Indiana PT, OT and SLP guide

For OT, PT and SLP clinics in Indiana: three state boards license the disciplines, a physical therapist may evaluate and treat without a referral for up to 42 calendar days, Indiana Medicaid covers children’s therapy under EPSDT and adults within its own rules, and telehealth follows the patient’s location. Every rule here is quoted from its source.⁠^1,2,3

Who licenses OTs, PTs and SLPs in Indiana?

Three state boards license the three disciplines in Indiana, and each publishes its own licensing law, rules, renewal cycle and continuing-education requirement.⁠^1,4,5 A clinic that employs more than one discipline keeps three registers, not one.

Physical therapists and physical therapist assistants answer to the Indiana Board of Physical Therapy.⁠^{1,32,33,34,35,36,37,38} Occupational therapists and occupational therapy assistants answer to the Medical Licensing Board of Indiana, with its Occupational Therapy Committee.⁠^{4,39,40,41,42,43,44,45,46,47} Speech-language pathologists answer to the Indiana Speech-Language Pathology and Audiology Board.⁠^{5,48,49,50,51,52,53} The Medical Licensing Board of Indiana, not a separate occupational therapy board, is the board under the occupational therapy act, and the act establishes an Occupational Therapy Committee; the committee issues the licenses.⁠^{4,39,40,41,42,43,44,45,46,47} 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 an Indiana 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.⁠^1,4,5 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 an Indiana 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, a physical therapist may evaluate and treat an individual without a referral for up to 42 calendar days from the start of treatment, and must obtain a referral from a physician, podiatrist, psychologist, chiropractor, dentist, advanced practice registered nurse or physician assistant for treatment after that; spinal manipulation requires the order or referral of a physician, osteopathic physician or chiropractor who examined the patient first, and a school-employed or contracted physical therapist may provide mandated school services on a licensed school psychologist’s referral.⁠^2,6,7,8 Indiana Medicaid, as a payer, reimburses physical therapy only when it is ordered by an IHCP-enrolled physician, podiatrist, psychologist, chiropractor, dentist, advanced practice registered nurse or physician assistant.⁠^2,6,7,8 For occupational therapy, an occupational therapist may provide services for up to 42 calendar days from the first service, and after that needs a referral or order from a physician, podiatrist, advanced practice registered nurse, psychologist, chiropractor, optometrist or physician assistant, except for ergonomic or home assessment, prevention and wellness services, occupational therapy in an educational setting and community activities the board approves; an occupational therapist whose evaluation suggests a condition that requires medical attention must promptly refer the patient to a physician.⁠^{54,55,56,57,58} Indiana Medicaid, as a payer, reimburses occupational therapy only when it is ordered by an IHCP-enrolled physician, podiatrist, advanced practice registered nurse, optometrist, physician assistant, chiropractor or psychologist.⁠^{54,55,56,57,58} For speech-language pathology, the licensure act requires a license to practice speech-language pathology in Indiana and defines it as the application of nonmedical and nonsurgical principles, methods and procedures to prevent, evaluate, habilitate, rehabilitate, instruct and research communication and swallowing disorders; a speech-language pathologist whose evaluation suggests a condition that requires medical attention must promptly refer the patient to a physician, and performs endoscopic procedures only under a physician’s authorization and general supervision.⁠^59,60,61,62 Indiana Medicaid, as a payer, reimburses speech-language pathology only when it is ordered in writing by an IHCP-enrolled physician, nurse practitioner, clinical nurse specialist, certified nurse midwife or physician assistant.⁠^59,60,61,62

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.⁠¹⁹ Indiana 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 Indiana Medicaid pay for pediatric and adult therapy?

Indiana Medicaid is run by the Indiana Family and Social Services Administration (FSSA), through its Office of Medicaid Policy and Planning, which runs the Indiana Health Coverage Programs (IHCP), and a clinic enrolls through its provider enrollment route before it bills.⁠⁶³ 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.⁠⁶⁴ Indiana Medicaid covers rehabilitative therapy for members under 21 when it is medically necessary, and habilitative therapy for members under 21 case by case with prior authorization. It does not cover therapy to remediate learning disabilities or developmental activities that nonmedical personnel can conduct.⁠³

For members 21 and older, Indiana Medicaid covers rehabilitative therapy for no longer than two years from the start of therapy unless a significant change in medical condition requires longer, and does not cover habilitative therapy.⁠⁹ In fee-for-service, Indiana Medicaid requires prior authorization for all occupational therapy, physical therapy and speech-language pathology, except an initial evaluation once every 12 months, therapy ordered in writing before an inpatient hospital discharge for up to 30 units in 30 calendar days, and the other exceptions the module lists. For managed care members, providers contact the member’s health plan.⁠^65,66 Most Indiana Medicaid members receive services through managed care, in which a health plan authorizes services and pays claims. The managed care programs are the Healthy Indiana Plan (HIP), Hoosier Care Connect, Hoosier Healthwise and Indiana PathWays for Aging, and a provider enrolls with the IHCP and then contracts with one or more of the plans, which the program lists as Anthem, CareSource, Humana, Managed Health Services (MHS) and UnitedHealthcare.⁠^67,68 The fee schedule is published by the agency, and a clinic reads the current file rather than a remembered rate.⁠⁶⁹

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

Indiana Medicaid pays professional therapy claims per hour or unit, with time reported in one-hour increments. A billed hour includes at least 45 minutes of direct member care, more than one hour a day of the same type of therapy needs prior authorization, and claims from physical, occupational and speech/hearing therapists must carry the ordering provider’s NPI. Services a physical therapist assistant performs are billed with modifier HM and priced at 75 percent of the rate for a physical therapist.⁠^{70,71,72,73,74} 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 Indiana Medicaid pay for therapy in schools?

Indiana Medicaid reimburses enrolled school corporations for medically necessary occupational therapy, physical therapy and speech-language pathology given by a therapist they employ or contract with under a student’s IEP, Section 504 plan or other qualifying plan, and the plan serves as the prior authorization. School-based services other than transportation require an order or referral.⁠^75,76 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 Indiana Medicaid cover therapy by telehealth?

Indiana Medicaid lets the practitioners named in IC 25-1-9.5-3.5 provide telehealth within their licensure, pays only for services in its telehealth code set, at the current fee schedule amount, and requires place of service 02 or 10 on professional claims. Consent may be verbal or by electronic signature and must be documented.⁠^77,78 The telehealth section below covers the state’s own rules for the session itself.

What are Indiana’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.⁠¹⁰ Indiana’s telehealth law names licensed occupational therapists and assistants, physical therapists, certified physical therapist assistants, speech-language pathologists, speech-language pathology assistants and clinical fellows as practitioners who may use it, holds a practitioner using telehealth to the same standards of practice as in person, and requires informed consent as part of the provider-patient relationship.⁠^79,80,81

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.⁠^11,12 Indiana requires accident and sickness insurance policies and health maintenance organization contracts to cover telehealth services under the same clinical criteria as the same services delivered in person, with no dollar limit, deductible, copayment or coinsurance less favorable than in person, and without a separate consent for telehealth.⁠^82,83

Which business steps are specific to Indiana?

