (Examining Board of Physical Therapists and Athletic Trainers, 24 DE Admin. Code 2600). “Direct supervision in relation to a Physical Therapist Assistant with less than 1 year experience means a Physical Therapist shall be on the premises at all times and see each patient.” Checked October 30, 2026.
70. Delaware Registrar of Regulations (Delaware Administrative Code). Section 1.2.3, Definitions (Examining Board of Physical Therapists and Athletic Trainers, 24 DE Admin. Code 2600). Checked October 30, 2026.
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    “Direct supervision in relation to a Physical Therapist Assistant with 1 year or more experience means that the supervising Physical Therapist must see the patient, in person or by telehealth, at least once every sixth treatment day, and the Physical Therapist Assistant must receive face to face supervision, in person or by telehealth, at least once every twelfth treatment day. The initial evaluation counts as a "treatment day." When not providing direct supervision on the premises, the supervising Physical Therapist must have at least 1 year clinical experience and must be available and accessible by telecommunications to the Physical Therapist Assistant during all working hours of the Physical Therapist Assistant.”
71. Delaware Registrar of Regulations (Delaware Administrative Code). Section 1.2.8, Definitions (Examining Board of Physical Therapists and Athletic Trainers, 24 DE Admin. Code 2600). “At any given time, a Physical Therapist shall not supervise more than: 2 Physical Therapist Assistants; or 2 Athletic Trainers; or 1 Physical Therapist Assistant and 1 Athletic Trainer.” Checked October 30, 2026.
72. Delaware General Assembly (Delaware Code Online). 24 Del. C. § 2003, Board of Occupational Therapy Practice; appointments; qualifications; term; vacancies; suspension or removal; compensation (Chapter 20, Occupational Therapy). Checked October 30, 2026.
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    “(a) The Board of Occupational Therapy Practice administers and enforces this chapter. (b) The Board consists of 5 members who are residents of this State and appointed by the Governor as follows: (1) Two occupational therapists. (2) One occupational therapy assistant.”
73. Delaware Division of Professional Regulation. Board of Occupational Therapy Practice. “The Board issues licenses to occupational therapists and occupational therapy assistants. The Board’s statutory authority is in 24 Del. C., Chapter 20.” Checked October 30, 2026.
74. Delaware General Assembly (Delaware Code Online). 24 Del. C. § 2007, License required (Chapter 20, Occupational Therapy). Checked October 30, 2026.
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    “(a) A person may not engage in the practice of occupational therapy or hold the person out to the public in this State as being qualified to practice as an occupational therapist or occupational therapy assistant, or use in connection with the person’s name, or otherwise assume or use, any title or description conveying or tending to convey the impression that the person is qualified to practice occupational therapy, unless the person has been licensed under this chapter.”
75. Delaware General Assembly (Delaware Code Online). 24 Del. C. § 2014, Issuance and renewal of licenses (Chapter 20, Occupational Therapy). Checked October 30, 2026.
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    “(b) Each license must be renewed biennially, in a manner determined by the Division, upon payment of the appropriate fee and submission of a renewal form provided by the Division, and proof that the licensee has met the continuing education requirements established by the Board.”
76. Delaware Division of Professional Regulation. Occupational Therapy License Renewal. “Occupational Therapy licenses expire on July 31 of even-numbered years (e.g., 2022, 2024).” Checked October 30, 2026.
77. Delaware Division of Professional Regulation. Occupational Therapy License Renewal. Checked October 30, 2026.
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    “You may file a late renewal application up to one year after the expiration date in DELPROS. You must pay a late fee in addition to the renewal fee. Even though you can file a late renewal application, do not resume practicing until your license is actually renewed to active status. The late period is not a “grace period.” If you fail to renew within one year, the license will terminate.”
78. Delaware Registrar of Regulations (Delaware Administrative Code). Section 3.1, Continuing Education (Board of Occupational Therapy Practice, 24 DE Admin. Code 2000). Checked October 30, 2026.
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    “Continuing education units (CEUs) are required for license renewal and shall be completed by July 31 of each even numbered year. Occupational therapists and occupational therapy assistants are required to complete 24 hours per biennial period.”
79. Delaware Registrar of Regulations (Delaware Administrative Code). Section 3.4.4.1, Mandatory CE content (Board of Occupational Therapy Practice, 24 DE Admin. Code 2000). “During every biennial renewal period during which a license is required to complete CE, the licensee must complete a minimum of 2 hours in elder or child abuse.” Checked October 30, 2026.
80. Delaware Division of Professional Regulation. Occupational Therapy Continuing Education and Audit Information. Checked October 30, 2026.
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    “Active Occupational Therapy (OT) and Occupational Therapy Associate (OTA) Professionals must complete 24 hours of approved CE during each full licensure renewal period, which is between August 1 to July 31 even-numbered years (e.g. 2018, 2020) unless you are renewing for the first time and/or upgrading.”
81. Delaware General Assembly (Delaware Code Online). 24 Del. C. § 2002, Definitions (Chapter 20, Occupational Therapy). Checked October 30, 2026.
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    “(12) “Supervision” means the interactive process between a licensed occupational therapist and an occupational therapy assistant, and requires more than a paper review or cosignature. “Supervision” means that the supervising occupational therapist is responsible for insuring the extent, kind, and quality of the services that the occupational therapy assistant renders.”
82. Delaware General Assembly (Delaware Code Online). 24 Del. C. § 2002, Definitions (Chapter 20, Occupational Therapy). “(7) “Occupational therapy assistant” means a person licensed to assist in the practice of occupational therapy under the supervision of an occupational therapist.” Checked October 30, 2026.
83. Delaware Registrar of Regulations (Delaware Administrative Code). Section 1.2.1, Supervision for Occupational Therapy Assistants (Board of Occupational Therapy Practice, 24 DE Admin. Code 2000). Checked October 30, 2026.
