Louisiana PT, OT and SLP guide

For OT, PT and SLP clinics in Louisiana: three state boards license the disciplines; a physical therapist with a doctorate or five years of practice may treat without a prescription or referral, within the statute’s conditions; Louisiana Medicaid covers children’s therapy under EPSDT and adults within its own rules; and telehealth follows the patient’s location.⁠^1,2,3,4

Who licenses OTs, PTs and SLPs in Louisiana?

Three state boards license the three disciplines in Louisiana, and each publishes its own licensing law, rules, renewal cycle and continuing-education requirement.⁠^1,5,6 A clinic that employs more than one discipline keeps three registers, not one.

Physical therapists and physical therapist assistants answer to the Louisiana Physical Therapy Board.⁠^{1,33,34,35,36,37,38,39,40} Occupational therapists and occupational therapy assistants answer to the Louisiana State Board of Medical Examiners, with its Occupational Therapy Advisory Committee.⁠^{5,41,42,43,44,45,46,47,48,49,50,51} Speech-language pathologists answer to the Louisiana Board of Examiners for Speech-Language Pathology and Audiology (LBESPA).⁠^{6,52,53,54,55,56,57,58,59,60,61} The Louisiana Physical Therapy Board, created within the Louisiana Department of Health, licenses and regulates physical therapists and physical therapist assistants.⁠^{1,33,34,35,36,37,38,39,40} The Louisiana State Board of Medical Examiners, not a separate occupational therapy board, licenses occupational therapists and occupational therapy assistants, advised by an Occupational Therapy Advisory Committee it appoints.⁠^{5,41,42,43,44,45,46,47,48,49,50,51} One board, the Louisiana Board of Examiners for Speech-Language Pathology and Audiology, created within the Louisiana Department of Health, licenses both speech-language pathologists and audiologists.⁠^{6,52,53,54,55,56,57,58,59,60,61} A restricted license, held by a school speech, hearing and language specialist certified by the State Board of Elementary and Secondary Education, allows practice only under a licensed SLP’s direct supervision.⁠^{6,52,53,54,55,56,57,58,59,60,61} 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 Louisiana 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.⁠^1,5,6 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 Louisiana 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 with a doctorate in physical therapy or five years of licensed clinical practice may treat a condition within the scope of physical therapy with or without a prescription or referral, and must refer the patient to an appropriate healthcare provider if the patient has made no measurable or functional improvement after thirty calendar days of treatment.⁠^2,7,8,9,10 Any physical therapist may evaluate or screen a patient without a prescription or referral to decide whether physical therapy is needed. Any physical therapist may also treat without a prescription or referral a child with a diagnosed developmental disability under the child’s plan of care, home health and nursing home patients under their plans of care, wellness and prevention clients, and a patient with a condition diagnosed within the previous ninety days, after informing the diagnosing provider and sending that provider a plan of care within the first fifteen days. Treating without a referral does not oblige any health plan, insurer or workers’ compensation plan to cover the care, nor does it bypass their preauthorization rules. Louisiana Medicaid, as a payer, needs a physician’s referral or prescription with each initial prior authorization request for outpatient hospital therapy.⁠^2,7,8,9,10 For occupational therapy, the occupational therapy act requires a referral or order from a physician, physician assistant, advanced practice registered nurse, dentist, podiatrist or optometrist for direct occupational therapy for a person’s specific medical condition, while prevention, wellness and education-related services need no referral.⁠^62,63,64,65 The board’s rule exempts from the referral requirement wellness or community services not related to injury, disease or illness, and OT practitioners employed or contracted by a school system for students’ educationally related needs. An occupational therapist may enter a case to consult and to evaluate a person’s need for services. In EarlySteps, Louisiana Medicaid pays for occupational therapy treatment only with a written referral or an initial or annually updated prescription from a physician licensed in Louisiana, though the initial evaluation needs neither.⁠^62,63,64,65 For speech-language pathology, the licensure act requires a license to practice speech-language pathology, which it defines to include prevention, identification, evaluation, habilitation and rehabilitation of disorders of communication and of oral-pharyngeal function.⁠^66,67,68,69 The board’s rule says licensed audiologists and speech-language pathologists are qualified for autonomous or independent practice, while provisional, restricted and assistant licensees are not. Louisiana Medicaid, as a payer, covers a child’s speech therapy in an outpatient facility, rehabilitation center or home health only when a physician orders it and Medicaid or the health plan prior-authorizes it.⁠^66,67,68,69

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.⁠²² Louisiana 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 Louisiana Medicaid pay for pediatric and adult therapy?

Louisiana Medicaid is run by the Louisiana Department of Health (LDH), and a clinic enrolls through its provider enrollment route before it bills.⁠⁷⁰ 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.⁠⁷¹ Children and youth under 21 with Medicaid can get physical, occupational and speech therapy at school, through EarlySteps, in an outpatient facility, in a rehabilitation center, at home, or in a combination of these.⁠^3,4

Louisiana Medicaid ended coverage of rehabilitation clinic services for recipients 21 and older from February 1, 2013. Outpatient hospital rehabilitation, which covers physical, occupational, speech and hearing therapy with prior approval, authorizes therapy for up to six months at a time for adults.⁠^11,12 Therapy for a child in an outpatient facility, rehabilitation center or home health must be ordered by a physician and prior-authorized by Medicaid or the member’s health plan. In outpatient hospital therapy, initial and extended therapy plans need prior authorization, while an evaluation does not, limited to one every 180 days.⁠^72,73,74 Louisiana Medicaid and LaCHIP are now Healthy Louisiana, in which each member chooses a health plan, a dental plan and providers. Healthy Blue leaves Healthy Louisiana after December 31, 2026. Its members may choose a new plan during a special enrollment period from October 15 to November 16, 2026, and from January 1, 2027 the four remaining health plans are Aetna Better Health, AmeriHealth Caritas of Louisiana, Humana Healthy Horizons in Louisiana and Louisiana Healthcare Connections.⁠^75,76,77 The fee schedule is published by the agency, and a clinic reads the current file rather than a remembered rate.⁠⁷⁸

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

Hospitals bill outpatient speech, occupational and physical therapy by covered HCPCS code at a flat fee. EarlySteps providers add type-of-service and place-of-service modifiers to each code. The Professional Services manual has telemedicine claims carry modifier 95 with place of service 02 or 10.⁠^{79,80,81,82,83,84} The codes, modifiers and authorization forms are each plan’s and the program’s and change with them, so the clinic reads the current versions before its first claim and records the date read in the payer register.

Does Louisiana Medicaid pay for therapy in schools?

Louisiana Medicaid pays a participating local education agency, enrolled as an EPSDT provider (type 70), for health services to Medicaid-eligible students ages 3 through 20.⁠⁸⁵ 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 Louisiana Medicaid cover therapy by telehealth?

Louisiana Medicaid’s Professional Services manual pays for telemedicine/telehealth by a physician or other licensed practitioner at the same level as in person, with no restriction on the originating site, which can be the beneficiary’s home.⁠^86,87,88 The telehealth section below covers the state’s own rules for the session itself.