The entity is registered with the Indiana Secretary of State’s Business Division (INBiz), and the choice of entity is shaped by the state’s rule on who may own a therapy business.⁠²² Indiana’s Professional Corporation Act lets one or more health care professionals, individuals licensed, certified or registered by a board under IC 25-1-9, form a professional corporation to render services only a health care professional may perform, and the corporation must have at least one shareholder licensed in Indiana. The Indiana Board of Physical Therapy, the Occupational Therapy Committee and the Speech-Language Pathology and Audiology Board are each a board under IC 25-1-9.⁠^{23,24,25,26,27} State tax registration is with the Indiana Department of Revenue, registered through INBiz.⁠⁸⁴ Indiana’s sales tax rule treats professional and personal services as not selling at retail and not subject to the gross retail tax. A provider who also transfers tangible personal property for consideration makes a bundled transaction unless a statutory exception applies, and is presumed to be a retail merchant for any tangible personal property it sells. A business that sells goods registers through INBiz to collect the seven percent sales tax and receives a Registered Retail Merchant Certificate.⁠^85,86 Every Indiana employer subject to the worker’s compensation act, except those the act exempts, must insure its liability with a company authorized to write worker’s compensation insurance in Indiana or prove to the Worker’s Compensation Board its financial ability to pay compensation directly.⁠^87,88 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 Indiana?

Indiana’s health records statute requires a provider, a term it defines to include physical therapists and speech-language pathologists, to keep the original health records or microfilms of them for at least seven years, and a licensing board may discipline a provider who does not.⁠^20,21 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.⁠^89,90

Indiana’s physical therapy act makes information about the physical therapist-patient relationship confidential, so it may not be shared with a third party not involved in the patient’s care without the patient’s written authorization, except where the therapist or assistant has a legal duty to report.⁠⁹¹ Indiana’s breach notification law requires a data base owner to notify affected Indiana residents of a breach of unencrypted personal information that could result in identity theft or fraud, without unreasonable delay and no more than 45 days after discovering it, and to notify the attorney general, plus each consumer reporting agency when more than 1,000 consumers are notified. An owner whose HIPAA compliance plan requires notice without unreasonable delay, and who follows it, need not make a separate disclosure.⁠^92,93,94,95 Indiana requires every individual who has reason to believe a child is a victim of abuse or neglect to report it immediately, orally or in writing, to the Department of Child Services or the appropriate law enforcement agency. A staff member of an institution, school, facility, organization or agency also reports immediately and has no discretion not to report unless the individual in charge has already made and documented a report. Any individual who believes or has reason to believe another individual is an endangered adult must also report.⁠^96,97,98,99

Which Indiana rules shape a pediatric clinic?

First Steps, led by the Bureau of Child Development Services, is Indiana’s early intervention program for children from birth to age 3. Anyone, including a parent, service provider or doctor, can refer a child by contacting the local System Point of Entry for the county where the family lives, and the state law’s qualified early intervention personnel include occupational therapists, physical therapists and speech and language pathologists.⁠^28,29,30,31 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. Indiana requires group accident and sickness policies and group HMO contracts to cover treatment of autism spectrum disorder that the treating physician prescribes under a treatment plan, with no dollar limits, deductibles, copayments or coinsurance less favorable than those for physical illness generally. Insurers issuing individual policies, and HMOs entering individual contracts, must offer the same coverage.⁠^{100,101,102,103} The autism insurance mandates guide covers how such a mandate meets a plan’s own terms. Children’s Special Health Care Services, an Indiana Department of Health program, provides supplemental medical coverage for children from birth to 21 with serious chronic medical conditions who meet its financial and medical criteria, and lists occupational, physical and speech therapy among the services that need its prior authorization for payment.⁠^104,105

Which Indiana rules shape an adult clinic?

Medicare claims from Indiana go to Wisconsin Physicians Service Government Health Administrators, the Medicare Administrative Contractor for Jurisdiction 8, Parts A and B (Indiana and Michigan), whose local coverage articles for therapy are the ones an Indiana clinic reads.⁠¹⁰⁶ Indiana Medicaid’s adult therapy rules are in the Medicaid section above.

Which associations and directory pages serve Indiana?

The state chapters are APTA Indiana for physical therapy and the Indiana Speech-Language-Hearing Association for speech-language pathology.⁠^107,108 On DrSensory, families browse Indiana 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.⁠¹⁰⁹

Which Indiana cities have DrSensory city pages?

Beyond its three Indiana pages, the directory publishes city pages for 2 Indiana cities, 6 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.⁠¹⁰⁹

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

DrSensory lists 32 PT, OT and SLP clinics in Indiana, on its occupational therapy, physical therapy and speech therapy pages for the state.⁠¹⁰⁹

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

Which templates does an Indiana launch need?

How might two Indiana clinics plan a launch?