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    “Supervising occupational therapists must have at least 1 year clinical experience after they have received permanent licensure. The supervisor may assign to a competent occupational therapy assistant the administration of standardized tests, the performance of activities of daily living evaluations and other elements of patient/client evaluation and reevaluation that do not require the professional judgment and skill of an occupational therapist. The occupational therapy assistant may not evaluate or develop a treatment plan independently.”
84. Delaware Registrar of Regulations (Delaware Administrative Code). Section 1.2.3, Supervision for Occupational Therapy Assistants (Board of Occupational Therapy Practice, 24 DE Admin. Code 2000). Checked October 30, 2026.
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    “The supervising occupational therapist, in collaboration with the occupational therapy assistant, shall maintain a supervisory plan specifying the amount of supervision. The amount of supervision should be determined by the occupational therapist and occupational therapy assistant before the individuals enter a supervisor/supervisee relationship. The chosen amount of supervision should be reevaluated regularly for effectiveness. This plan shall be reviewed at least every 6 months or more frequently as demands of service changes.”
85. Delaware General Assembly (Delaware Code Online). 24 Del. C. § 3703, Board of Speech/Language Pathologists, Audiologists, and Hearing Aid Dispensers; appointments; composition; qualifications; term; vacancies; suspension or removal; unexcused absences; compensation (Chapter 37). Checked October 30, 2026.
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    “(a) There is created a State Board of Speech/Language Pathologists, Audiologists, and Hearing Aid Dispensers, which shall administer and enforce this chapter. (b) The Board consists of 9 members appointed by the Governor who must be residents of this State and are as follows: (1) Three must be speech/language pathologists licensed under this chapter. (2) Two must be audiologists licensed under this chapter. (3) One must be a hearing aid dispenser licensed under this chapter.”
86. Delaware Division of Professional Regulation. Board of Speech/Language Pathologists, Audiologists and Hearing Aid Dispensers. “The primary objective of the Delaware Board of Speech Pathologists, Audiologists, and Hearing Aid Dispensers is to protect the public from unsafe practices and practices which tend to reduce competition or fix prices for services.” Checked October 30, 2026.
87. Delaware Division of Professional Regulation. Board of Speech/Language Pathologists, Audiologists and Hearing Aid Dispensers. Checked October 30, 2026.
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    “On September 19, 2024, Senate Bill 320 was signed into legislation to amend Chapter 37 of Title 24. This Act created a new license type for a Speech/Language Pathology Assistant, under the Board of Speech Pathologists, Audiologists, and Hearing Aid Dispensers to address the shortage of speech/language pathology services in the State, specifically in public schools.”
88. Delaware General Assembly (Delaware Code Online). 24 Del. C. § 3707, License required (Chapter 37, Speech/Language Pathologists, Audiologists, and Hearing Aid Dispensers). Checked October 30, 2026.
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    “(a) No person may engage in the practice of speech/language pathology, audiology, or dispense hearing aids or hold oneself out to the public in this State as being qualified to act as a speech/language pathologist, speech/language pathology assistant, audiologist, or hearing aid dispenser, or otherwise assume or use any title or description conveying or tending to convey the impression that the person is qualified to practice speech/language pathology, audiology, or dispense hearing aids, unless such person has been duly licensed under this chapter.”
89. Delaware General Assembly (Delaware Code Online). 24 Del. C. § 3712, Issuance and renewal of licenses (Chapter 37, Speech/Language Pathologists, Audiologists, and Hearing Aid Dispensers). Checked October 30, 2026.
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    “(b) Each license shall be renewed biennially, in such manner as is determined by the Division, and upon payment of the appropriate fee and attestation, as set forth in the Board’s rules and regulations, that the licensee has met the continuing education requirements established by the Board.”
90. Delaware Registrar of Regulations (Delaware Administrative Code). Section 5.1.1, License Renewal (Board of Speech/Language Pathologists, Audiologists and Hearing Aid Dispensers, 24 DE Admin. Code 3700). Checked October 30, 2026.
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    “Licenses shall expire biennially on every odd numbered year. License renewal shall be accomplished online at htttps://www.dpr.delaware.gov and shall include: 5.1.1.1 The applicable fee; and 5.1.1.2 Attestation of completion of continuing education required by Section 7.0.”
91. Delaware Division of Professional Regulation. Speech/Language Pathology, Audiology and Hearing Aid Dispenser License Renewal. “Speech/Language Pathologist, Speech/Language Pathology Assistant, Audiology and Hearing Aid Dispenser licenses expire on July 31 of odd years (e.g., 2017, 2019).” Checked October 30, 2026.
92. Delaware Registrar of Regulations (Delaware Administrative Code). Section 7.2.2.2, Continuing Education (Board of Speech/Language Pathologists, Audiologists and Hearing Aid Dispensers, 24 DE Admin. Code 3700). “Single License. Individuals with a license in only 1 area of specialty must obtain a minimum of 30 CEs each 2-year license renewal period.” Checked October 30, 2026.
93. Delaware Registrar of Regulations (Delaware Administrative Code). Section 7.2.2.4, Continuing Education (Board of Speech/Language Pathologists, Audiologists and Hearing Aid Dispensers, 24 DE Admin. Code 3700). Checked October 30, 2026.
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    “Effective for the licensure renewal period beginning August 1, 2025 and ending July 31, 2027, all licensees must complete 2 hours of credits in the subject matter of ethics. The 2 CEs in ethics must be completed every licensure renewal period and are part of the 30 CEs required for license renewal.”
94. Delaware Division of Professional Regulation. Speech/Language Pathology, Audiology and Hearing Aid Dispenser Continuing Education and Audit Information. “Active Speech Language Pathologist, Audiologist, and Hearing Aid Dispensers must complete 30 hours of approved CE during each full licensure renewal period between August 1 and July 31 of the previous odd-numbered years (2017-2019, etc.).” Checked October 30, 2026.