What are Louisiana’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.⁠¹³ The Louisiana Telehealth Access Act holds a healthcare provider using telehealth to the same standard of care as in person and allows audio-only care when the provider judges that standard can be met. The physical therapy board’s rule lets licensees treat patients located in Louisiana by telehealth, and the speech-language pathology board requires Louisiana licensure, or a telehealth registration for an out-of-state practitioner. The speech-language pathology board requires that the client be told of telehealth services, including the right to refuse them, the options for service delivery and how to file a complaint.⁠^89,90,91,92

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.⁠^14,15

Which business steps are specific to Louisiana?

The entity is registered with the Louisiana Secretary of State’s Commercial Division, through the geauxBIZ portal, and the choice of entity is shaped by the state’s rule on who may own a therapy business.⁠²⁵ Louisiana’s Professional Occupational Therapy Corporation law lets one or more licensed occupational therapists form a corporation to practice occupational therapy, which may engage in no other business. Only a licensed occupational therapist holding shares in his own right, or another professional occupational therapy corporation, may vote shares and share in earnings.⁠^26,27 State tax registration is with the Louisiana Department of Revenue, through LaTAP.⁠⁹³ Louisiana’s workers’ compensation law covers every person performing services in the course of the employer’s business, and an employer must secure compensation for its employees through an authorized insurer, a group self-insurance fund, an interlocal risk management agency or approved self-insurance. A corporate officer or LLC member owning at least ten percent, a partner or a sole proprietor may elect out in writing with the insurer.⁠^94,95 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 Louisiana?

As a Louisiana Medicaid requirement, a provider keeps all medical, fiscal, professional and business records for Medicaid services for five years from the date of service, and longer while an audit is open.⁠^23,24 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.⁠^96,97

Section 40:1165.1, whose definition of health care provider (borrowed from section 40:1231.1) includes physical and occupational therapists, makes a patient’s medical records the provider’s property and business records and requires the provider to give the patient, on request, a copy of any information about the patient it has sent to others.⁠^98,99 Louisiana’s Database Security Breach Notification Law requires a person that owns or licenses computerized personal information to notify each affected Louisiana resident in the most expedient time possible and no later than sixty days from discovering a breach, and the Attorney General’s rule requires written notice to its Consumer Protection Section, timely if received within 10 days of notice to residents.⁠^100,101 Louisiana’s Children’s Code makes every health practitioner, defined as any individual who provides healthcare services and naming physical therapists, a mandatory reporter who must report cause to believe a child is endangered by abuse or neglect. The adult protective services law requires any person, health practitioners included, to report cause to believe an adult is harmed by abuse, neglect or exploitation.⁠^102,103,104

Which Louisiana rules shape a pediatric clinic?

EarlySteps, Louisiana’s early intervention system and the program that meets IDEA Part C, run by the Louisiana Department of Health, serves infants and toddlers from birth through age 3 (35 months) with a condition likely to cause a developmental delay or with developmental delays. Anyone can refer a child to EarlySteps by contacting the System Point of Entry (SPOE) in the family’s region. A therapist or clinic interested in becoming an EarlySteps provider contacts the regional coordinator for its area. Louisiana Medicaid pays for EarlySteps services written into the IFSP without a physician’s order, except occupational therapy, which the occupational therapy law requires to be ordered.⁠^{28,29,30,31,32} 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. Louisiana requires health coverage plans, including group plans and the Office of Group Benefits programs, to cover diagnosis and treatment of autism spectrum disorders for individuals under twenty-one, treatment including therapeutic care by licensed speech, occupational and physical therapists when a Louisiana-licensed physician or psychologist prescribes, provides or orders it and supervises it, with no limit on visits and a thirty-six thousand dollar maximum benefit per year. The mandate does not reach individually underwritten renewable policies or limited benefit policies.⁠^105,106,107 The autism insurance mandates guide covers how such a mandate meets a plan’s own terms.

Which Louisiana rules shape an adult clinic?

Medicare claims from Louisiana go to Novitas Solutions, Inc., the Medicare Administrative Contractor for Jurisdiction H, Parts A and B (Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma and Texas), whose local coverage articles for therapy are the ones a Louisiana clinic reads.⁠¹⁰⁸ Louisiana Medicaid’s adult therapy rules are in the Medicaid section above. The Office of Workers’ Compensation’s Medical Reimbursement Schedule sets the maximum allowable reimbursement for physical and occupational therapy, among other services, and pays therapy only from a therapist licensed in Louisiana, under a current written plan of care approved by a physician. Therapy past 45 days from the evaluation needs written evidence of the need to continue.⁠^109,110,111

Which associations and directory pages serve Louisiana?

The state chapters are APTA Louisiana for physical therapy, the Louisiana Occupational Therapy Association (LOTA) for occupational therapy and the Louisiana Speech-Language-Hearing Association (LSHA) for speech-language pathology.⁠^112,113,114 On DrSensory, families browse Louisiana 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.⁠¹¹⁵

Which Louisiana cities have DrSensory city pages?

Beyond its three Louisiana pages, the directory publishes city pages for 3 Louisiana cities, 9 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.⁠¹¹⁵

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

DrSensory lists 58 PT, OT and SLP clinics in Louisiana, on its occupational therapy, physical therapy and speech therapy pages for the state.⁠¹¹⁵

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

Which templates does a Louisiana launch need?

How might two Louisiana clinics plan a launch?

