Maine PT, OT and SLP guide

For OT, PT and SLP clinics in Maine: three state boards license the disciplines; a physical therapist may treat without a referral, within the act’s 30-day and 120-day consult-or-refer conditions; MaineCare 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.⁠^1,2,3,4,5,6

Who licenses OTs, PTs and SLPs in Maine?

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

Physical therapists and physical therapist assistants answer to the Maine Board of Physical Therapy.⁠^{1,40,41,42,43,44,45,46,47,48,49} Occupational therapists and occupational therapy assistants answer to the Maine Board of Occupational Therapy Practice.⁠^{7,50,51,52,53,54,55,56,57,58,59,60} Speech-language pathologists answer to the Maine Board of Speech, Audiology and Hearing.⁠^{8,61,62,63,64,65,66,67,68,69} The Board of Examiners in Physical Therapy, which its website calls the Board of Physical Therapy, sits within the Department of Professional and Financial Regulation and has four physical therapists and one public member appointed by the Governor; its web pages are run by the Office of Professional and Occupational Regulation.⁠^{1,40,41,42,43,44,45,46,47,48,49} The board licenses physical therapists and physical therapist assistants; no one may practice as a physical therapist in Maine unless licensed under the chapter.⁠^{1,40,41,42,43,44,45,46,47,48,49} The Board of Occupational Therapy Practice sits within the Department of Professional and Financial Regulation and has five members appointed by the Governor.⁠^{7,50,51,52,53,54,55,56,57,58,59,60} No one may practice as an occupational therapist or occupational therapy assistant in Maine unless licensed under the chapter.⁠^{7,50,51,52,53,54,55,56,57,58,59,60} The Board of Speech, Audiology and Hearing has seven members appointed by the Governor and licenses speech-language pathologists, audiologists and hearing aid dealers and fitters.⁠^{8,61,62,63,64,65,66,67,68,69} No one may practice as a speech-language pathologist in Maine unless licensed.⁠^{8,61,62,63,64,65,66,67,68,69} 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 Maine license renewal require?

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

Can a patient see a Maine 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 treat without a referral, under the act’s conditions: no medical diagnosis; a consultation or referral when no improvement is documented within 30 days for a condition not medically diagnosed in the last 90 days; and a consultation or referral for treatment beyond 120 days of a condition not medically diagnosed, except for wellness and maintenance services, a chronic neuromuscular or developmental condition diagnosed within the previous 9 months, and services under an IEP or IFSP.⁠^2,9,10,11 For workers’ compensation, the same section makes an employer liable for physical therapy charges only when the employee was referred by one of the listed practitioners, apart from the subsection 4 exceptions. MaineCare, as a payer, has adults’ physical therapy start within sixty days of a physician or PCP referral.⁠^2,9,10,11 For occupational therapy, the licensing law’s definition of occupational therapy includes evaluation of client factors affecting daily living, education, work, play, leisure and social participation, including sensory perceptual and emotional regulation skills.⁠^70,71 MaineCare, as a payer, pays for occupational therapy only when a physician or other licensed practitioner of the healing arts prescribes it.⁠^70,71 For speech-language pathology, the licensing law says speech-language pathologists identify, assess and provide treatment for individuals of all ages with communication and swallowing disorders.⁠^72,73 MaineCare, as a payer, covers speech and hearing services only when a practitioner of the healing arts orders or requests them in writing.⁠^72,73

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.⁠²⁸ MaineCare’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 MaineCare pay for pediatric and adult therapy?