95. Delaware General Assembly (Delaware Code Online). 24 Del. C. § 3702, Definitions (Chapter 37, Speech/Language Pathologists, Audiologists, and Hearing Aid Dispensers). “(13) “Speech/language pathology assistant” means a person licensed by the Board who performs tasks prescribed, directed, and supervised by a licensed speech/language pathologist.” Checked October 30, 2026.
96. Delaware Registrar of Regulations (Delaware Administrative Code). Section 14.5.1, Requirements for Supervising SLP (Board of Speech/Language Pathologists, Audiologists and Hearing Aid Dispensers, 24 DE Admin. Code 3700). Checked October 30, 2026.
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    “Prior to beginning supervision of an SLPA, the supervising SLP must meet the following requirements: 14.5.1.1 Hold an active Delaware license in good standing. 14.5.1.2 Complete a minimum of 2 years of post-permanent licensure experience obtained in any state. 14.5.1.3 Complete a minimum of 2 hours of continuing education in clinical supervision obtained prior to beginning supervision.”
97. Delaware Registrar of Regulations (Delaware Administrative Code). Section 14.6.6, Supervision Requirements (Board of Speech/Language Pathologists, Audiologists and Hearing Aid Dispensers, 24 DE Admin. Code 3700). “Minimum ongoing supervision must include direct supervision provided by the supervising SLP for each student, patient, or client at least every 90 days (depending on frequency of visits/sessions and setting).” Checked October 30, 2026.
98. Delaware Registrar of Regulations (Delaware Administrative Code). Section 14.6.8, Supervision Requirements (Board of Speech/Language Pathologists, Audiologists and Hearing Aid Dispensers, 24 DE Admin. Code 3700). “Supervision of the SLPA may be indirect, at the discretion of the supervising SLP, except that 100% direct supervision of SLPAs for medically fragile students, patients, or clients is required.” Checked October 30, 2026.
99. Delaware Registrar of Regulations (Delaware Administrative Code). Section 14.7, Supervision ratio (Board of Speech/Language Pathologists, Audiologists and Hearing Aid Dispensers, 24 DE Admin. Code 3700). “A supervising SLP may supervise no more than 1 SLPA at any given time.” Checked October 30, 2026.
100. Delaware General Assembly (Delaware Code Online). 24 Del. C. § 2007, License required (Chapter 20, Occupational Therapy). Checked October 30, 2026.
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     “(a) A person may not engage in the practice of occupational therapy or hold the person out to the public in this State as being qualified to practice as an occupational therapist or occupational therapy assistant, or use in connection with the person’s name, or otherwise assume or use, any title or description conveying or tending to convey the impression that the person is qualified to practice occupational therapy, unless the person has been licensed under this chapter.”
101. Delaware General Assembly (Delaware Code Online). 24 Del. C. § 2002, Definitions (Chapter 20, Occupational Therapy). Checked October 30, 2026.
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     “(10) “Practice of occupational therapy” means the use of goal-directed activities with individuals who are limited by physical limitations due to injury or illness, psychiatric and emotional disorders, developmental or learning disabilities, poverty and cultural differences, or the aging process, in order to maximize independence, prevent disability, and maintain health.”
102. Delaware Division of Medicaid and Medical Assistance (DHSS). Independent Therapist Provider Specific Policy Manual (revised February 1, 2023). “All therapy services must be medically necessary and ordered by a physician or other licensed practitioner of the healing arts within the scope of his or her practice under State law.” Checked October 30, 2026.
103. Delaware Division of Medicaid and Medical Assistance (DHSS). Independent Therapist Provider Specific Policy Manual (revised February 1, 2023). “The patient must be under the care of a physician. There must be evidence in the clinical record maintained by the therapist that the patient has seen the physician at least every 30 days.” Checked October 30, 2026.
104. Delaware General Assembly (Delaware Code Online). 24 Del. C. § 3702, Definitions (Chapter 37, Speech/Language Pathologists, Audiologists, and Hearing Aid Dispensers). Checked October 30, 2026.
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     “(10) “Practice of speech/language pathology” means the application of principles, methods, and procedures for measurement, testing, evaluation, prediction, counseling, instruction, habilitation, or rehabilitation related to the development and disorders of speech, language, voice, fluency, cognition, and swallowing for the purpose of evaluating, preventing, ameliorating, or modifying such disorders in individuals and groups.”
105. Delaware Division of Medicaid and Medical Assistance (DHSS). Independent Therapist Provider Specific Policy Manual (revised February 1, 2023). “All therapy services must be medically necessary and ordered by a physician or other licensed practitioner of the healing arts within the scope of his or her practice under State law.” Checked October 30, 2026.
106. Delaware Division of Medicaid and Medical Assistance (DHSS). Independent Therapist Provider Specific Policy Manual (revised February 1, 2023). Checked October 30, 2026.
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     “The therapy must be furnished under a written plan of treatment established by the physician or therapist caring for the patient (i.e., written either by the physician who makes the plan available to the therapist or by the therapist). The plan must be established before treatment is started.”
107. Delaware Medical Assistance Portal for Providers (DMMA). Provider Enrollment. “This provider enrollment application is required for initial and continual participation (registration) with Delaware Managed Care Organization (MCO) participating in DMMA’s Medicaid program.” Checked October 30, 2026.
108. Delaware Division of Medicaid and Medical Assistance (DHSS). Section 1.7.1, Licensure/Certification (General Policy Provider Policy Manual (Delaware Medical Assistance Program)). Checked October 30, 2026.
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     “All providers who are enrolled with the DMAP must be professionally and properly licensed and/or certified, in accordance with the federal and state laws in the state in which they are located. The provider type must match the State licensing category.”
109. Delaware Division of Medicaid and Medical Assistance (DHSS). Independent Therapist Provider Specific Policy Manual (revised February 1, 2023). Checked October 30, 2026.
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     “Group practices may enroll in the Delaware Medical Assistance Program (DMAP) and use their provider identification number to bill. However, individual therapists who are members of the group must also have individual contracts and individual DMAP provider numbers. The therapist’s number must be used to identify the provider performing the service on the claim form submitted by the enrolled group.”