Sources

1. Louisiana Physical Therapy Board. Louisiana Physical Therapy Board. Checked October 30, 2026.
2. Louisiana State Legislature. Louisiana Revised Statutes, R.S. 37:2418(B), Authority to practice as a physical therapist or physical therapist assistant. Checked October 30, 2026.
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   “(2)(a) For the treatment of a condition within the scope of physical therapy, other than under the circumstances provided for in Subsection C of this Section, a physical therapist may implement physical therapy treatment with or without a prescription or referral of a person licensed to practice medicine, surgery, dentistry, podiatry, or chiropractic if the physical therapist meets one of the following criteria: (i) The physical therapist has a doctorate degree in physical therapy from an accredited institution. (ii) The physical therapist has five years of licensed clinical practice experience. ... (b) If, after thirty calendar days of implementing physical therapy treatment pursuant to this Paragraph, the patient has not made measurable or functional improvement, the physical therapist shall refer the patient to an appropriate healthcare provider.”
3. Louisiana Department of Health (Louisiana Medicaid). Louisiana Medicaid Provider Manual, Chapter 1: General Information and Administration, Section 1.5 Benefits for Children and Youth (issued 10/02/25). Checked October 30, 2026.
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   “If a child or youth requires rehabilitation services such as physical, occupational or speech therapy, psychology, or audiology services, these services can be provided at school, through the EarlySteps early intervention program, in an outpatient facility, in a rehabilitation center, at home, or in a combination of settings, depending on the child’s needs.”
4. Louisiana Office of the State Register. Louisiana Administrative Code, Title 50, Part XI, §301, Rehabilitation (Ages 3 and Over). “A. The Medicaid Program provides reimbursement for physical therapy, occupational therapy and speech therapy rendered in rehabilitation clinics to recipients under the age of 21.” Checked October 30, 2026.
5. Louisiana State Board of Medical Examiners. Louisiana State Board of Medical Examiners, with its Occupational Therapy Advisory Committee. Checked October 30, 2026.
6. Louisiana Board of Examiners for Speech-Language Pathology and Audiology. Louisiana Board of Examiners for Speech-Language Pathology and Audiology (LBESPA). Checked October 30, 2026.
7. Louisiana State Legislature. Louisiana Revised Statutes, R.S. 37:2418(B)(1). “B.(1) Without prescription or referral, a physical therapist may perform an initial evaluation or consultation of a screening nature to determine the need for physical therapy ...” Checked October 30, 2026.
8. Louisiana State Legislature. Louisiana Revised Statutes, R.S. 37:2418(C). Checked October 30, 2026.
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   “C. Physical therapy services may be performed without a prescription or referral under any of the following circumstances: (1) To a child with a diagnosed developmental disability pursuant to the child’s plan of care. (2) To a patient of a home health care agency pursuant to the patient’s plan of care. (3) To a patient in a nursing home pursuant to the patient’s plan of care. (4) Related to conditioning or to providing education or activities in a wellness setting for the purpose of injury prevention, reduction of stress, or promotion of fitness. (5) To an individual for a previously diagnosed condition or conditions for which physical therapy services are appropriate after informing the health care provider rendering the diagnosis. The diagnosis shall have been made within the previous ninety days. The physical therapist shall provide the health care provider who rendered such diagnosis with a plan of care for physical therapy services within the first fifteen days of physical therapy intervention.”
9. Louisiana State Legislature. Louisiana Revised Statutes, R.S. 37:2418(E). Checked October 30, 2026.
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   “E. Physical therapy services performed without a prescription or referral from a person licensed to practice medicine, surgery, dentistry, podiatry, or chiropractic shall not be construed to mandate coverage for physical therapy services under any health care plan, insurance policy, or workers’ compensation plan or circumvent any requirement for preauthorization of services in accordance with any health care plan, insurance policy, or workers’ compensation plan.”
10. Louisiana Department of Health (Louisiana Medicaid). Louisiana Medicaid Provider Manual, Chapter 25: Hospital Services, Section 25.3 Outpatient Services (issued 05/12/25). “Initial requests must include a physician’s referral or prescription, a therapist’s evaluation/plan of service, the completed Request for PA (PA-01)” Checked October 30, 2026.
11. Louisiana Office of the State Register. Louisiana Administrative Code, Title 50, Part XI, §103, Services (Rehabilitation Clinics). “B. Effective for dates of service on or after February 1, 2013, the department terminates the coverage of all rehabilitation services to recipients 21 years of age and older.” Checked October 30, 2026.
12. Louisiana Department of Health (Louisiana Medicaid). Louisiana Medicaid Provider Manual, Chapter 25: Hospital Services, Section 25.3 Outpatient Services (issued 05/12/25). Checked October 30, 2026.
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    “The Medicaid Program provides coverage for outpatient rehabilitation services with prior approval. Outpatient rehabilitation services include: 1. Physical therapy; 2. Occupational therapy; 3. Speech therapy; and 4. Hearing therapy. ... Authorizations may be approved for up to one year for beneficiaries under the age of 21 and for up to six months for beneficiaries 21 and over.”
13. 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”.
14. PT Compact Commission. PT Compact Map. “Member States (38) Alabama Alaska Arizona Arkansas Colorado Connecticut Delaware District of Columbia Georgia Indiana Iowa Kansas Kentucky Louisiana ... 38 Member States Actively Issuing and Accepting Compact Privileges ...” Checked October 30, 2026.
15. Louisiana State Legislature. Louisiana Revised Statutes, R.S. 37:2425, Physical Therapy Licensure Compact; adoption. “The Physical Therapy Licensure Compact is hereby recognized and enacted into law and entered into by this state with all states legally joining therein in the form substantially as follows ...” Checked October 30, 2026.
16. 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? ... Louisiana Not Yet ...” Checked October 30, 2026.
17. Louisiana State Legislature. Louisiana Revised Statutes, R.S. 37:3021, Occupational Therapy Licensure Compact; adoption. “The Occupational Therapy Licensure Compact is hereby recognized and enacted into law and entered into by this state with all states legally joining therein in the form substantially as follows: ... Acts 2023, No. 263, §2, eff. Jan. 1, 2024.” Checked October 30, 2026.
18. 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.” Checked October 30, 2026.
19. Audiology and Speech-Language Pathology Interstate Compact Commission. Delegate Information. “Member State Appointed Delegates ... Louisiana Audiology ... Louisiana SLP ...” Checked October 30, 2026.
20. Louisiana Board of Examiners for Speech-Language Pathology and Audiology. ASLP-IC Interstate Compact. “Registration for compact privileges to practice is open for licensed practitioners in Louisiana, West Virginia, Ohio, and Tennessee.” Checked October 30, 2026.
21. Louisiana Board of Examiners for Speech-Language Pathology and Audiology. LBESPA News. “February 18, 2026 The CompactConnect data system has launched. Registration is open for licensed practitioners in Louisiana to obtain compact privileges in West Virginia and Ohio.” Checked October 30, 2026.
22. 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.”.
23. Louisiana Department of Health (Louisiana Medicaid). Louisiana Medicaid Provider Manual, Chapter 1: General Information and Administration, Section 1.1 Provider Requirements (issued 10/02/25). Checked October 30, 2026.
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    “Providers must maintain and retain all medical, fiscal, professional and business records for services provided to all Medicaid beneficiaries for a period of five years from the date of service; however, if the provider is being audited, records must be retained until the audit is complete, even if the five years is exceeded.”