MaineCare is Maine’s Medicaid program, run by the Maine Department of Health and Human Services, through its Office of MaineCare Services, and a clinic enrolls through its provider enrollment route before it bills.⁠⁷⁴ 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.⁠⁷⁵ For members under 21, the physical and occupational therapy sections’ children’s limit is that all services must be medically necessary, beside the all-ages limit of two hours of therapy a day; speech services for children are reviewed for medical necessity.⁠^3,4,5,6

Adults 21 and over need rehabilitation potential documented by a physician or PCP and qualify only in the listed situations. Treatment for rehabilitation potential is limited to six visits per condition, post-hospital, post-surgical and extensive-assistance treatment to two visits per condition or event, maintenance care and sensory integration to two visits a year each.⁠^12,13,14,15 For adults, the occupational and physical therapy sections say that, if CMS approves, prior authorization is required for all services, approved on medical necessity by the Department’s medical staff. Adult speech services are requested in writing from the Prior Authorization Unit.⁠^76,77,78,79 MaineCare’s managed care, as its benefits manual describes it, is primary care case management under Chapter VI, Section 1: its managed care providers are primary care providers, and providers of MaineCare managed care services need a referral from the member’s primary care provider site before the visit unless Chapter VI exempts the service.⁠^80,81 The fee schedule is published by the agency, and a clinic reads the current file rather than a remembered rate.⁠⁸²

How does MaineCare want OT, PT and SLP claims coded?

Therapy is billed on the CMS 1500 claim form, with all of a day’s services on one claim and no more than two hours of therapy a day; assistants may not enroll as independent billing providers.⁠^{83,84,85,86,87} 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 MaineCare pay for therapy in schools?

MaineCare covers medically necessary speech, physical and occupational therapy listed in a member’s IEP or IFSP. School-based health centers and providers who use space in a school are the other two routes, and schools are an approved setting for speech and hearing services for members under 21.⁠^88,89,90 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 MaineCare cover therapy by telehealth?

Any medically necessary MaineCare service may be delivered by telehealth when the member is otherwise eligible and the quality is comparable to in person. It is billed on the same claim as in person with the GT modifier (93 for telephone), and prior authorization applies only if the underlying service needs it.⁠^91,92,93 The telehealth section below covers the state’s own rules for the session itself.

What are Maine’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.⁠¹⁶ Each licensing law lets a licensee provide telehealth services within the scope of the license and standards of practice, under the same professional-responsibility rules and state and federal confidentiality laws as in person.⁠^{94,95,96,97,98}

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.⁠^17,18,19 24-A M.R.S. §4316 bars a carrier from denying coverage because a covered service is delivered through telehealth, as long as the provider acts within the license and any board telehealth rules, and keeps telehealth cost sharing no higher than for a comparable in-person service.⁠⁹⁹

Which business steps are specific to Maine?

The entity is registered with the Maine Secretary of State’s Bureau of Corporations, Elections, and Commissions, and the state’s professional corporation law sets out when professional corporation status is optional.⁠^31,32 A licensed therapist who forms a corporation may, but need not, incorporate as a professional corporation under the Maine Professional Service Corporation Act: the professions that must are listed in paragraph A, and any other licensed profession falls under paragraph B, which makes the status optional. A professional limited liability company is subject to the same act with listed exceptions.⁠^33,34,35 State tax registration is with Maine Revenue Services.⁠^100,101 Maine’s sales tax is imposed on tangible personal property, products transferred electronically and the taxable services the law lists, such as lodging, cable and satellite television, fabrication and telecommunications. Sales of prosthetic or orthotic devices on an order from a health care practitioner, as Title 24 defines one, licensed under Title 32 are exempt. Maine Revenue Services’ notice of November 21, 2025 says that, effective January 1, 2026, the service provider tax is repealed.⁠^{102,103,104,105} Every private employer must secure workers’ compensation for its employees by buying a policy or self-insuring, apart from the employers and employees the law exempts.⁠¹⁰⁶ 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 Maine?

For MaineCare, an enrolled provider retains records for at least five years from the date of service, or longer if other statutes require; a supervising speech-language pathologist keeps an assistant’s supervision log entries for five years on a rolling basis.⁠^29,30 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.⁠^107,108

Maine law makes an individual’s health care information confidential, disclosed other than to the individual only as the statute’s exceptions allow, and each licensing law requires telehealth to follow state and federal confidentiality laws.⁠^109,110 A person who maintains computerized personal information and learns of a breach investigates promptly and notifies affected Maine residents if misuse has occurred or is reasonably possible, no more than 30 days after learning of the breach and identifying its scope unless law enforcement delays it.⁠¹¹¹ Health care practitioners acting in a professional capacity, defined as physicians and any other person licensed in the healing arts, report suspected child abuse or neglect to the department within 24 hours. Physical, occupational and speech therapists are named reporters of suspected abuse, neglect or exploitation of an incapacitated or dependent adult.⁠^{112,113,114,115}

Which Maine rules shape a pediatric clinic?