110. Medicaid.gov (Centers for Medicare & Medicaid Services). Early and Periodic Screening, Diagnostic, and Treatment (Medicaid benefit page). Checked October 26, 2026.
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     “The Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit provides comprehensive and preventive health care services for children under age 21 who are enrolled in Medicaid.”; “It is the responsibility of states to determine medical necessity on a case-by-case basis.”.
111. Delaware Division of Medicaid and Medical Assistance (DHSS). Section 1.21.2, Prior Authorization (General Policy Provider Policy Manual (Delaware Medical Assistance Program)). Checked October 30, 2026.
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     “Providers must obtain prior authorization from the DMAP before initiating the service. The DMAP will deny payment for services that require prior authorization yet are initiated before DMAP approval except as specified in section 1.21.3. 1.21.2.1 To start the Prior Authorization process, a DMAP Prior Authorization request must be submitted via the DMAP Portal ...”
112. Delaware Division of Medicaid and Medical Assistance (DHSS). Independent Therapist Provider Specific Policy Manual (revised February 1, 2023). “The MCO may require prior authorization for services. Providers must follow the guidelines for prior authorization as determined by the member’s MCO.” Checked October 30, 2026.
113. Delaware Department of Health and Social Services. Diamond State Health Plan. “In Delaware, Medicaid benefits are provided mainly through a managed care organization, or MCO, under contract with the state.” Checked October 30, 2026.
114. Delaware Department of Health and Social Services. Diamond State Health Plan. “Delaware’s Medicaid Program is called Diamond State Health Plan (DSHP).” Checked October 30, 2026.
115. Delaware Department of Health and Social Services. Diamond State Health Plan. “Delaware contracts with three managed care plans – AmeriHealth Caritas, Delaware First Health and Highmark Health Options.” Checked October 30, 2026.
116. Delaware Department of Health and Social Services. Diamond State Health Plan. Checked October 30, 2026.
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     “The following individuals are not enrolled with a MCO: Individuals entitled to or eligible to enroll in Medicare Individuals residing in a nursing facility or intermediate care facility for Individuals with Intellectual Disabilities (ICF/IID). Individuals covered under the Medicaid home and community based waiver programs. Non lawful and non qualified non citizens (aliens). Individuals who have military health insurance for active duty, retired military, and their dependents. Individuals eligible for the Medicaid Breast and Cervical Cancer program. Presumptively eligible pregnant women.”
117. Delaware Division of Medicaid and Medical Assistance (DHSS). Independent Therapist Provider Specific Policy Manual (revised February 1, 2023). “Services provided by therapists are included in the MCO benefits package. All Medicaid members who are enrolled with an MCO must receive therapy services through the MCO.” Checked October 30, 2026.
118. Delaware Medical Assistance Portal Document Repository (DMMA). Publications folder (DMAP Fee Schedules). “DMAP Fee Schedules ...” Checked October 30, 2026.
119. Delaware Division of Medicaid and Medical Assistance (DHSS). Independent Therapist Provider Specific Policy Manual (revised February 1, 2023). “Physical and occupational therapists and speech/language pathologists who are individually enrolled with the DMAP are reimbursed at a set rate using HCPCS procedure codes.” Checked October 30, 2026.
120. Delaware Division of Medicaid and Medical Assistance (DHSS). Independent Therapist Provider Specific Policy Manual (revised February 1, 2023). “When billing for PT, OT and Speech/language pathology services providers shall use the appropriate Physical Medicine and Rehabilitation CPT® procedure codes and specify the diagnosis with accurate ICD-9-CM codes.” Checked October 30, 2026.
121. Delaware Division of Medicaid and Medical Assistance (DHSS). Independent Therapist Provider Specific Policy Manual (revised February 1, 2023). “Physical and occupational therapists and speech/language pathologists who are individually enrolled with the DMAP are reimbursed at a set rate using HCPCS procedure codes.” Checked October 30, 2026.
122. Delaware Division of Medicaid and Medical Assistance (DHSS). Independent Therapist Provider Specific Policy Manual (revised February 1, 2023). “All necessary supplies and equipment used by the therapist in the course of treatment are included in the reimbursement visit and cannot be billed separately.” Checked October 30, 2026.
123. Delaware Division of Medicaid and Medical Assistance (DHSS). Independent Therapist Provider Specific Policy Manual (revised February 1, 2023). “Services provided by an occupational therapy assistant, physical therapy assistant, and a speech/language pathology assistant are included in the reimbursement to the qualified therapist/pathologist.” Checked October 30, 2026.
124. Delaware Division of Medicaid and Medical Assistance (DHSS). Independent Therapist Provider Specific Policy Manual (revised February 1, 2023). “Therapists enrolled with the DMAP must countersign the services performed by the associate/assistant they oversee or supervise.” Checked October 30, 2026.
125. Delaware Division of Medicaid and Medical Assistance (DHSS). CMS-1500 Billing Instructions Provider Billing Manual (revised July 1, 2023). “Providers are to bill Gainwell for the care and services rendered to medical members.” Checked October 30, 2026.
126. Delaware Division of Medicaid and Medical Assistance (DHSS). Section 1.19.1, Claims Submission-Timeliness (General Policy Provider Policy Manual (Delaware Medical Assistance Program)). “It is a federal requirement that claims to DMAP be submitted no later than twelve months from the date of service.” Checked October 30, 2026.
127. Delaware Division of Medicaid and Medical Assistance (DHSS). Section 1.20.3.5, Procedure Codes (General Policy Provider Policy Manual (Delaware Medical Assistance Program)). “Providers must maintain documentation supporting the code billed.” Checked October 30, 2026.
128. Delaware Division of Medicaid and Medical Assistance (DHSS). School Based Health Services Provider Specific Policy Manual (revised April 1, 2016). Checked October 30, 2026.