24. Louisiana Office of the State Register. Louisiana Administrative Code, Title 46, Part LIV, §341, Documentation Standards. Checked October 30, 2026.
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    “A. A written record of physical therapy treatment shall be maintained for each patient. A complete record shall include written documentation of prescription or referral (if such exists), initial evaluation, treatment(s) provided, PT/PTA conferences, progress notes, reevaluations or reassessments, and patient status at discharge all as defined in §123.”
25. Louisiana Secretary of State. File Business Documents. “The Louisiana Secretary of State, Louisiana Department of Revenue, and Louisiana Workforce Commission are working to make it easy for you to manage your Louisiana business filings and tax account registrations from one location―the Louisiana geauxBIZ portal.” Checked October 30, 2026.
26. Louisiana State Legislature. Louisiana Revised Statutes, R.S. 12:1191, Professional corporations (Professional Occupational Therapy Corporations). “One or more natural persons, of full age and duly licensed to practice occupational therapy in this state, may form a corporation under Chapter 1 of this Title for the purpose of practicing occupational therapy.” Checked October 30, 2026.
27. Louisiana State Legislature. Louisiana Revised Statutes, R.S. 12:1194, Shares. Checked October 30, 2026.
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    “B. Either a shareholder who is a natural person duly licensed to practice occupational therapy in this state, and who holds his shares in his own right, or another professional occupational therapy corporation, shall be entitled to vote such shares, and to participate in the corporation’s earnings.”
28. Louisiana Department of Health. EarlySteps. “EarlySteps provides services to families with infants and toddlers from birth through age 3 (35 months) who have a medical condition likely to result in a developmental delay, or who have developmental delays.” Checked October 30, 2026.
29. Louisiana Department of Health (Louisiana Medicaid). Louisiana Medicaid Provider Manual, Chapter 47: EPSDT Health and IDEA, Part C - EarlySteps (issued 12/20/24), Section 47.0 Overview. Checked October 30, 2026.
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    “IDEA, Part C, is administered by the Louisiana Department of Health (LDH), Office for Citizens with Developmental Disabilities (OCDD). The EarlySteps program meets the Part C requirements for the State’s early intervention system.”
30. Louisiana Department of Health. EarlySteps. “Anyone can make an EarlySteps referral. Children can be referred to EarlySteps by contacting the System Point of Entry (SPOE) in their region.” Checked October 30, 2026.
31. Louisiana Department of Health. EarlySteps Provider Information. “Thinking About Becoming an EarlySteps Provider? Please contact the regional coordinator in your area.” Checked October 30, 2026.
32. Louisiana Department of Health (Louisiana Medicaid). Louisiana Medicaid Provider Manual, Chapter 47: EPSDT Health and IDEA, Part C - EarlySteps (issued 12/20/24), Section 47.1 Covered Services. Checked October 30, 2026.
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    “With the exception of occupational therapy as required by the Occupational Therapy Practice Act, services provided through an Individualized Family Service Plan (IFSP) do not require a physician’s order for reimbursement.”
33. Louisiana State Legislature. Louisiana Revised Statutes, R.S. 37:2403, Physical therapy board; composition. “A. The Louisiana Physical Therapy Board, hereinafter referred to as the "board", is hereby created within the Louisiana Department of Health.” Checked October 30, 2026.
34. Louisiana Physical Therapy Board. Louisiana Physical Therapy Board, Our Mission. “This Board is legislatively mandated to license and regulate the physical therapists and physical therapist assistants who wish to work in Louisiana.” Checked October 30, 2026.
35. Louisiana Office of the State Register. Louisiana Administrative Code, Title 46, Part LIV, §§179 and 181, Expiration of Licenses; Renewal of License. Checked October 30, 2026.
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    “A. Licenses issued by the board shall expire, and thereby become void, on April 30 of the last year for which it is issued. ... B. Renewal applications received: 1. by March 31 shall be assessed a renewal fee pursuant to §501; 2. after March 31 and before April 30 shall be assessed a late renewal fee, pursuant to §501, as provided by law; 3. after April 30 shall be deemed as applications for license reinstatement pursuant to §187.”
36. Louisiana Physical Therapy Board. Renewal Information for 2027. “February 1, 2027 Renewal Period Begins for ODD-YEAR birth year licensees. ... March 31, 2027 Last day of the renewal season for ODD-YEAR birth year licensees. ... April 30, 2027 License expiration date for ODD-YEAR birth year licensees.” Checked October 30, 2026.
37. Louisiana Office of the State Register. Louisiana Administrative Code, Title 46, Part LIV, §194, Biennial Requirements. Checked October 30, 2026.
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    “A. Unless exempted under §198, licensees shall successfully complete, document and report to the board at least 30 hours of board–approved continuing education courses or activities in the biennial renewal period. No carryover of continuing education hours from one renewal period to another shall be allowed. Continuing education will be granted in the reporting period in which the academic coursework, clinical instruction, tool, residency, or fellowship is completed. B. The types of approved courses or activities and requirement for each are: 1. jurisprudence―a minimum of two contact hours. Passage of the jurisprudence examination, which may be taken online, or attendance at a traditional board-sponsored Jurisprudence course, either of which fulfills the two-hour Jurisprudence requirement; 2. ethics or professionalism ―a minimum of two contact hours; 3. clinical and/or administrative―a minimum of 26 contact hours of continuing education, or activities described in §195.”
38. Louisiana Physical Therapy Board. Renewal Information for 2027. “NOTICE REGARDING LIVE HOURS: In 2021, the Board changed the rules to remove the requirement of live hours. This rule change is NOT temporary. All hours may be completed via board-approved online courses if a licensee wishes. You are still required to have 30 board-approved CE hours.” Checked October 30, 2026.
39. Louisiana State Legislature. Louisiana Revised Statutes, R.S. 37:2418(F), Authority to practice as a physical therapist or physical therapist assistant. Checked October 30, 2026.
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    “F.(1) A person licensed pursuant to this Chapter as a physical therapist assistant shall perform treatments only under the direction and supervision of a licensed physical therapist. ... (c) A supervising physical therapist shall be readily accessible by telecommunication and available to the patient by the next scheduled treatment session upon request of the patient or physical therapist assistant. (d) A physical therapist assistant’s duties shall not include interpretation or implementation of referrals or prescriptions, performance of evaluations, or the determination or major modification of treatment programs. (e) A supervising physical therapist shall treat and reassess the patient at least every twelfth treatment day or every thirty days and for his final treatment session, when feasible. ... Amended by ... Acts 2025, No. 65, §1.”
40. Louisiana State Legislature. Louisiana Revised Statutes, R.S. 37:2418(F)(2)(a). “(a) It is the responsibility of each physical therapist to determine the number of physical therapy supportive personnel he can supervise safely; however, in no case shall the number of individuals supervised by a physical therapist exceed six individuals.” Checked October 30, 2026.
41. Louisiana State Legislature. Louisiana Revised Statutes, R.S. 37:3003, Definitions. “(2) "Board" means the Louisiana State Board of Medical Examiners established in R.S. 37:1263.” Checked October 30, 2026.
42. Louisiana Office of the State Register. Louisiana Administrative Code, Title 46, Part XLV, §1957, Constitution of Committee. “A. To assist the board in the review of applicants’ qualifications for licensure and renewal of licensure under this Chapter, the board shall constitute and appoint an Occupational Therapy Advisory Committee ...” Checked October 30, 2026.