Sources

1. Indiana Professional Licensing Agency. Indiana Board of Physical Therapy. Checked October 30, 2026.
2. Indiana General Assembly. 2026 Indiana Code, IC 25-27-1-2.5 Evaluations and treatment without referral; exceptions; testing certification. Checked October 30, 2026.
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   “Sec. 2.5. (a) Except as provided in subsection (b), a physical therapist may evaluate and treat an individual during a period not to exceed forty-two (42) calendar days beginning with the date of the initiation of treatment without a referral from a provider described in section 2(b) of this chapter. However, if the individual needs additional treatment from the physical therapist after forty-two (42) calendar days, the physical therapist shall obtain a referral from the individual’s provider, as described in section 2(b) of this chapter. (b) A physical therapist may not perform spinal manipulation of the spinal column or the vertebral column unless: (1) the physical therapist is acting on the order or referral of a physician, an osteopathic physician, or a chiropractor; and (2) the referring physician, osteopathic physician, or chiropractor has examined the patient before issuing the order or referral.”
3. Indiana Family and Social Services Administration. IHCP Provider Reference Module: Therapy Services (version 7.0, published November 27, 2024, policies as of July 1, 2024). Checked October 30, 2026.
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   “The IHCP does not cover therapy rendered for diversional, recreational, vocational or avocational purposes; for the remediation of learning disabilities; or for developmental activities that can be conducted by nonmedical personnel. ... The IHCP covers rehabilitative therapy services for members under 21 years of age when determined medically necessary. ... The IHCP covers habilitative therapy services for members under 21 years of age on a case-by-case basis, subject to prior authorization.”
4. Indiana Professional Licensing Agency. Medical Licensing Board of Indiana, with its Occupational Therapy Committee. Checked October 30, 2026.
5. Indiana Professional Licensing Agency. Indiana Speech-Language Pathology and Audiology Board. Checked October 30, 2026.
6. Indiana General Assembly. 2026 Indiana Code, IC 25-27-1-2 Unlawful practices; providing mandated school services. Checked October 30, 2026.
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   “(b) Except as provided in subsection (e) and section 2.5 of this chapter, it is unlawful for a person to practice physical therapy other than upon the order or referral of a physician, a podiatrist, a psychologist, a chiropractor, a dentist, an advanced practice registered nurse, or a physician assistant holding an unlimited license to practice medicine, podiatric medicine, psychology, chiropractic, dentistry, nursing, or as a physician assistant, respectively.”
7. Indiana General Assembly. 2026 Indiana Code, IC 25-27-1-2 Unlawful practices; providing mandated school services. Checked October 30, 2026.
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   “(e) Upon the referral of a licensed school psychologist, a physical therapist who is: (1) licensed under this article; and (2) an employee or contractor of a school corporation; may provide mandated school services to a student that are within the physical therapist’s scope of practice.”
8. Indiana Family and Social Services Administration. IHCP Provider Reference Module: Therapy Services (version 7.0, published November 27, 2024, policies as of July 1, 2024). Checked October 30, 2026.
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   “In accordance with 405 IAC 5-22-6(b)(1)(A), for IHCP reimbursement, physical therapy services must be ordered by one of the following IHCP-enrolled providers: Physician (doctor of medicine or doctor of osteopathy) Podiatrist Psychologist Chiropractor Dentist Advanced practice registered nurse Physician assistant ...”
9. Indiana Family and Social Services Administration. IHCP Provider Reference Module: Therapy Services (version 7.0, published November 27, 2024, policies as of July 1, 2024). Checked October 30, 2026.
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   “For members 21 years of age and older, the IHCP covers rehabilitative therapy services for no longer than two years from the initiation of the therapy, unless a significant change in medical condition requires longer therapy. ... Habilitative therapy is not a covered service for members 21 years of age and older.”
10. 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”.
11. PT Compact Commission. PT Compact Map. “Member States (38) ... Georgia Indiana Iowa ...” Checked October 30, 2026.
12. Indiana General Assembly. 2026 Indiana Code, IC 25-27-2-1 Purpose and objectives. “Sec. 1. PURPOSE The purpose of this Compact is to facilitate interstate practice of physical therapy with the goal of improving public access to physical therapy services.” Checked October 30, 2026.
13. 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. ... State Accepting OTC Applications? ... Indiana March 9, 2026 ...” Checked October 30, 2026.
14. Indiana Professional Licensing Agency. Occupational Therapy Licensure Compact Implemented and Live in Indiana, Beginning Monday, March 9, 2026 (press release, March 9, 2026). Checked October 30, 2026.
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    “The Indiana Professional Licensing Agency (IPLA) and the Indiana Occupational Therapy Committee (the Committee) are pleased to announce that the Occupational Therapy Licensure Compact (OT Compact) is now fully implemented and live in the state of Indiana, as of Monday, March 9, 2026.”
15. Indiana General Assembly. 2026 Indiana Code, IC 25-43-1-1 Purpose and objectives. “Sec. 1. (a) The purpose of this compact is to facilitate interstate practice of occupational therapy with the goal of improving public access to occupational therapy services.” Checked October 30, 2026.
16. Audiology and Speech-Language Pathology Interstate Compact Commission. Delegate Information. “Member State Appointed Delegates ... Indiana Audiology Blair Mattern Indiana SLP Ann Bilodeau ...” Checked October 30, 2026.
17. Audiology and Speech-Language Pathology Interstate Compact Commission. ASLP-IC Home. “Registration for compact privileges to practice is open for licensed practitioners in Louisiana, Ohio, Tennessee, and West Virginia. As more member states launch, the ASLP-IC Home Page and Compact Map will be updated.” Checked October 30, 2026.
18. Indiana General Assembly. 2026 Indiana Code, IC 25-35.6-5-1 Purpose. “Sec. 1. The purpose of this compact is to facilitate interstate practice of audiology and speech-language pathology with the goal of improving public access to audiology and speech-language pathology services.” Checked October 30, 2026.
19. 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.”.
20. Indiana General Assembly. 2026 Indiana Code, IC 16-39-7-1 Maintenance of health records by providers; violations. Checked October 30, 2026.
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    “Sec. 1. (a) As used in this section, "provider" means the following: ... (8) A physical therapist. ... (11) A speech-language pathologist. ... (b) A provider shall maintain the original health records or microfilms of the records for at least seven (7) years.”
21. Indiana General Assembly. 2026 Indiana Code, IC 16-39-7-1 Maintenance of health records by providers; violations. “(c) A provider who violates subsection (b) commits an offense for which a board may impose disciplinary sanctions against the provider under the law that governs the provider’s licensure, registration, or certification under this title or IC 25 .” Checked October 30, 2026.
22. Indiana Secretary of State. Business Division: Home. “INBiz - Believe In Yourself. We Do. Business search, workforce management, taxes & fees, and other online resources for your business.” Checked October 30, 2026.
23. Indiana General Assembly. 2026 Indiana Code, IC 23-1.5-2-3 Formation of professional corporations; authorization of investments; admission of foreign professional corporations. Checked October 30, 2026.
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    “(4) One (1) or more health care professionals may form a professional corporation to render services that may legally be performed only by a health care professional. ... (c) A domestic professional corporation or a foreign professional corporation admitted to render professional services in Indiana: (1) shall have at least one (1) shareholder who is licensed in Indiana ...”
24. Indiana General Assembly. 2026 Indiana Code, IC 23-1.5-1-8 "Health care professional". “Sec. 8. "Health care professional" means an individual who is licensed, certified, or registered by a board (as defined in IC 25-1-9-1 ). However, the term does not include a veterinarian.” Checked October 30, 2026.