Child Development Services, an Intermediate Educational Unit under the supervision of the Maine Department of Education, provides early intervention from birth through age two and free appropriate public education for ages three through five, through nine regional sites. It accepts referrals online, by phone or by fax, and a regional site contacts the family within three business days.⁠^36,37,38,39 A private clinic’s services run beside the early intervention program rather than inside it. Group and individual health plans cover the diagnosis and treatment of autism spectrum disorders, including therapy by licensed speech, occupational and physical therapists, for covered individuals 10 or under, with no visit limits. A group plan may cap applied behavior analysis at $36,000 a year.⁠^{116,117,118,119,120} The autism insurance mandates guide covers how such a mandate meets a plan’s own terms.

Which Maine rules shape an adult clinic?

Medicare claims from Maine go to National Government Services, Inc., the Medicare Administrative Contractor for Jurisdiction K, Parts A and B (Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode Island and Vermont), whose local coverage articles for therapy are the ones a Maine clinic reads.⁠¹²¹ MaineCare’s adult therapy rules are in the Medicaid section above. The Workers’ Compensation Board’s medical fee schedule, effective October 1, 2026, must reflect the methodology underlying the federal Centers for Medicare and Medicaid Services resource-based relative value scale for individual health care providers’ services, with a $60.00 conversion factor for professional services other than anesthesia.⁠¹²²

Which associations and directory pages serve Maine?

The state chapters are APTA Maine for physical therapy and the Maine Occupational Therapy Association (MEOTA) for occupational therapy.⁠^123,124 On DrSensory, families browse Maine 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.⁠¹²⁵

Which Maine cities have DrSensory city pages?

Beyond its three Maine pages, the directory publishes city pages for one Maine city, Portland, three pages across the three disciplines, each listing the clinics whose address is in that city; a clinic appears on the city page of its address without any action of its own, and a city or discipline without a page is reached through the state page.⁠¹²⁵

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

DrSensory lists 22 PT, OT and SLP clinics in Maine, on its occupational therapy, physical therapy and speech therapy pages for the state.⁠¹²⁵

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

Which templates does a Maine launch need?

How might two Maine clinics plan a launch?