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     “The local school district must be the enrolled provider in order to be eligible for reimbursement for health-related services defined in the IEP or in the school health program. • Each individual provider who meets the specified professional and/or clinical qualifications to provide services in his or her discipline area must also apply for Medicaid enrollment if covered services rendered by the individual provider are to be billed on behalf of the school based provider to the DMAP.”
129. Delaware Division of Medicaid and Medical Assistance (DHSS). Practitioner Provider Specific Policy Manual (revised October 6, 2026). “In order to provide telehealth under DMAP, providers at both the originating and distant site must be enrolled with DMAP and must meet all requirements for their discipline as specified in the Delaware Code and the Medicaid State Plan.” Checked October 30, 2026.
130. Delaware Division of Medicaid and Medical Assistance (DHSS). Section 1.22.1.2.24, Covered Services (General Policy Provider Policy Manual (Delaware Medical Assistance Program)). “Telemedicine Services – Refer to the Practitioner Provider Specific Manual ...” Checked October 30, 2026.
131. Delaware Division of Medicaid and Medical Assistance (DHSS). Practitioner Provider Specific Policy Manual (revised October 6, 2026). “The service must be medically necessary, written in the patient’s treatment plan, and follow generally accepted standards of care.” Checked October 30, 2026.
132. Delaware Division of Medicaid and Medical Assistance (DHSS). Practitioner Provider Specific Policy Manual (revised October 6, 2026). Checked October 30, 2026.
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     “The patient must be informed and given an opportunity to request an in-person assessment before receiving a telehealth assessment. This consent must be documented in the patient’s record and must identify that the covered medical service was delivered by telehealth.”
133. Delaware Registrar of Regulations (Delaware Administrative Code). Section 14.2.1, Telehealth, Location of patient during treatment through telehealth (Examining Board of Physical Therapists and Athletic Trainers, 24 DE Admin. Code 2600). Checked October 30, 2026.
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     “The licensee shall have an active Delaware license in good standing to practice telehealth in the state of Delaware. 14.2.1.2 During the telehealth treatment session, the patient shall be located within the borders of the State of Delaware.”
134. Delaware Registrar of Regulations (Delaware Administrative Code). Section 14.2.2.1, Telehealth, Informed consent (Examining Board of Physical Therapists and Athletic Trainers, 24 DE Admin. Code 2600). Checked October 30, 2026.
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     “Before services are provided through telehealth, the licensee shall obtain written, informed consent from the patient, or other appropriate person with authority to make health care treatment decisions for the patient. For the purpose of this subsection, written consent includes an electronic signature.”
135. Delaware Registrar of Regulations (Delaware Administrative Code). Section 4.2.1 and 4.2.2, Telehealth (Board of Occupational Therapy Practice, 24 DE Admin. Code 2000). Checked October 30, 2026.
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     “Location of patient during treatment through telehealth. An occupational therapy practitioner is required to be licensed in Delaware if the practitioner provides occupational therapy services to a client who is in Delaware. 4.2.2 Informed consent. Before services are provided through telehealth, the licensee shall obtain written, informed consent from the patient, or other appropriate person with authority to make health care treatment decisions for the patient.”
136. Delaware Registrar of Regulations (Delaware Administrative Code). Section 10.2.1, Telepractice (Board of Speech/Language Pathologists, Audiologists and Hearing Aid Dispensers, 24 DE Admin. Code 3700). “During the telepractice treatment session, the licensee shall have an active Delaware license in good standing to provide services to patients located in the state of Delaware.” Checked October 30, 2026.
137. Delaware General Assembly (Delaware Code Online). 24 Del. C. § 6002, Authorization to practice by telehealth and telemedicine (Chapter 60, Telehealth and Telemedicine). Checked October 30, 2026.
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     “(a) Health-care providers licensed by the following professional licensing boards existing under this title are authorized to deliver health-care services by telehealth and telemedicine subject to the provisions of this chapter: (1) The Board of Podiatry created pursuant to Chapter 5 of this title. (2) The Board of Chiropractic created pursuant to Chapter 7 of this title. (3) The Board of Medical Licensure and Discipline created pursuant Chapter 17 of this title. (4) The State Board of Dentistry and Dental Hygiene created pursuant to Chapter 11 of this title. (5) The Delaware Board of Nursing created pursuant to Chapter 19 of this title. (6) The Board of Occupational Therapy Practice created pursuant to Chapter 20 of this title.”
138. Delaware General Assembly (Delaware Code Online). 24 Del. C. § 6003, Scope of practice; provider-patient relationship required (Chapter 60, Telehealth and Telemedicine). Checked October 30, 2026.
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     “(a) Except for the instances listed in this chapter, health-care providers may not deliver health-care services by telehealth and telemedicine in the absence of a health-care provider-patient relationship. A health-care provider-patient relationship may be established either in-person or through telehealth and telemedicine but must include all of the following ...”
139. Delaware General Assembly (Delaware Code Online). 24 Del. C. § 6002, Authorization to practice by telehealth and telemedicine (Chapter 60, Telehealth and Telemedicine). Checked October 30, 2026.
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     “(c) A health-care provider licensed in a state that has not adopted an interstate compact applicable to the health-care provider may only provide telehealth under this chapter if the health-care provider obtains an interstate telehealth registration from the Division of Professional Regulation.”
140. Delaware General Assembly (Delaware Code Online). 24 Del. C. § 2602, Definitions (Chapter 26, Physical Therapy and Athletic Training). Checked October 30, 2026.
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     “(13) “Telehealth,” as set forth in the Board’s rules and regulations, means the use of electronic communications to provide and deliver a host of health-related information and health-care services, including physical therapy and athletic training-related information and services, over large and small distances.”
141. Delaware General Assembly (Delaware Code Online). 18 Del. C. § 3370, Telehealth and telemedicine (Chapter 33, Health Insurance Contracts, Subchapter I). Checked October 30, 2026.