25. Indiana General Assembly. 2026 Indiana Code, IC 25-0.5-11-13 Indiana board of physical therapy. “Sec. 13. The Indiana board of physical therapy ( IC 25-27-1 ) is a board under IC 25-1-9 .” Checked October 30, 2026.
26. Indiana General Assembly. 2026 Indiana Code, IC 25-0.5-11-15 Occupational therapy committee. “Sec. 15. The occupational therapy committee ( IC 25-23.5 ) is a board under IC 25-1-9 .” Checked October 30, 2026.
27. Indiana General Assembly. 2026 Indiana Code, IC 25-0.5-11-10 Speech-language pathology and audiology board. “Sec. 10. The speech-language pathology and audiology board ( IC 25-35.6-2 ) is a board under IC 25-1-9 .” Checked October 30, 2026.
28. Indiana Family and Social Services Administration. DDARS: Bureau of Child Development Services (BCDS). Checked October 30, 2026.
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    “The Bureau of Child Development Services (BCDS) leads Indiana’s early intervention program, First Steps. ... First Steps is Indiana’s early intervention program for children birth to age 3 who would benefit from additional support to meet their developmental milestones. ... Anyone can refer a child to First Steps. Whether you are a parent, family member, service provider, doctor or someone else in a baby’s or toddler’s life, you have the opportunity to help connect that baby with First Steps.”
29. Indiana Family and Social Services Administration. DDARS: First Steps Offices. Checked October 30, 2026.
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    “Once you select a cluster, you will then be directed to the page with the contact information for the specific local System Point of Entry and the provider agencies that serve your county. Please call or email the office using the listed information, and someone will assist you.”
30. Indiana General Assembly. 2026 Indiana Code, IC 12-12.7-2-3 "Early intervention services". “(6) Are provided by qualified personnel, including the following: ... (B) Speech and language pathologists and audiologists. (C) Occupational therapists. (D) Physical therapists.” Checked October 30, 2026.
31. Indiana General Assembly. 2026 Indiana Code, IC 12-12.7-2-5 Purposes of chapter. “(5) To comply with 20 U.S.C. 1431 through 1444.” Checked October 30, 2026.
32. Indiana General Assembly. 2026 Indiana Code, IC 25-27-1-4 Indiana board of physical therapy. “Sec. 4. (a) There is created the Indiana board of physical therapy.” Checked October 30, 2026.
33. Indiana General Assembly, Legislative Services Agency (Indiana Administrative Code). Indiana Administrative Code, current (2027) edition, 842 IAC 1-4-1, Mandatory registration; renewal. Checked October 30, 2026.
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    “Sec. 1. (a) Every physical therapist holding a license issued by the board shall renew his or her license biennially on or before July 1 of each even-numbered year. ... (c) Every physical therapist assistant holding a certificate issued by the board shall renew his or her certificate biennially on or before July 1 of each even-numbered year.”
34. Indiana General Assembly. 2026 Indiana Code, IC 25-27-1-8 Issuance of license; renewal; reinstatement; temporary nonrenewable permit; retirement from practice. “(b) Subject to IC 25-1-2-6 (e), all licenses and certificates issued by the board expire on the date of each even-numbered year specified by the Indiana professional licensing agency under IC 25-1-5-4 .” Checked October 30, 2026.
35. Indiana General Assembly, Legislative Services Agency (Indiana Administrative Code). Indiana Administrative Code, current (2027) edition, 842 IAC 1-7-3, License or certification period; number of hours required. Checked October 30, 2026.
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    “Sec. 3. (a) During each two (2) year license period, a physical therapist or physical therapist’s assistant must complete at least twenty-two (22) hours of continuing competency activities of which at least ten (10) hours must be in category I courses and two (2) hours must be in an ethics and Indiana jurisprudence course as it relates to the practice of physical therapy. (b) A physical therapist or physical therapist’s assistant may not earn more than ten (10) category II credit hours towards the requirements under this section.”
36. Indiana General Assembly, Legislative Services Agency (Indiana Administrative Code). Indiana Administrative Code, current (2027) edition, 842 IAC 1-1-2, Standards of practice for physical therapy services. Checked October 30, 2026.
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    “... unless the supervising physical therapist is on the premises to provide constant supervision, the physical therapist assistant shall consult with the supervising physical therapist at least once each working day to review all patients’ treatments. The supervising physical therapist shall examine each patient not less than: (1) every fourteen (14) days for inpatients in either a hospital or comprehensive rehabilitation facility; (2) the earlier of every ninety (90) days or six (6) physical therapy visits for patients in a facility for the developmentally disabled (DD) and school system patients; and (3) the earlier of every thirty (30) days or every fifteen (15) physical therapy visits for all other patients; to review the patients’ treatments and progress. If this daily consultation is not face-to-face, the physical therapist may not supervise more than the equivalent of three (3) full-time physical therapist assistants.”
37. Indiana General Assembly. 2026 Indiana Code, IC 25-27-1-2 Unlawful practices; providing mandated school services. “It is unlawful for the person to act as a physical therapist assistant other than under the general supervision of a licensed physical therapist who is in responsible charge of a patient.” Checked October 30, 2026.
38. Indiana General Assembly. 2026 Indiana Code, IC 25-27-1-1 Definitions. “(14) "General supervision" means supervision provided by a physical therapist who is available by telecommunication.” Checked October 30, 2026.
39. Indiana General Assembly. 2026 Indiana Code, IC 25-23.5-1-2 "Board". “Sec. 2. "Board" refers to the medical licensing board of Indiana.” Checked October 30, 2026.
40. Indiana General Assembly. 2026 Indiana Code, IC 25-23.5-2-1 Establishment of committee. “Sec. 1. The occupational therapy committee is established.” Checked October 30, 2026.
41. Indiana General Assembly. 2026 Indiana Code, IC 25-23.5-5-9 Expiration of license; renewal. “Sec. 9. (a) A license issued by the committee expires on a date established by the Indiana professional licensing agency under IC 25-1-5-4 in the next even-numbered year following the year in which the license was issued.” Checked October 30, 2026.
42. Indiana General Assembly, Legislative Services Agency (Indiana Administrative Code). Indiana Administrative Code, current (2027) edition, 844 IAC 10-4-1, Mandatory registration; renewal. “Sec. 1. Every occupational therapist and occupational therapy assistant holding a license issued by the committee shall renew his or her license biennially on or before December 31 of each even-numbered year.” Checked October 30, 2026.
43. Indiana General Assembly, Legislative Services Agency (Indiana Administrative Code). Indiana Administrative Code, current (2027) edition, 844 IAC 10-7-3, License period; number of hours required. Checked October 30, 2026.
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    “(a) During each two (2) year license period, an occupational therapist or occupational therapy assistant shall complete at least eighteen (18) hours of continuing competency courses, with at least nine (9) hours being in category I courses. (b) An occupational therapist or occupational therapy assistant may not earn more than nine (9) category II credit hours toward the requirements under this section. (c) All eighteen (18) hours of the continuing competency courses may be obtained through distance learning methods.”
44. Indiana General Assembly, Legislative Services Agency (Indiana Administrative Code). Indiana Administrative Code, current (2027) edition, 844 IAC 10-5-5, Supervision of occupational therapy assistant (as amended effective February 11, 2026). Checked October 30, 2026.
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    “Sec. 5. (a) The occupational therapist has full responsibility for providing occupational therapy services. Supervision of an occupational therapy assistant is a shared collaborative process. The supervising occupational therapist has the legal and ethical responsibility to provide supervision, and the occupational therapy assistant has the legal and ethical responsibility to obtain supervision. (b) Under the supervision of an occupational therapist, an occupational therapy assistant may: (1) contribute to the screening and evaluation process; (2) contribute to the development of the treatment plan; (3) contribute to the implementation of the treatment plan; and (4) recommend the discontinuation or discharge from care or transitioning to another level of care.”