43. Louisiana Office of the State Register. Louisiana Administrative Code, Title 46, Part XLV, §1901, Scope of Chapter. “A. The rules of this Chapter govern the licensing of occupational therapists and occupational therapy assistants to engage in the practice of occupational therapy in the state of Louisiana.” Checked October 30, 2026.
44. Louisiana State Legislature. Louisiana Revised Statutes, R.S. 37:3012, Renewal of license. “A. A license issued under this Chapter shall be subject to annual renewal and shall expire unless renewed in the manner prescribed by the policies of the board.” Checked October 30, 2026.
45. Louisiana Office of the State Register. Louisiana Administrative Code, Title 46, Part XLV, §§1945 and 1947, Expiration of License; Renewal of License. Checked October 30, 2026.
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    “A. Every license issued by the board under this Chapter shall expire and thereby become null, void, and to no effect each year on the last day of the month in which the licensee was born. ... A. Every license issued by the board under this Subchapter shall be renewed annually on or before its date of expiration ...”
46. Louisiana State Board of Medical Examiners. Renewals. “All license and permit renewals are processed online except for physicians in training (PGY, GETP, and FEL permit holders). You will receive various renewal reminder notices as a courtesy; however, you may only renew 56 days before your expiration date.” Checked October 30, 2026.
47. Louisiana Office of the State Register. Louisiana Administrative Code, Title 46, Part XLV, §1965, Continuing Professional Education Requirement. Checked October 30, 2026.
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    “A. Subject to the exceptions specified in §1979 of this Subchapter, to be eligible for renewal of licensure an occupational therapy practitioner shall, within each year during which they hold licensure, evidence and document in a manner prescribed by the board, the successful completion of not less than 14 contact hours, or 1.4 continuing education units (CEUs) which must include: 1 hours of Ethics (approved by AOTA, LOTA, or NBCOT) and a 1 hour course provided by LSBME on the rules and regulations for OTs and COTAs.”
48. Louisiana State Legislature. Louisiana Revised Statutes, R.S. 37:3012(B)(3). “(3) The continuing requirements shall not apply to individuals working as occupational therapists in state facilities or employed by a state agency.” Checked October 30, 2026.
49. Louisiana Office of the State Register. Louisiana Administrative Code, Title 46, Part XLV, §4925, Supervision of Occupational Therapy Assistants. Checked October 30, 2026.
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    “C. Supervision by the OT of the services provided by the OTA shall always be required, even when the OTA is experienced and highly skilled in a particular area. ... E. At all times during which an occupational therapy assistant assists in program plan implementation, the supervising occupational therapist and the occupational therapy assistant must have the capability to be in contact with each other by telephone or other telecommunication ...”
50. Louisiana Office of the State Register. Louisiana Administrative Code, Title 46, Part XLV, §4926, Types of Supervision. “A. General supervision is required for all occupational therapy assistants by an occupational therapist. General supervision shall consist of a client care conference at least monthly for each individual client.” Checked October 30, 2026.
51. Louisiana Office of the State Register. Louisiana Administrative Code, Title 46, Part XLV, §4926(G), Types of Supervision. Checked October 30, 2026.
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    “G. An occupational therapist is responsible for determining the number of appropriate occupational therapy assistants to be supervised depending on the experience of the occupational therapist, the experience of the occupational therapy assistant(s), the complexity of the client, and the setting of care.”
52. Louisiana State Legislature. Louisiana Revised Statutes, R.S. 37:2654, Board of examiners; creation; membership. “A.(1) The Louisiana Board of Examiners for Speech-Language Pathology and Audiology is hereby created within the Louisiana Department of Health and is subject to the provisions of R.S. 36:803.” Checked October 30, 2026.
53. Louisiana State Legislature. Louisiana Revised Statutes, R.S. 37:2652, License required; single or dual designation. “No individual shall practice speech-language pathology or audiology in the state unless the individual holds a current, unsuspended, unrevoked license issued by the board in accordance with this Chapter.” Checked October 30, 2026.
54. Louisiana State Legislature. Louisiana Revised Statutes, R.S. 37:2651(16), Definitions. Checked October 30, 2026.
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    “(16) "Restricted license" means a license issued to an individual who is certified by the State Board of Elementary and Secondary Education as a speech, hearing, and language specialist or the equivalent as defined by the State Board of Elementary and Secondary Education or as defined in R.S. 37:2659(C), wherein, the holder is authorized to perform the practice of speech-language pathology only while under the direct supervision of a licensed speech-language pathologist, in accordance with standards promulgated by the board.”
55. Louisiana Office of the State Register. Louisiana Administrative Code, Title 46, Part LXXV, §125, Renewals. Checked October 30, 2026.
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    “A. All licenses and registrations shall be renewed annually by June 30, to avoid delinquent renewal fees. ... 1. Delinquent requests for renewals will be accepted by the board through July 31, provided the delinquent renewal fee is paid in accordance with §123, and the continuing education requirements have been met.”
56. Louisiana State Legislature. Louisiana Revised Statutes, R.S. 37:2661.1, License renewal. Checked October 30, 2026.
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    “A. Every individual licensed under this Chapter and whose license is renewable, including holders of provisional, restricted, assistant, and provisional assistant licenses shall: (1) Pay a renewal fee established by the board. (2) Submit timely application for renewal on a form prescribed by the board. (3) Show evidence of continuing education as required by the board.”
57. Louisiana Office of the State Register. Louisiana Administrative Code, Title 46, Part LXXV, §127, Continuing Education Requirements. Checked October 30, 2026.
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    “A. Each licensee shall complete continuing professional education activities of at least 10 clock hours each license period, July 1-June 30. B. Of the 10 hours, five shall be educational activities directly related to the scope of practice of the licensee and must be designed to increase the knowledge and skills in the area of licensure. C. Of the 10 hours, five may be in areas related to the professions of audiology and speech-language pathology. Such activities shall increase knowledge and skills pertinent to practice. Examples include: billing; coding and reimbursement; record-keeping; ethics; supervision.”
58. Louisiana Office of the State Register. Louisiana Administrative Code, Title 46, Part LXXV, §127(E), Continuing Education Requirements. “E. Dual licensees shall complete 15 hours per year with a minimum of five hours in audiology and five hours in speech-language pathology ...” Checked October 30, 2026.
59. Louisiana Board of Examiners for Speech-Language Pathology and Audiology. Continuing Education. “Each licensee shall complete continuing professional education activities of at least ten (10) clock hours each license period, July 1 through June 30.” Checked October 30, 2026.
60. Louisiana Office of the State Register. Louisiana Administrative Code, Title 46, Part LXXV, §131, Supervision Requirements for Speech-Language Pathology Assistant and Provisional Speech-Language Pathology Assistant Licensees. Checked October 30, 2026.