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     “(b) Each insurer proposing to issue individual or group accident and sickness insurance policies providing hospital, medical and surgical, or major medical coverage on an expense-incurred basis; each health service corporation providing individual or group accident and sickness subscription contracts; and each health maintenance organization providing a health-care plan for health-care services shall provide coverage for the cost of such health-care services provided through telemedicine.”
142. Delaware General Assembly (Delaware Code Online). 18 Del. C. § 3370, Telehealth and telemedicine (Chapter 33, Health Insurance Contracts, Subchapter I). Checked October 30, 2026.
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     “(d) An insurer, health service corporation, or health maintenance organization shall not exclude a service for coverage solely because the service is provided through telemedicine services and is not provided through in-person consultation or contact between a health-care provider and a patient for services appropriately provided through telemedicine services.”
143. Delaware General Assembly (Delaware Code Online). 18 Del. C. § 3370, Telehealth and telemedicine (Chapter 33, Health Insurance Contracts, Subchapter I). Checked October 30, 2026.
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     “(e) An insurer, health service corporation, or health maintenance organization shall reimburse the treating provider or the consulting provider for the diagnosis, consultation, or treatment of the insured delivered through telemedicine services on the same basis and at least at the rate that the insurer, health service corporation, or health maintenance organization is responsible for coverage for the provision of the same service through in-person consultation or contact.”
144. Delaware General Assembly (Delaware Code Online). 18 Del. C. § 3571R, Telehealth and telemedicine (Chapter 35, Group and Blanket Health Insurance, Subchapter III). “3571R. Telehealth and telemedicine.” Checked October 30, 2026.
145. Delaware General Assembly (Delaware Code Online). 24 Del. C. § 2621, Physical therapists eligible for compensation from insurance (Chapter 26; the section carries the note “For application of this section, see 85 Del. Laws, c. 251, § 4”). Checked October 30, 2026.
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     “(a) For purposes of disability insurance, standard health and accident, sickness, and all other such insurance plans, whether or not they are considered insurance policies, and contracts issued by health service corporations and health maintenance organizations, if a physical therapist is authorized by law to perform a particular service, the physical therapist is entitled to compensation for that physical therapist’s services under such plans and contracts, and such plans and contracts are prohibited from placing annual or lifetime numerical limits on physical therapy visits for the treatment of the spine and other neuromusculoskeletal structures, including extremities.”
146. Delaware General Assembly (Delaware Code Online). 24 Del. C. § 2621, Physical therapists eligible for compensation from insurance (Chapter 26; the section carries the note “For application of this section, see 85 Del. Laws, c. 251, § 4”). Checked October 30, 2026.
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     “Any copayment or coinsurance amount must be equal to or less than 25% of the fee due or to be paid to the physical therapist under the policy, contract, or certificate for the treatment, therapy, or service provided.”
147. Delaware Division of Revenue. Business Tax Forms 2025-2026. “Business Licenses For New Businesses Register online – One-Stop Business Registration, Licensing, and Withholding Services ...” Checked October 30, 2026.
148. Delaware One Stop. Delaware One Stop: Home. “The registration and licensing portal for businesses operating in the State of Delaware ...” Checked October 30, 2026.
149. Delaware Division of Revenue. Tax Tips for Occupations / General Service Conducting Business in Delaware. Checked October 30, 2026.
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     “A Division of Revenue business license is required by every person engaging in or carrying on any trade, business, profession or occupation which involves the provision of services in this State to the general public for which a fee or other consideration is received.”
150. Delaware Division of Revenue. Gross Receipts Tax FAQs. “A. When you engage in business in the State of Delaware, you may be required to pay Gross Receipts Tax. This tax is paid by the seller of goods (tangible or otherwise) or the provider of services in the state.” Checked October 30, 2026.
151. Delaware Division of Revenue. Gross Receipts Tax FAQs. “Delaware’s Gross Receipts Tax is a tax on the total gross revenues of a business, regardless of their source. This tax is levied on the seller of goods or services, rather than on the consumer.” Checked October 30, 2026.
152. Delaware Division of Revenue. Tax Tips for Occupations / General Service Conducting Business in Delaware. Checked October 30, 2026.
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     “A short list of business and occupational licenses includes by way of example, and not by limitation: Accounting/ Bookkeeping/Payroll Services, Adoption Services, Advertising, Aircraft Servicing, Airline Ticket Agencies, Alarm Systems, Ambulance Services Appraisers, Architects, Auctions & Auctioneers, Automotive Repair, Baby Sitting Services, Bail Bonds, Barbers, Beauticians, Bowling, Broadcasting, Car Wash, Carpet & Rug Cleaners, Check Cashing, Child/Elder/Assisted Care, Chimney Sweeping, Cleaners, Collection Services, Computer Services, Consultant, Copy Services, Court Reporters, Credit & Dept Counseling, Dance Instruction, Decorating, Dentist Office, Disc Jockeys Doctor/Physician Office, Drayperson, Driving Instruction, Dry Cleaner, Employment Agency, Entertainers, Environmental Services, Event Planners, Financial Planning, Funeral Homes, General Repair Person, Golf and Tennis Clubs, Health Clubs, Home Inspection Services, For Profit Hospitals, Housekeeping, Income Tax Consultant, Inspection Services, Janitorial, Kennels, Laboratories, Laundromat, Law Firm, Lawn Care, Landscaping, Locksmiths, Mailing and Packaging Services, Marinas, Martial Arts Instruction, Movers, Movie Theaters, News Services, Private Nurses, Nursing Homes, Occupational Therapy Offices, Optometrists, Pest Control, Pet Training, Photographers, Private Detectives, Private Detective Agency, Private Medical Care, Public Storage, Restoration Services, Sanitation/Septic Services, Security Services, Schools except public and non-profit, Shuttle Services, Tailor or Seamstress, Spas, Tanning Salons, Tattooing, Tax Preparation, Taxi Services, Taxidermists, Teaching Consultant, Towing, Trash Removal, Tree Services, Veterinary Offices, Welding.”