45. Indiana General Assembly. 2026 Indiana Code, IC 25-23.5-0.5-3 Occupational therapy assistant; requirements. “Sec. 3. An occupational therapy assistant shall: (1) be licensed under this article; and (2) practice under the supervision of an occupational therapist who is licensed under this article.” Checked October 30, 2026.
46. Indiana General Assembly, Legislative Services Agency (Indiana Administrative Code). Indiana Administrative Code, current (2027) edition, 844 IAC 10-5-6, Documentation (as amended effective February 11, 2026). Checked October 30, 2026.
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    “Sec. 6. (a) The occupational therapist shall countersign within seven (7) calendar days documentation recorded by the occupational therapy assistant, which will become part of the patient’s permanent record. A countersignature is required when the occupational therapy assistant contributes to the following: (1) Evaluation and treatment plan. (2) Recommendation of discontinuation or discharge from care. (3) Recommendation of transitioning to another level of care.”
47. Indiana Professional Licensing Agency. Medical Licensing Board’s New Final Rule, LSA Document #25-329, concerning Occupational Therapists, effective Wednesday, February 11, 2026 (press release). “Adds language concerning the standards for supervision of an occupational therapy assistant, and amends the duties and responsibilities of supervised occupational therapy assistants under 844 IAC 10-5-5 ...” Checked October 30, 2026.
48. Indiana General Assembly, Legislative Services Agency (Indiana Administrative Code). Indiana Administrative Code, current (2027) edition, 880 IAC 1-3.1-1, Renewal of license. Checked October 30, 2026.
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    “Sec. 1. (a) A renewal application shall be submitted to the licensing agency on or before December 31 of each odd-numbered year on a form provided by the licensing agency. ... (b) A person who holds a license in speech-language pathology or audiology, or both, must renew each license biennially as required by IC 25-35.6-3-6 .”
49. Indiana General Assembly, Legislative Services Agency (Indiana Administrative Code). Indiana Administrative Code, current (2027) edition, 880 IAC 1-3.1-2, Continuing education. Checked October 30, 2026.
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    “Sec. 2. (a) Thirty-six (36) clock hours of continuing education are required for license renewal as a speech-language pathologist or an audiologist. ... no more than six (6) hours of the continuing education requirement may be acquired through self-study. ... (d) Continuing education clock hours must be obtained within the biennial renewal period and may not be carried over from one (1) licensure period to another.”
50. Indiana General Assembly, Legislative Services Agency (Indiana Administrative Code). Indiana Administrative Code, current (2027) edition, 880 IAC 1-2.1-9, Supervisors; responsibilities. Checked October 30, 2026.
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    “(3) The supervisor for the SLP assistant shall provide direct supervision a minimum of twenty percent (20%) weekly for the first ninety (90) days of work and ten percent (10%) weekly thereafter. Supervision days and times should be alternated to ensure that all patients/clients receive direct treatment from the supervisor at least once every two (2) weeks. At no time should an SLP assistant perform tasks when a supervisor cannot be reached by: (A) personal contact; (B) telephone; (C) pager; or (D) other immediate means.”
51. Indiana General Assembly. 2026 Indiana Code, IC 25-35.6-1-8 Adopting rules defining support personnel role; qualifications to supervise. “(c) Speech-language pathology support personnel may provide support services only under the supervision of a speech-language pathologist.” Checked October 30, 2026.
52. Indiana General Assembly, Legislative Services Agency (Indiana Administrative Code). Indiana Administrative Code, current (2027) edition, 880 IAC 1-2.1-6, Renewal of registration. “Sec. 6. (a) A registration issued under section 2 of this rule expires on December 31 of each year.” Checked October 30, 2026.
53. Indiana General Assembly. 2026 Indiana Code, IC 25-35.6-1-2 Definitions. “(g) As used in this article, "support personnel" means individuals who meet the qualifications which the board shall establish for the following: (1) Speech-language pathology aide. (2) Speech-language pathology associate. (3) Speech-language pathology assistant.” Checked October 30, 2026.
54. Indiana General Assembly. 2026 Indiana Code, IC 25-23.5-3-1.5 Referral requirements; exceptions. Checked October 30, 2026.
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    “Sec. 1.5. (a) An occupational therapist may provide occupational therapy services to an individual during a period of not more than forty-two (42) calendar days beginning on the day on which the occupational therapist first provides occupational therapy services to the individual. (b) Except as provided in subsection (c), to provide occupational therapy services to an individual after the period referred to in subsection (a), the occupational therapist must obtain a referral from, or act on the order of, one (1) of the following: ... (c) An occupational therapist may provide the following services without a referral or order from a health care provider listed in subsection (b)(1) through (b)(7): (1) Ergonomic or home assessment. (2) Injury or illness prevention education and wellness services. (3) Occupational therapy activities provided in an educational setting. (4) Occupational therapy activities that the board determines, after reviewing the recommendations of the committee, are appropriate to be conducted in a community based environment.”
55. Indiana General Assembly. 2026 Indiana Code, IC 25-23.5-3-1.5 Referral requirements; exceptions. Checked October 30, 2026.
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    “(1) A physician or osteopathic physician licensed under IC 25-22.5 . (2) A podiatrist licensed under IC 25-29 . (3) An advanced practice registered nurse licensed under IC 25-23 . (4) A psychologist licensed under IC 25-33 . (5) A chiropractor licensed under IC 25-10 . (6) An optometrist licensed under IC 25-24 . (7) A physician assistant licensed under IC 25-27.5 .”
56. Indiana General Assembly. 2026 Indiana Code, IC 25-23.5-4-1 Referrals. “Sec. 1. If an occupational therapist performs an evaluation and the evaluation suggests the possibility of a condition that requires medical attention, the occupational therapist shall promptly refer the patient to an individual licensed under IC 25-22.5 .” Checked October 30, 2026.
57. Indiana General Assembly. 2026 Indiana Code, IC 25-23.5-1-5 "Practice of occupational therapy". “Sec. 5. "Practice of occupational therapy" means the therapeutic use of everyday life occupations and occupational therapy services to: (1) aid individuals or groups to participate in meaningful roles and situations in the home, school, the workplace, the community, or other settings ...” Checked October 30, 2026.
58. Indiana Family and Social Services Administration. IHCP Provider Reference Module: Therapy Services (version 7.0, published November 27, 2024, policies as of July 1, 2024). Checked October 30, 2026.
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    “In accordance with 405 IAC 5-22-6(b)(1)(B), for IHCP reimbursement, occupational therapy services must be ordered by one of the following IHCP-enrolled providers: Physician (doctor of medicine or doctor of osteopathy) Podiatrist Advanced practice registered nurse ... Optometrist Physician assistant Chiropractor Psychologist ...”
59. Indiana General Assembly. 2026 Indiana Code, IC 25-35.6-1-3 Persons and practices affected. Checked October 30, 2026.
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    “(b) Except as provided in sections 5.5 and 6.5 of this chapter and IC 25-35.6-5 , no person shall practice or represent himself or herself as a speech-language pathologist or audiologist in this state unless the person is licensed in accordance with the provisions of this article.”
60. Indiana General Assembly. 2026 Indiana Code, IC 25-35.6-1-2 Definitions. “(d) As used in this article, "speech-language pathology" means the application of nonmedical and nonsurgical principles, methods, and procedures for the following: (1) The prevention, evaluation, habilitation, rehabilitation, instruction, and research of communication and swallowing disorders.” Checked October 30, 2026.