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    “A. A supervising speech-language pathologist must have a minimum of one year of full-time professional speech-language pathology experience following the postgraduate professional/employment experience. ... O. Although more than one speech-language pathologist may provide supervision of an assistant licensee and provisional assistant licensee, at no time may a licensed speech-language pathologist supervise or be listed as a supervisor for more than three assistant or provisional assistant licensees. ... 1. A minimum of one clock hour of direct supervision shall be completed in the primary work setting each week for each licensee. ... 2. A minimum of one clock hour of indirect supervision shall be completed each week for each licensee.”
61. Louisiana State Legislature. Louisiana Revised Statutes, R.S. 37:2651(7), Definitions. Checked October 30, 2026.
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    “(7) "Licensed speech-language pathology assistant" means an individual who meets the qualifications for licensure as a speech-language pathology assistant provided in R.S. 37:2659(D), holds a current, unsuspended, and unrevoked license issued by the board, works under the direct supervision of a licensed speech-language pathologist in accordance with standards promulgated by the board, and performs only those duties specified in the rules and regulations established by the board.”
62. Louisiana State Legislature. Louisiana Revised Statutes, R.S. 37:3003(4)(a), Definitions. Checked October 30, 2026.
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    “Prevention, wellness, and education-related services shall not require a referral; however, in workers’ compensation injuries, preauthorization shall be required by the employer or workers’ compensation insurer or provider. Implementation of direct occupational therapy to individuals for their specific medical condition or conditions shall be based on a referral or order from a physician, physician assistant, advanced practice registered nurse, dentist, podiatrist, or optometrist licensed to practice.”
63. Louisiana Office of the State Register. Louisiana Administrative Code, Title 46, Part XLV, §4909, Referral. Checked October 30, 2026.
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    “E. Occupational therapy services that are not related to injury, disease, or illness that are performed in a wellness or community setting for the purposes of enhancing performance in everyday activities are exempt from this referral requirement. ... F. Occupational therapy practitioners employed by a school system or contracted by a school system, who provide screening and rehabilitation services for the educationally related needs of the students, are exempt from this referral requirement.”
64. Louisiana State Legislature. Louisiana Revised Statutes, R.S. 37:3003(4)(a), Definitions. “The occupational therapist may enter a case for the purposes of providing consultation and indirect services and evaluating an individual for the need of services.” Checked October 30, 2026.
65. Louisiana Department of Health (Louisiana Medicaid). Louisiana Medicaid Provider Manual, Chapter 47: EPSDT Health and IDEA, Part C - EarlySteps (issued 12/20/24). “Occupational therapy treatment services require a written referral or an initial and/or annually updated prescription by a physician licensed in Louisiana. An initial evaluation may be done without such a referral or prescription.” Checked October 30, 2026.
66. Louisiana State Legislature. Louisiana Revised Statutes, R.S. 37:2652, License required; single or dual designation. “No individual shall practice speech-language pathology or audiology in the state unless the individual holds a current, unsuspended, unrevoked license issued by the board in accordance with this Chapter.” Checked October 30, 2026.
67. Louisiana State Legislature. Louisiana Revised Statutes, R.S. 37:2651(12), Definitions. Checked October 30, 2026.
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    “(12) "Practice of speech-language pathology" means providing, or offering to provide, to individuals or groups of individuals who have or are suspected of having disorders of communication, including speech, voice, language, or cognitive processes and disorders of oral-pharyngeal function, including dysphagia, any service in speech-language pathology including prevention, identification, evaluation, interpretation, counseling, consultation, habilitation, rehabilitation, instruction, supervision, and research.”
68. Louisiana Office of the State Register. Louisiana Administrative Code, Title 46, Part LXXV, §133, Independent Practice. “A. Licensed audiologists and speech-language pathologists, by virtue of academic coursework, clinical practicum, and professional experience, are qualified to engage in the autonomous or independent practice of the professions.” Checked October 30, 2026.
69. Louisiana Department of Health (Louisiana Medicaid). Louisiana Medicaid Provider Manual, Chapter 1: General Information and Administration, Section 1.5 Benefits for Children and Youth (issued 10/02/25). “For Medicaid to cover the services through an outpatient facility, rehabilitation center, or home health, they must be ordered by a physician and be prior-authorized by Medicaid or the MCO.” Checked October 30, 2026.
70. Louisiana Department of Health (Louisiana Medicaid). Fee-for-Service Provider Enrollment. Checked October 30, 2026.
71. 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.”.
72. Louisiana Department of Health (Louisiana Medicaid). Louisiana Medicaid Provider Manual, Chapter 1: General Information and Administration, Section 1.5 Benefits for Children and Youth (issued 10/02/25). “For Medicaid to cover the services through an outpatient facility, rehabilitation center, or home health, they must be ordered by a physician and be prior-authorized by Medicaid or the MCO.” Checked October 30, 2026.
73. Louisiana Department of Health (Louisiana Medicaid). Louisiana Medicaid Provider Manual, Chapter 25: Hospital Services, Section 25.3 Outpatient Services (issued 05/12/25). Checked October 30, 2026.
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    “Initial therapy and extended therapy plans require prior authorization (PA). Evaluation codes do not require PA, but are limited to one evaluation per 180 days. ... Extension requests should be submitted at least 25 days prior to the end of the approved period.”
74. Louisiana Department of Health (Louisiana Medicaid). Louisiana Medicaid Provider Manual, Chapter 1: General Information and Administration, Section 1.5 Benefits for Children and Youth (issued 10/02/25). Checked October 30, 2026.
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    “For Medicaid to cover these services at school (ages 3 to 21), or through the early intervention program with EarlySteps (ages birth to 3), the services must be part of the Individualized Education Plan (IEP) or Individualized Family Service Plan (IFSP).”
75. Healthy Louisiana (Louisiana Department of Health enrollment site). Learn about Healthy Louisiana. “To better serve your health care needs, Louisiana Medicaid and LaCHIP are now Healthy Louisiana. In Healthy Louisiana, you will choose a health plan, a dental plan, and providers for each family member who has Medicaid or LaCHIP.” Checked October 30, 2026.
76. Louisiana Department of Health. Medicaid Health Plan Transition 2027. Checked October 30, 2026.
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    “The Healthy Blue health plan will not be available to Medicaid members beginning January 1, 2027. ... Healthy Blue members will have the option to choose their new plan during a special enrollment period from October 15, 2026, to November 16, 2026. ... Members will be able to choose one of the four remaining health plans: Aetna Better Health, AmeriHealth Caritas of Louisiana, Humana Healthy Horizons in Louisiana, and Louisiana Healthcare Connections ...”
77. Louisiana Department of Health. Medicaid Health Plan Transition 2027. “For at least 60 days, your new Medicaid health plan cannot say no to your prior authorized care, even if your doctor is not in their network.” Checked October 30, 2026.
78. Louisiana Department of Health (Louisiana Medicaid). Rehabilitation Services Reimbursement Fee Schedule. Checked October 30, 2026.
79. Louisiana Department of Health (Louisiana Medicaid). Louisiana Medicaid Provider Manual, Chapter 25: Hospital Services, Section 25.3 Outpatient Services (issued 05/12/25). “Hospitals are reimbursed based on covered HCPCS for outpatient rehabilitation services including speech, occupational and physical therapies at a flat fee for service ...” Checked October 30, 2026.