153. Delaware Division of Revenue. Tax Tips for Health Care Facilities Conducting Business in Delaware. “Please note: If you sell goods in addition to providing services, the sale of such goods is subject to other licensing requirements ...” Checked October 30, 2026.
154. Delaware Department of Labor, Division of Industrial Affairs, Office of Workers’ Compensation. Workers’ Compensation Frequently Asked Questions. “All employers with one or more employees must carry workers’ compensation insurance through a licensed carrier or an approved self-insurance program.” Checked October 30, 2026.
155. Delaware General Assembly (Delaware Code Online). 19 Del. C. § 2306, Applicability — Employers (Chapter 23, Workers’ Compensation). “(a) Except as otherwise indicated, this chapter shall apply to the employer and employee in any employment in which 1 or more employees are engaged.” Checked October 30, 2026.
156. Delaware General Assembly (Delaware Code Online). 19 Del. C. § 2372, Duty of employer to carry compensation liability insurance or to qualify as a self-insurer (Chapter 23, Workers’ Compensation). Checked October 30, 2026.
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     “(a) Every employer to whom this chapter applies shall insure and keep insured the employer’s liability for compensation in some corporation, association or organization approved by the Department and authorized to transact the business of workers’ compensation insurance in this State or shall furnish to the Department satisfactory proof of the employer’s financial ability to pay directly the compensation, in the amount and manner and when due, as provided in this chapter.”
157. Code of Federal Regulations. 42 CFR 424.516, Additional provider and supplier requirements for enrolling and maintaining active enrollment status in the Medicare program (eCFR, up to date as of October 22, 2026; paragraph (f), Maintaining and providing access to documentation). Checked October 26, 2026.
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     “A provider or a supplier that furnishes covered ordered, certified, referred, or prescribed Part A or B services, items or drugs is required to—”; “Maintain documentation (as described in paragraph (f)(1)(ii) of this section) for 7 years from the date of service; and”; “Upon the request of CMS or a Medicare contractor, to provide access to that documentation”; “The documentation includes written and electronic documents (including the NPI of the physician or, when permitted, other eligible professional who ordered, certified, referred, or prescribed the Part A or B service, item, or drug) relating to written orders, certifications, referrals, prescriptions, and requests for payments for Part A or B services, items or drugs.”.
158. Code of Federal Regulations. 45 CFR 164.316, Policies and procedures and documentation requirements (eCFR, up to date as of October 22, 2026; HIPAA Security Rule; paragraph (b)). Checked October 26, 2026.
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     “Maintain the policies and procedures implemented to comply with this subpart in written (which may be electronic) form; and”; “If an action, activity or assessment is required by this subpart to be documented, maintain a written (which may be electronic) record of the action, activity, or assessment.”; “Retain the documentation required by paragraph (b)(1) of this section for 6 years from the date of its creation or the date when it last was in effect, whichever is later.”.
159. Delaware Registrar of Regulations (Delaware Administrative Code). Section 12.12, Unprofessional Conduct (Examining Board of Physical Therapists and Athletic Trainers, 24 DE Admin. Code 2600). “Violating the confidentiality of information concerning the patient.” Checked October 30, 2026.
160. Delaware Registrar of Regulations (Delaware Administrative Code). Section 4.2.3, Telehealth (Board of Occupational Therapy Practice, 24 DE Admin. Code 2000). Checked October 30, 2026.
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     “Confidentiality. The licensee shall ensure that the electronic communication is secure to maintain confidentiality of the patient’s medical information as required by the Health Insurance Portability and Accountability Act (HIPAA) and other applicable Federal and State laws.”
161. Delaware Registrar of Regulations (Delaware Administrative Code). Section 10.2.3, Telepractice (Board of Speech/Language Pathologists, Audiologists and Hearing Aid Dispensers, 24 DE Admin. Code 3700). Checked October 30, 2026.
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     “Confidentiality. The licensee shall ensure that the electronic communication is secure to maintain confidentiality of the client’s health or educational information as required by the Health Insurance Portability and Accountability Act (HIPAA) and other applicable Federal and State laws.”
162. Delaware General Assembly (Delaware Code Online). 6 Del. C. § 12B-102, Disclosure of breach of security; notice (Chapter 12B, Computer Security Breaches). Checked October 30, 2026.
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     “(a) Any person who conducts business in this State and who owns or licenses computerized data that includes personal information shall provide notice of any breach of security following determination of the breach of security to any resident of this State whose personal information was breached or is reasonably believed to have been breached, unless, after an appropriate investigation, the person reasonably determines that the breach of security is unlikely to result in harm to the individuals whose personal information has been breached.”
163. Delaware General Assembly (Delaware Code Online). 6 Del. C. § 12B-102, Disclosure of breach of security; notice (Chapter 12B, Computer Security Breaches). Checked October 30, 2026.
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     “(c) Notice required by subsection (a) of this section must be made without unreasonable delay but not later than 60 days after determination of the breach of security, except in the following situations ...”
164. Delaware General Assembly (Delaware Code Online). 6 Del. C. § 12B-101, Definitions (Chapter 12B, Computer Security Breaches). ““Personal information” means a Delaware resident’s first name or first initial and last name in combination with any 1 or more of the following data elements that relate to that individual ...” Checked October 30, 2026.
165. Delaware General Assembly (Delaware Code Online). 6 Del. C. § 12B-101, Definitions (Chapter 12B, Computer Security Breaches). “6. Medical history, medical treatment by a health-care professional, diagnosis of mental or physical condition by a health care professional, or deoxyribonucleic acid profile.” Checked October 30, 2026.
166. Delaware General Assembly (Delaware Code Online). 16 Del. C. § 903, Reports required (Chapter 9, Abuse of Children, Subchapter I). “(a) Any person, agency, organization or entity who knows or in good faith suspects child abuse, neglect, or human trafficking shall make a report to the Department in accordance with § 904 of this title.” Checked October 30, 2026.