61. Indiana General Assembly. 2026 Indiana Code, IC 25-35.6-1-9 Patient referral; supervision of certain procedures. Checked October 30, 2026.
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    “Sec. 9. (a) If a speech-language pathologist performs an evaluation and the evaluation suggests the possibility of a condition that requires medical attention, the speech-language pathologist shall promptly refer the patient to an individual licensed under IC 25-22.5 . (b) A speech-language pathologist shall perform instrumental procedures using rigid or flexible endoscopes only under the authorization and general supervision of an individual licensed under IC 25-22.5 .”
62. Indiana Family and Social Services Administration. IHCP Provider Reference Module: Therapy Services (version 7.0, published November 27, 2024, policies as of July 1, 2024). Checked October 30, 2026.
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    “For IHCP reimbursement, speech-language pathology services must be ordered in writing by one of the following IHCP-enrolled providers: Physician (doctor of medicine or doctor of osteopathy) Nurse practitioner Clinical nurse specialist Certified nurse midwife Physician assistant ...”
63. Indiana Family and Social Services Administration. Provider Enrollment. Checked October 30, 2026.
64. 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.”.
65. Indiana Family and Social Services Administration. IHCP Provider Reference Module: Therapy Services (version 7.0, published November 27, 2024, policies as of July 1, 2024). Checked October 30, 2026.
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    “In accordance with 405 IAC 5-22-6(a), the IHCP requires PA for all occupational therapy, physical therapy, respiratory therapy and speech-language pathology services, with the following exceptions: Initial evaluations (one per 12 months) Emergency respiratory therapy Any combination of therapy services ordered in writing before a member’s release or discharge from an inpatient hospital, continuing for a period not to exceed 30 units in 30 calendar days ...”
66. Indiana Family and Social Services Administration. IHCP Provider Reference Module: Therapy Services (version 7.0, published November 27, 2024, policies as of July 1, 2024). Checked October 30, 2026.
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    “For information about services provided through the managed care delivery system – including Healthy Indiana Plan (HIP), Hoosier Care Connect, Hoosier Healthwise or Indiana PathWays for Aging (PathWays) services – providers must contact the member’s managed care entity (MCE) or refer to the MCE provider manual.”
67. Indiana Family and Social Services Administration. IHCP Programs and Services. Checked October 30, 2026.
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    “Most IHCP members receive services through the managed care delivery system. Under managed care, members are enrolled in a health plan with a managed care organizations (MCO) that is responsible for the members’ healthcare services. ... The MCO authorizes services, pays claims and is responsible for subrogation activities. All providers wanting to offer services to members in managed care must first enroll with the IHCP and then contract with one or more MCOs to deliver services to their members. Programs that operate under the managed care delivery system include: Healthy Indiana Plan (HIP) Hoosier Care Connect Hoosier Healthwise Indiana PathWays for Aging (PathWays) and the Indiana PathWays for Aging Waiver ...”
68. Indiana Family and Social Services Administration. Enrolling as a Managed Care Program Provider. Checked October 30, 2026.
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    “... you must apply directly to one or more of the managed care organizations (MCOs) contracted to provide these services. ... The table below provides links to each MCO’s provider website and indicates which IHCP programs each MCO participates in: Managed Care Organization HIP Hoosier Care Connect Hoosier Healthwise PathWays Anthem ... CareSource ... Humana ... Managed Health Services (MHS) ... UnitedHealthcare ...”
69. Indiana Family and Social Services Administration. IHCP Fee Schedules. Checked October 30, 2026.
70. Indiana Family and Social Services Administration. IHCP Provider Reference Module: Therapy Services (version 7.0, published November 27, 2024, policies as of July 1, 2024). Checked October 30, 2026.
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    “The IHCP reimburses professional claims for therapy services on a per-hour basis or per unit billed. Providers cannot bill for fractional units for less than one hour. Providers must accumulate and report time in one-hour increments. ... One hour of billed therapy must include a minimum of 45 minutes of direct member care, with the balance of the hour spent in related patient services. ... The IHCP does not reimburse therapy services for more than one hour per day per type of therapy; additional therapy services require prior authorization and must be medically necessary. ... All claims for services rendered by provider specialties 170-173 (Physical Therapist, Occupational Therapist, Speech/Hearing Therapist) must include the National Provider Identifier (NPI) of the provider that ordered the services.”
71. Indiana Family and Social Services Administration. IHCP Provider Reference Module: Therapy Services (version 7.0, published November 27, 2024, policies as of July 1, 2024). Checked October 30, 2026.
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    “When these services are performed by a PTA, providers must bill them with the modifier HM – Less than a bachelor’s degree. These services, when billed with the HM modifier, are priced to reimburse at 75% of the rate for a physical therapist.”
72. Indiana Family and Social Services Administration. IHCP Provider Reference Module: Therapy Services (version 7.0, published November 27, 2024, policies as of July 1, 2024). “If the PA request for one of these services includes modifier GO - Services delivered under an occupational therapy plan of care, then modifier GO must be billed on the claim.” Checked October 30, 2026.
73. Indiana Family and Social Services Administration. IHCP Provider Reference Module: Therapy Services (version 7.0, published November 27, 2024, policies as of July 1, 2024). “Procedures performed by speech-language pathologist aides must be billed with modifier HM using the supervising practitioner’s NPI, and are reimbursed at 75% of the rate paid to a speech-language pathologist.” Checked October 30, 2026.
74. Indiana Family and Social Services Administration. IHCP Provider Reference Module: Therapy Services (version 7.0, published November 27, 2024, policies as of July 1, 2024). “The IHCP limits occupational therapy evaluations and reevaluations to three hours of service per evaluation. The initial evaluation does not require prior authorization.” Checked October 30, 2026.
75. Indiana Family and Social Services Administration. IHCP Provider Reference Module: School Corporation Services (version 8.1, published September 29, 2026, policies as of January 1, 2025). Checked October 30, 2026.
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    “The IHCP will reimburse school corporations for medically necessary Medicaid services when provided according to a Medicaid-enrolled student’s educational program or plan as required by the Individuals with Disabilities Education Act (IDEA) or Section 504 of the federal Rehabilitation Act of 1973 (United States Code 29 USC 794). ... All medically necessary services provided by an IHCP-enrolled school corporation and contained in an approved educational program or plan are exempt from IHCP prior authorization (PA) requirements. The educational program or plan serves as PA for the service provided. ... IHCP reimbursement is available for occupational therapy, physical therapy, respiratory therapy and speech-language pathology services rendered by a therapist that is employed by, or under contract with, an IHCP-enrolled school corporation provider when the services are medically necessary and provided pursuant to an IHCP-enrolled student’s education program or plan.”
76. Indiana Family and Social Services Administration. IHCP Provider Reference Module: School Corporation Services (version 8.1, published September 29, 2026, policies as of January 1, 2025). Checked October 30, 2026.
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    “All school-based services except for transportation require an order or referral, including but not limited to the following: Nursing services Occupational therapy Physical therapy Respiratory therapy Speech-language pathology and hearing services ...”
77. Indiana Family and Social Services Administration. IHCP Provider Reference Module: Telehealth and Virtual Services (version 6.1, published October 30, 2024, policies as of November 1, 2023). Checked October 30, 2026.