80. Louisiana Department of Health (Louisiana Medicaid). Louisiana Medicaid Provider Manual, Chapter 25: Hospital Services, Section 25.3 Outpatient Services (issued 05/12/25). “Physical Therapy Evaluation: Low Comp 97161 Physical Therapy Evaluation: Mod Comp 97162 Physical Therapy Evaluation: High Comp 97163 Re-Evaluation of Physical Therapy 97164 Therapeutic Exercises – per 15 min 97110 ...” Checked October 30, 2026.
81. Louisiana Department of Health (Louisiana Medicaid). Louisiana Medicaid Provider Manual, Chapter 25: Hospital Services, Section 25.3 Outpatient Services (issued 05/12/25). “Occupational Therapy Evaluation: Low Comp 97165 Occupational Therapy Evaluation: Mod Comp 97166 Occupational Therapy Evaluation: High Comp 97167 Re-Evaluation of Occupational Therapy 97168 Therapeutic Activities – per 15 min 97530 ...” Checked October 30, 2026.
82. Louisiana Department of Health (Louisiana Medicaid). Louisiana Medicaid Provider Manual, Chapter 25: Hospital Services, Section 25.3 Outpatient Services (issued 05/12/25). “Evaluation of Speech Fluency 92521 Evaluation of Speech Production 92522 Speech Sound Lang Comprehension 92523 ... Behavioral Quality Analysis Voice 92524 Speech/Lang/Hear Therapy – per 15 min 92507 ...” Checked October 30, 2026.
83. Louisiana Department of Health (Louisiana Medicaid). Louisiana Medicaid Provider Manual, Chapter 47: EPSDT Health and IDEA, Part C - EarlySteps (issued 12/20/24), Section 47.5.1 Procedure Codes and Rates. “In addition to the procedure codes listed above, EarlySteps providers must also add the appropriate procedure modifier. Both Type of Service (TOS) and Place of Service (POS) modifiers apply.” Checked October 30, 2026.
84. Louisiana Department of Health (Louisiana Medicaid). Louisiana Medicaid Provider Manual, Chapter 5: Professional Services, Section 5.1 Telemedicine/Telehealth (issued 03/13/26). Checked October 30, 2026.
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    “Medicaid covered services provided using telemedicine must be identified on claim submissions by appending the modifier "95" to the applicable procedure code and indicating the correct place of service, either place of service 02 (other than home) or 10 (home).”
85. Louisiana Department of Health (Louisiana Medicaid). Louisiana Medicaid Provider Manual, Chapter 20: EPSDT Health and IDEA-Related Services (issued 06/12/25), Section 20.2 Eligibility Criteria. Checked October 30, 2026.
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    “2. Medicaid eligible children ages 3 through age 20 are eligible for EPSDT services through a participating local education agency (LEA). The LEA must be an approved EPSDT provider (type 70) with Louisiana Medicaid ...”
86. Louisiana Department of Health (Louisiana Medicaid). Louisiana Medicaid Provider Manual, Chapter 5: Professional Services, Section 5.1 Telemedicine/Telehealth (issued 03/13/26). Checked October 30, 2026.
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    “Originating site means the location of the Medicaid beneficiary at the time the services are provided. There is no restriction on the originating site and it can include, but is not limited to, a healthcare facility, school, or the beneficiary’s home. ... Reimbursement for services provided by telemedicine/telehealth is at the same level as services provided in person.”
87. Louisiana Department of Health (Louisiana Medicaid). Louisiana Medicaid Provider Manual, Chapter 47: EPSDT Health and IDEA, Part C - EarlySteps (issued 12/20/24), Section 47.5.1 Procedure Codes and Rates. “Services can be provided via "teletherapy" specific POS/modifier combinations.” Checked October 30, 2026.
88. Louisiana Department of Health (Louisiana Medicaid). Louisiana Medicaid Provider Manual, Chapter 20: EPSDT Health and IDEA-Related Services (issued 06/12/25), Section 20.1 Covered Services. “Reimbursement for services delivered through telemedicine/telehealth is at the same level as reimbursement for in-person services.” Checked October 30, 2026.
89. Louisiana State Legislature. Louisiana Revised Statutes, R.S. 40:1223.4, Telehealth; rulemaking required (Louisiana Telehealth Access Act). Checked October 30, 2026.
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    “(2) Application of the same standard of care by a healthcare provider as if the healthcare services were provided in person. ... (7) A healthcare provider may use interactive audio without the requirement of video if, after access and review of the patient’s medical records, the healthcare provider determines that he is able to meet the same standard of care as if the healthcare services were provided in person.”
90. Louisiana Office of the State Register. Louisiana Administrative Code, Title 46, Part LIV, §319, Use of Telehealth in the practice of Physical Therapy. Checked October 30, 2026.
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    “B. Individuals who are licensed physical therapists and physical therapist assistants in good standing in Louisiana may provide physical therapy via telehealth to a patient in an originating site as defined in R.S. 40:1223.3 within the jurisdiction of Louisiana and shall follow all requirements for standard of practice and documentation as provided in the Practice Act and board rules. The standard of care for telehealth services shall be substantially equivalent to the standard of care for services delivered in person.”
91. Louisiana Office of the State Register. Louisiana Administrative Code, Title 46, Part LXXV, §135, Telehealth. “A. Telehealth, regardless of where the service is rendered or delivered, constitutes the practice of audiology or speech-language pathology and shall require Louisiana licensure for in-state practitioners and telehealth registration for out-of-state licensed practitioners.” Checked October 30, 2026.
92. Louisiana Office of the State Register. Louisiana Administrative Code, Title 46, Part LXXV, §135(E), Telehealth. “E. The client shall be notified of telehealth services including but not limited to the right to refuse telehealth services, options for service delivery, and instructions on filing and resolving complaints, in all applicable jurisdictions.” Checked October 30, 2026.
93. Louisiana Department of Revenue. Starting or Buying a Business. “New businesses can register their LDR tax accounts by visiting the LaTAP website and clicking on the Register My Business link in the registration section.” Checked October 30, 2026.
94. Louisiana State Legislature. Louisiana Revised Statutes, R.S. 23:1168, Ways of securing compensation to employees. Checked October 30, 2026.
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    “A. An employer shall secure compensation to his employees in one of the following ways: (1) By insuring and keeping insured the payment of such compensation with any stock corporation, mutual association, or other concern authorized to transact the business of workers’ compensation insurance in this state. ... (2) By entering into an agreement with a group self-insurance fund as provided for in R.S. 23:1191 et seq. (3) By entering into an agreement with an interlocal risk management agency as provided for in R.S. 33:1341 et seq. (4) By furnishing satisfactory proof to the assistant secretary of the employer’s financial ability to pay such compensation.”
95. Louisiana State Legislature. Louisiana Revised Statutes, R.S. 23:1035, Employees covered. Checked October 30, 2026.
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    “A. The provisions of this Chapter shall also apply to every person performing services arising out of and incidental to his employment in the course of his own trade, business, or occupation, or in the course of his employer’s trade, business, or occupation, except that the bona fide president, vice president, secretary, or treasurer of a corporation who owns not less than ten percent of the stock therein, or a partner with respect to a partnership employing him, or a member of a limited liability company as defined in R.S. 12:1301(A)(13) who owns not less than a ten percent membership interest therein, or a sole proprietor with respect to such sole proprietorship may by written agreement with his insurer or group self-insurance fund elect not to be covered by the provisions of this Chapter.”
96. 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.”.
97. 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.”.
98. Louisiana State Legislature. Louisiana Revised Statutes, R.S. 40:1165.1, Healthcare information; records. Checked October 30, 2026.