167. Delaware General Assembly (Delaware Code Online). 16 Del. C. § 904, Nature and content of report; to whom made (Chapter 9, Abuse of Children, Subchapter I). “(a) A report of known or suspected child abuse, neglect, or human trafficking must be made orally by immediately contacting the Department’s report line for the following circumstances ...” Checked October 30, 2026.
168. Delaware General Assembly (Delaware Code Online). 16 Del. C. § 904, Nature and content of report; to whom made (Chapter 9, Abuse of Children, Subchapter I). Checked October 30, 2026.
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     “(b) A report of known or suspected child abuse, neglect, or human trafficking which does not meet the criteria in subsection (a) above, may be made orally or through the Department’s online reporting portal.”
169. Delaware General Assembly (Delaware Code Online). 16 Del. C. § 902, Definitions (Chapter 9, Abuse of Children, Subchapter I). “(10) “Department” means the Department of Services for Children, Youth and Their Families.” Checked October 30, 2026.
170. Delaware General Assembly (Delaware Code Online). 18 Del. C. § 3366, Autism spectrum disorders coverage (Chapter 33, Health Insurance Contracts, Subchapter I). Checked October 30, 2026.
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     “(a) All individual health benefit plans as defined in § 3343(a) of this title shall provide coverage for the screening and diagnosis of autism spectrum disorders and the treatment of autism spectrum disorders in individuals less than 21 years of age.”
171. Delaware General Assembly (Delaware Code Online). 18 Del. C. § 3366, Autism spectrum disorders coverage (Chapter 33, Health Insurance Contracts, Subchapter I). “(10) “Therapeutic care” means services provided by speech, occupational, or physical therapists or an aide or assistant under their supervision.” Checked October 30, 2026.
172. Delaware General Assembly (Delaware Code Online). 18 Del. C. § 3366, Autism spectrum disorders coverage (Chapter 33, Health Insurance Contracts, Subchapter I). Checked October 30, 2026.
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     “(11) “Treatment for autism spectrum disorders” shall include the following care prescribed or ordered for an individual diagnosed with 1 of the autism spectrum disorders by a licensed physician or licensed psychologist who determines the care to be medically necessary: a. Behavioral health treatment; b. Pharmacy care; c. Psychiatric care; d. Psychological care; e. Therapeutic care ...”
173. Delaware General Assembly (Delaware Code Online). 18 Del. C. § 3366, Autism spectrum disorders coverage (Chapter 33, Health Insurance Contracts, Subchapter I). Checked October 30, 2026.
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     “(b) Coverage for applied behavior analysis services under this section by an insurer shall be subject to a maximum benefit of $36,000 per 12-month period per person, but shall not be subject to any limits on the number of visits an individual may make to an autism services provider or that a provider may make to an individual regardless of the locations in which services are provided.”
174. Delaware General Assembly (Delaware Code Online). 18 Del. C. § 3570A, Autism spectrum disorders coverage (Chapter 35, Group and Blanket Health Insurance, Subchapter III). Checked October 30, 2026.
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     “(a) All group and blanket health benefit plans as defined in § 3578(a) of this title shall provide coverage for the screening and diagnosis of autism spectrum disorders and the treatment of autism spectrum disorders in individuals less than 21 years of age.”
175. Centers for Medicare & Medicaid Services. Who are the MACs: A/B MAC Jurisdiction L (JL) (page last modified July 8, 2026). “JL processes FFS Medicare Part A and Part B claims for Delaware, District of Columbia, Maryland, New Jersey and Pennsylvania ...” Checked October 30, 2026.
176. Centers for Medicare & Medicaid Services. Who are the MACs: A/B MAC Jurisdiction L (JL) (page last modified July 8, 2026). “Contract Awardee: Novitas Solutions, Inc., contract number 75FCMC21C0019 ...” Checked October 30, 2026.
177. Delaware General Assembly (Delaware Code Online). 19 Del. C. § 2322B, Procedures and requirements for promulgation of health-care payment system (Chapter 23, Workers’ Compensation). “(3) The maximum allowable payment for health-care-related payments covered under this chapter shall be the lesser of the health-care provider’s actual charges or the fee set by the payment system.” Checked October 30, 2026.
178. Delaware General Assembly (Delaware Code Online). 19 Del. C. § 2322B, Procedures and requirements for promulgation of health-care payment system (Chapter 23, Workers’ Compensation). Checked October 30, 2026.
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     “(2) The health-care payment system shall include payment rates, instructions, guidelines, and payment guides and policies regarding application of the payment system. When completed, the payment system shall be published on the Internet at no charge to the user via a link from the Office of Workers’ Compensation website at https://industrialaffairs.delaware.gov/resources, or a successor website.”
179. Delaware Department of Labor, Division of Industrial Affairs, Office of Workers’ Compensation. Office of Workers’ Compensation. “Medical Component Unit Access toolkits, fee schedules, and utilization review resources for healthcare providers to simplify compliance and billing accuracy.” Checked October 30, 2026.
180. APTA Delaware. APTA Delaware (the state association's site). Checked October 30, 2026.
181. the Delaware Occupational Therapy Association (DOTA). the Delaware Occupational Therapy Association (DOTA) (the state association's site). Checked October 30, 2026.
182. the Delaware Speech-Language-Hearing Association (DSHA). the Delaware Speech-Language-Hearing Association (DSHA) (the state association's site). Checked October 30, 2026.
183. DrSensory. Occupational therapy clinics in Delaware, with the physical therapy and speech therapy pages for the state (the directory's state pages, built from the addresses it holds). Checked October 30, 2026.
184. DrSensory. Clinic Directory Pricing. “Claiming your listing is free. The subscription is $349.99 a year or $29.99 a month for your first location, and $99.99 a year or $9.99 a month for each additional location, not per therapist.” Checked October 30, 2026.

Medical disclaimer. This page is for general educational purposes and does not constitute medical advice, diagnosis, or treatment. It is general guidance on running a therapy clinic in Delaware, not legal, compliance, billing or financial advice. Rules change; the clinic confirms each with its source before acting on it.