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    “The practitioners listed in IC 25-1-9.5-3.5 are authorized to provide telehealth services under the scope of their licensure within the state of Indiana. ... IHCP reimbursement for telehealth services is limited to the medical, dental and remote patient monitoring services listed in the telehealth code set ... the payment for telehealth services is equal to the current Fee Schedule amount for the procedure codes billed ... All services delivered via telehealth and billed on a professional or dental claim must be billed with one of the following place of service (POS) codes: 02 - Telehealth provided other than in patient’s home 10 - Telehealth provided in the patient’s home ...”
78. Indiana Family and Social Services Administration. IHCP Provider Reference Module: Telehealth and Virtual Services (version 6.1, published October 30, 2024, policies as of November 1, 2023). “Patient consent for receiving a service through telehealth should be documented. Patient consent may be received verbally or by electronic signature, and should be documented as such.” Checked October 30, 2026.
79. Indiana General Assembly. 2026 Indiana Code, IC 25-1-9.5-7 Standards for providing telehealth; maintenance of medical records; waiver of confidentiality; prohibition on requiring employee to use telehealth. Checked October 30, 2026.
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    “Sec. 7. (a) A practitioner who: (1) provides health care services through telehealth; or (2) directs an employee of the practitioner to perform a health care service listed in section 2.5(a)(2), 2.5(a)(3), or 2.5(a)(4) of this chapter; shall be held to the same standards of appropriate practice as those standards for health care services provided at an in-person setting. (b) A practitioner who uses telehealth shall, if such action would otherwise be required in the provision of the same health care services in a manner other than telehealth, ensure that a proper provider-patient relationship is established.”
80. Indiana General Assembly. 2026 Indiana Code, IC 25-1-9.5-7 Standards for providing telehealth; maintenance of medical records; waiver of confidentiality; prohibition on requiring employee to use telehealth. “The provider-patient relationship by a practitioner who uses telehealth must at a minimum include the following: ... (3) Obtain informed consent from the patient.” Checked October 30, 2026.
81. Indiana General Assembly. 2026 Indiana Code, IC 25-1-9.5-3.5 "Practitioner". Checked October 30, 2026.
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    “Sec. 3.5. (a) As used in this chapter, "practitioner" means an individual who holds an unlimited license to practice as any of the following in Indiana: ... (10) The following: (A) An occupational therapist licensed under IC 25-23.5 . (B) An occupational therapy assistant licensed under IC 25-23.5 . ... (14) A physical therapist licensed under IC 25-27 . ... (19) A speech-language pathologist or audiologist licensed under IC 25-35.6 . ... (b) The term includes the following: ... (3) A speech-language pathology assistant ( IC 25-35.6-1-2 (g)(3)). (4) A clinical fellow in speech language pathology. ... (7) A physical therapist assistant certified under IC 25-27-1-6.3 .”
82. Indiana General Assembly. 2026 Indiana Code, IC 27-8-34-6 Coverage of telehealth services; prohibition on requiring use of specific information technology application. Checked October 30, 2026.
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    “Sec. 6. (a) A policy must provide coverage for telehealth services in accordance with the same clinical criteria as the policy provides coverage for the same health care services delivered in person. (b) Coverage for telehealth services required by subsection (a) may not be subject to a dollar limit, deductible, or coinsurance requirement that is less favorable to a covered individual than the dollar limit, deductible, or coinsurance requirement that applies to the same health care services delivered to a covered individual in person. ... (d) A separate consent for telehealth services may not be required.”
83. Indiana General Assembly. 2026 Indiana Code, IC 27-13-7-22 Coverage of telehealth services; prohibition on requiring use of specific information technology application. Checked October 30, 2026.
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    “Sec. 22. (a) An individual contract or a group contract must provide coverage for telehealth services in accordance with the same clinical criteria as the individual contract or the group contract provides coverage for the same health care services delivered to an enrollee in person. (b) Coverage for telehealth services required by subsection (a) may not be subject to a dollar limit, copayment, or coinsurance requirement that is less favorable to an enrollee than the dollar limit, copayment, or coinsurance requirement that applies to the same health care services delivered to an enrollee in person.”
84. Indiana Department of Revenue. Register a Business. “If you are starting a new business in Indiana, you may need to register with the Indiana Department of Revenue. ... Register your business with the department via INBiz .” Checked October 30, 2026.
85. Indiana General Assembly, Legislative Services Agency (Indiana Administrative Code). Indiana Administrative Code, current (2027) edition, 45 IAC 2.2-4-2, Selling at retail; services (filed September 1, 2026). Checked October 30, 2026.
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    “Sec. 2. (a) Professional services, personal services, and services related to property not owned by the person rendering those services are not transactions of a retail merchant constituting selling at retail, and are not subject to gross retail tax. Where, in conjunction with rendering professional services, personal services, or other services, the serviceperson also transfers tangible personal property for consideration, this will constitute a bundled transaction unless one (1) of the exceptions in IC 6-2.5-1-11.5 (d)(1) or IC 6-2.5-1-11.5 (d)(2) applies. ... (d) A serviceperson occupationally engaged in rendering professional, personal, or other services will be presumed to be a retail merchant selling at retail regarding any tangible personal property sold by them, whether or not the tangible personal property is sold while rendering those services.”
86. Indiana Department of Revenue. Sales Tax. Checked October 30, 2026.
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    “If your business sells goods or tangible personal property, you’ll need to register to collect a seven percent sales tax. ... Once your registration is completed and processed, you’ll be issued a Registered Retail Merchant Certificate (RRMC). ... You can register to collect sales tax and obtain a Registered Retail Merchant Certificate (RRMC) via InBiz .”
87. Indiana General Assembly. 2026 Indiana Code, IC 22-3-5-1 Requirements; self-insurance; security; fees. Checked October 30, 2026.
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    “Sec. 1. (a) Every employer under IC 22-3-2 through IC 22-3-6 , except those exempted by IC 22-3-2-5 , shall: (1) insure and keep insured the employer’s liability under IC 22-3-2 through IC 22-3-6 in some corporation, association, or organization authorized to transact the business of worker’s compensation insurance in this state; or (2) furnish to the worker’s compensation board satisfactory proof of the employer’s financial ability to pay direct the compensation in the amount and manner and when due as provided in IC 22-3-2 through IC 22-3-6 .”
88. Indiana General Assembly. 2026 Indiana Code, IC 22-3-2-2 Mandatory compliance; burden of proof; exemptions. Checked October 30, 2026.
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    “Sec. 2. (a) Every employer and every employee, except as stated in IC 22-3-2 through IC 22-3-6 , shall comply with the provisions of IC 22-3-2 through IC 22-3-6 respectively to pay and accept compensation for personal injury or death by accident arising out of and in the course of the employment, and shall be bound thereby.”
89. 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.”.
90. 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.”.
91. Indiana General Assembly. 2026 Indiana Code, IC 25-27-1-17 Confidentiality; exceptions. Checked October 30, 2026.
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    “Sec. 17. (a) Except as provided in subsection (b), information relating to the physical therapist-patient relationship is confidential and may not be communicated to a third party who is not involved in the patient’s care without the written authorization of the patient. (b) The physical therapist-patient privilege does not extend to cases in which the physical therapist or physical therapy assistant has a duty to report information as required by law.”