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    “A.(1) Each health care provider shall furnish each patient, upon request of the patient, a copy of any information related in any way to the patient which the health care provider has transmitted to any company, or any public or private agency, or any person. ... (2)(a) Medical records of a patient maintained in a health care provider’s office are the property and business records of the health care provider. ... "Health care provider" means a "health care provider" as defined in R.S. 40:1231.1 ...”
99. Louisiana State Legislature. Louisiana Revised Statutes, R.S. 40:1231.1(A)(10), Definitions (health care provider). “... chiropractor, physical therapist, occupational therapist, psychologist ...” Checked October 30, 2026.
100. Louisiana State Legislature. Louisiana Revised Statutes, R.S. 51:3074, Protection of personal information; disclosure upon breach (Database Security Breach Notification Law). Checked October 30, 2026.
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     “C. Any person that owns or licenses computerized data that includes personal information, or any agency that owns or licenses computerized data that includes personal information, shall, following discovery of a breach in the security of the system containing such data, notify any resident of the state whose personal information was, or is reasonably believed to have been, acquired by an unauthorized person. ... E. The notification required pursuant to Subsections C and D of this Section shall be made in the most expedient time possible and without unreasonable delay but not later than sixty days from the discovery of the breach ...”
101. Louisiana Office of the State Register. Louisiana Administrative Code, Title 16, Part III, §701, Database Security Breach Notification, Reporting Requirements. Checked October 30, 2026.
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     “A. When notice to Louisiana citizens is required pursuant to R.S. 51:3074, the person or agency shall provide written notice detailing the breach of the security of the system to the Consumer Protection Section of the Attorney General’s Office. ... Notice to the attorney general shall be timely if received within 10 days of distribution of notice to Louisiana citizens.”
102. Louisiana State Legislature. Louisiana Children’s Code, Art. 609, Mandatory and permitted reporting. Checked October 30, 2026.
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     “(1)(a) Notwithstanding any claim of privileged communication, any mandatory reporter who has cause to believe that a child’s physical or mental health or welfare is endangered as a result of abuse or neglect or that abuse or neglect was a contributing factor in a child’s death shall report in accordance with Article 610.”
103. Louisiana State Legislature. Louisiana Children’s Code, Art. 603(18)(a), Definitions. Checked October 30, 2026.
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     “(a) "Health practitioner" is any individual who provides healthcare services, including a physician, surgeon, physical therapist, dentist, resident, intern, hospital staff member, an outpatient abortion facility staff member, podiatrist, chiropractor, licensed nurse, nursing aide, dental hygienist, any emergency medical technician, a paramedic, optometrist, medical examiner, or coroner, who diagnoses, examines, or treats a child or his family.”
104. Louisiana State Legislature. Louisiana Revised Statutes, R.S. 15:1504, Mandatory reports and immunity. Checked October 30, 2026.
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     “A. Any person, including but not limited to a health, mental health, and social service practitioner, having cause to believe that an adult’s physical or mental health or welfare has been or may be further adversely affected by abuse, neglect, or exploitation shall report in accordance with R.S. 15:1505.”
105. Louisiana State Legislature. Louisiana Revised Statutes, R.S. 22:1050, Requirement for coverage of diagnosis and treatment of autism spectrum disorders in individuals less than twenty-one years of age. Checked October 30, 2026.
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     “A.(1) Except as otherwise provided in Subsection H of this Section, any health coverage plan specified in Paragraph (G)(6) of this Section which is issued for delivery, delivered, renewed, or otherwise contracted for in this state on or after January 1, 2014, shall provide coverage for the diagnosis and treatment of autism spectrum disorders in individuals less than twenty-one years of age. ... B. Coverage under this Section shall not be subject to any limits on the number of visits an individual may make to an autism services provider. ... (6) "Health coverage plan" means any hospital, health, or medical expense insurance policy, hospital or medical service contract, employee welfare benefit plan, contract or agreement with a health maintenance organization or a preferred provider organization, health and accident insurance policy, or any other insurance contract of this type, including a group insurance plan and the Office of Group Benefits programs. ... (10) "Therapeutic care" means services provided by licensed or certified speech therapists, occupational therapists, or physical therapists licensed or certified in this state. ... (11) "Treatment of autism spectrum disorders" shall include the following care prescribed, provided, or ordered for an individual diagnosed with one of the autism spectrum disorders by a physician or psychologist who shall be licensed in this state and who shall supervise provision of such care: ... (e) Therapeutic care.”
106. Louisiana State Legislature. Louisiana Revised Statutes, R.S. 22:1050(D)(1). “D.(1) Coverage under this Section shall be subject to a maximum benefit of thirty-six thousand dollars per year.” Checked October 30, 2026.
107. Louisiana State Legislature. Louisiana Revised Statutes, R.S. 22:1050(H). “H. The provisions of this Section shall not apply to: (1) Repealed by Acts 2012, No. 208, §2. (2) Individually underwritten, guaranteed renewable health insurance policies. (3) Limited benefit health insurance policies or contracts.” Checked October 30, 2026.
108. Centers for Medicare & Medicaid Services. Who are the MACs: A/B MAC Jurisdiction H (JH). “Contract Awardee: Novitas Solutions, Inc., contract number 75FCMC19C0018 ... JH processes FFS Medicare Part A and Part B claims for Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma, and Texas ...” Checked October 30, 2026.
109. Louisiana Office of the State Register. Louisiana Administrative Code, Title 40, Part I, §5103, Medical Reimbursement Schedule, Introduction. “A. This document is primarily intended to facilitate the establishment of the maximum allowable reimbursement for all physician, chiropractic, physical and occupational therapy ...” Checked October 30, 2026.
110. Louisiana Office of the State Register. Louisiana Administrative Code, Title 40, Part I, §5127, Physical Medicine. Checked October 30, 2026.
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     “... a. currently licensed in the state of Louisiana as a physical therapist or as an occupational therapist; ... c. the therapy must be provided under a current, written plan of care which is approved by a physician and substantiated in the office notes. ... b. Physical and occupational therapy services required in excess of 45 days from onset of evaluation for treatment shall require evidence in writing as to the necessity for continued therapy.”
111. Louisiana State Legislature. Louisiana Revised Statutes, R.S. 23:1034.2, Reimbursement schedule. “A. The assistant secretary of the office of workers’ compensation administration shall establish and promulgate a reimbursement schedule ...” Checked October 30, 2026.
112. APTA Louisiana. APTA Louisiana (the state association's site). Checked October 30, 2026.
113. the Louisiana Occupational Therapy Association (LOTA). the Louisiana Occupational Therapy Association (LOTA) (the state association's site). Checked October 30, 2026.
114. the Louisiana Speech-Language-Hearing Association (LSHA). the Louisiana Speech-Language-Hearing Association (LSHA) (the state association's site). Checked October 30, 2026.
115. DrSensory. Occupational therapy clinics in Louisiana, 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.
116. 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 Louisiana, not legal, compliance, billing or financial advice. Rules change; the clinic confirms each with its source before acting on it.