92. Indiana General Assembly. 2026 Indiana Code, IC 24-4.9-3-1 Disclosure of breach. Checked October 30, 2026.
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    “Sec. 1. (a) Except as provided in section 4(c), 4(d), and 4(e) of this chapter, after discovering or being notified of a breach of the security of data, the data base owner shall disclose the breach to an Indiana resident whose: (1) unencrypted personal information was or may have been acquired by an unauthorized person; ... (b) A data base owner required to make a disclosure under subsection (a) to more than one thousand (1,000) consumers shall also disclose to each consumer reporting agency (as defined in 15 U.S.C. 1681a(p)) information necessary to assist the consumer reporting agency in preventing fraud, including personal information of an Indiana resident affected by the breach of the security of a system. (c) If a data base owner makes a disclosure described in subsection (a), the data base owner shall also disclose the breach to the attorney general.”
93. Indiana General Assembly. 2026 Indiana Code, IC 24-4.9-3-3 Delay of disclosure or notification. “Sec. 3. (a) A person required to make a disclosure or notification under this chapter shall make the disclosure or notification without unreasonable delay, but not more than forty-five (45) days after the discovery of the breach.” Checked October 30, 2026.
94. Indiana General Assembly. 2026 Indiana Code, IC 24-4.9-3-1 Disclosure of breach. “... if the data base owner knows, should know, or should have known that the unauthorized acquisition constituting the breach has resulted in or could result in identity deception (as defined in IC 35-43-5-3.5 ), identity theft, or fraud affecting the Indiana resident.” Checked October 30, 2026.
95. Indiana General Assembly. 2026 Indiana Code, IC 24-4.9-3-4 Method of disclosure; exceptions. Checked October 30, 2026.
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    “(d) A data base owner that maintains its own disclosure procedures as part of an information privacy, security policy, or compliance plan under: ... (6) the federal Health Insurance Portability and Accountability Act (HIPAA) (P.L. 104-191); is not required to make a disclosure under this chapter if the data base owner’s information privacy, security policy, or compliance plan requires that Indiana residents be notified of a breach of the security of data without unreasonable delay and the data base owner complies with the data base owner’s information privacy, security policy, or compliance plan.”
96. Indiana General Assembly. 2026 Indiana Code, IC 31-33-5-1 Duty to make report. “Sec. 1. In addition to any other duty to report arising under this article, an individual who has reason to believe that a child is a victim of child abuse or neglect shall make a report as required by this article.” Checked October 30, 2026.
97. Indiana General Assembly. 2026 Indiana Code, IC 31-33-5-4 Immediate oral or written report to department of child services or law enforcement agency. Checked October 30, 2026.
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    “IC 31-33-5-4 Immediate oral or written report to department of child services or law enforcement agency Sec. 4. (a) Except as provided in subsection (b), a person who has a duty under this chapter to report that a child may be a victim of child abuse or neglect shall immediately make an oral or written report to: (1) the department; or (2) the appropriate law enforcement agency.”
98. Indiana General Assembly. 2026 Indiana Code, IC 31-33-5-2 Report; exception for delegation of duty to report; notification of individual in charge. Checked October 30, 2026.
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    “Sec. 2. (a) If an individual is required to make a report under this article in the individual’s capacity as a member of the staff of a public or private institution, school, facility, organization, or agency, the individual shall immediately make a report to: (1) the department; or (2) the appropriate law enforcement agency. The individual does not have discretion to decide not to report known or suspected child abuse or neglect, unless a report has already been made and documented by the individual in charge under subsection (d).”
99. Indiana General Assembly. 2026 Indiana Code, IC 12-10-3-9 Duty to report endangered adult. “Sec. 9. (a) An individual who believes or has reason to believe that another individual is an endangered adult shall make a report under this chapter.” Checked October 30, 2026.
100. Indiana General Assembly. 2026 Indiana Code, IC 27-8-14.2-4 Group coverage required. Checked October 30, 2026.
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     “Sec. 4. (a) An accident and sickness insurance policy that is issued on a group basis must provide coverage for the treatment of an autism spectrum disorder of an insured. Coverage provided under this section is limited to treatment that is prescribed by the insured’s treating physician in accordance with a treatment plan. ... (b) The coverage required under this section may not be subject to dollar limits, deductibles, or coinsurance provisions that are less favorable to an insured than the dollar limits, deductibles, or coinsurance provisions that apply to physical illness generally under the accident and sickness insurance policy.”
101. Indiana General Assembly. 2026 Indiana Code, IC 27-8-14.2-5 Individual coverage required. “Sec. 5. (a) An insurer that issues an accident and sickness insurance policy on an individual basis must offer to provide coverage for the treatment of an autism spectrum disorder of an insured.” Checked October 30, 2026.
102. Indiana General Assembly. 2026 Indiana Code, IC 27-13-7-14.7 Coverage for autism spectrum disorders. Checked October 30, 2026.
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     “(b) A group contract with a health maintenance organization that provides basic health care services must provide services for the treatment of an autism spectrum disorder of an enrollee. Services provided to an enrollee under this subsection are limited to services that are prescribed by the enrollee’s treating physician in accordance with a treatment plan. ... (c) The services required under subsection (b) may not be subject to dollar limits, deductibles, copayments, or coinsurance provisions that are less favorable to an enrollee than the dollar limits, deductibles, copayments, or coinsurance provisions that apply to physical illness generally under the contract with the health maintenance organization. (d) A health maintenance organization that enters into an individual contract that provides basic health care services must offer to provide services for the treatment of an autism spectrum disorder of an enrollee.”
103. Indiana General Assembly. 2026 Indiana Code, IC 27-8-14.2-3 "Autism spectrum disorder". “Sec. 3. As used in this chapter, "autism spectrum disorder" means a neurological condition, including Asperger’s syndrome and autism, as defined in the Diagnostic and Statistical Manual of Mental Disorders.” Checked October 30, 2026.
104. Indiana Department of Health. Children’s Special Health Care Services. Checked October 30, 2026.
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     “Indiana Children’s Special Health Care Services (CSHCS) provides supplemental medical coverage to help families of children ages birth to 21 years who have serious, chronic medical conditions. The program can help pay for treatment related to the child’s condition for those who meet the program’s financial and medical criteria.”
105. Indiana Department of Health. Children’s Special Health Care Services: Prior Authorization. “Below is a list of services that require prior authorization to allow payment by CSHCS; however, this list is not all-inclusive. ... Therapy (occupational, physical, speech, ABA)” Checked October 30, 2026.
106. Centers for Medicare & Medicaid Services. Who are the MACs: A/B MAC Jurisdiction 8 (J8). “Contract Awardee: Wisconsin Physicians Service Government Health Administrators , contract number 75FCMC19C0002 ... J8 processes FFS Medicare Part A and Part B claims for Indiana and Michigan ...” Checked October 30, 2026.
107. APTA Indiana. APTA Indiana (the state association's site). Checked October 30, 2026.
108. the Indiana Speech-Language-Hearing Association. the Indiana Speech-Language-Hearing Association (the state association's site). Checked October 30, 2026.
109. DrSensory. Occupational therapy clinics in Indiana, 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.
110. 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 Indiana, not legal, compliance, billing or financial advice. Rules change; the clinic confirms each with its source before acting on it.