Sources

1. Maine Office of Professional and Occupational Regulation. Maine Board of Physical Therapy. Checked October 30, 2026.
2. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 32 M.R.S. §3113-A, License required; limitations and exceptions. Checked October 30, 2026.
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   “When treating a patient without referral from an advanced practice registered nurse, certified nurse midwife, physician associate, naturopathic doctor or doctor of medicine, osteopathy, podiatry, dentistry or chiropractic, the physical therapist or physical therapist assistant is subject to the following requirements. ... A physical therapist or physical therapist assistant may not make a medical diagnosis. ... If no improvement in the patient is documented by the physical therapist or physical therapist assistant within 30 days of initiation of treatment and the condition the physical therapist or physical therapist assistant is treating has not been medically diagnosed in the last 90 days, the physical therapist or physical therapist assistant shall consult with or refer the patient to ... For treatment required beyond 120 days for a condition that has not been medically diagnosed, the physical therapist or physical therapist assistant shall consult with, or refer the patient to ...”
3. Maine Secretary of State (Code of Maine Rules). MaineCare Benefits Manual (10-144 C.M.R. ch. 101), Chapter II, Section 85, Physical Therapy Services (last updated January 1, 2014). “Children (under twenty-one (<21)) ... All services must be medically necessary.” Checked October 30, 2026.
4. Maine Secretary of State (Code of Maine Rules). MaineCare Benefits Manual (10-144 C.M.R. ch. 101), Chapter II, Section 68, Occupational Therapy Services (last updated January 1, 2014). “Children (under twenty-one (<21)): ... All services must be medically necessary.” Checked October 30, 2026.
5. Maine Secretary of State (Code of Maine Rules). MaineCare Benefits Manual (10-144 C.M.R. ch. 101), Chapter II, Section 85, Physical Therapy Services (last updated January 1, 2014). “MaineCare will not reimburse for more than two (2) hours of physical therapy services per day.” Checked October 30, 2026.
6. Maine Secretary of State (Code of Maine Rules). MaineCare Benefits Manual (10-144 C.M.R. ch. 101), Chapter II, Section 109, Speech and Hearing Services (May 19, 2019). Checked October 30, 2026.
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   “However, the Department or its authorized agent will review speech and hearing services for children under the age of twenty-one (21) for medical necessity as outlined in Chapter I of this Manual.”
7. Maine Office of Professional and Occupational Regulation. Maine Board of Occupational Therapy Practice. Checked October 30, 2026.
8. Maine Office of Professional and Occupational Regulation. Maine Board of Speech, Audiology and Hearing. Checked October 30, 2026.
9. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 32 M.R.S. §3113-A, License required; limitations and exceptions. Checked October 30, 2026.
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   “The requirements to refer a patient in subsections 2 and 3 do not apply to: ... Services provided for purposes of health promotion, injury prevention, wellness, fitness, athletic performance or maintenance therapy; ... Patients diagnosed within the previous 9 months with a chronic neuromuscular or developmental condition when the services are being provided for problems or symptoms associated with that previously diagnosed condition; or ... Services provided pursuant to an individualized education plan or individual family service plan under federal law.”
10. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 32 M.R.S. §3113-A, License required; limitations and exceptions. Checked October 30, 2026.
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    “In accordance with this section and except as provided in subsection 4, an employer is not liable under Title 39‑A, section 206 for charges for services of a physical therapist or physical therapist assistant unless the employee has been referred to that practitioner by an advanced practice registered nurse, certified nurse midwife, physician associate, naturopathic doctor or a licensed doctor of medicine, surgery, osteopathy, chiropractic, podiatry or dentistry.”
11. Maine Secretary of State (Code of Maine Rules). MaineCare Benefits Manual (10-144 C.M.R. ch. 101), Chapter II, Section 85, Physical Therapy Services (last updated January 1, 2014). “Services for adults who meet the specific eligibility requirements in Section 85.04 must be initiated within sixty (60) days from the date of physician or PCP referral.” Checked October 30, 2026.
12. Maine Secretary of State (Code of Maine Rules). MaineCare Benefits Manual (10-144 C.M.R. ch. 101), Chapter II, Section 68, Occupational Therapy Services (last updated January 1, 2014). Checked October 30, 2026.
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    “Adult members (age twenty-one (21) and over) in an outpatient setting must have rehabilitation potential documented by a physician or primary care provider (PCP). Adult members are specifically eligible only for ...”
13. Maine Secretary of State (Code of Maine Rules). MaineCare Benefits Manual (10-144 C.M.R. ch. 101), Chapter II, Section 68, Occupational Therapy Services (last updated January 1, 2014). Checked October 30, 2026.
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    “Within the scope of 68.04(1)-(3) services are limited to two (2) visits per condition or event. ... Services for maintenance care are limited to two (2) visits per year to design a plan of care, to train the member or caretaker of the member to implement the plan, or to reassess the plan of care. ... Such treatment is limited to no more than six (6) visits per condition by qualified staff. ... Services for sensory integration are limited to a maximum of two (2) visits per year.”
14. Maine Secretary of State (Code of Maine Rules). MaineCare Benefits Manual (10-144 C.M.R. ch. 101), Chapter II, Section 85, Physical Therapy Services (last updated January 1, 2014). Checked October 30, 2026.
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    “Adult members age twenty-one (21) and over in an outpatient setting must have rehabilitation potential documented by a physician or primary care provider (PCP). ... Such treatment is limited to no more than six (6) visits per condition by qualified staff.”
15. Maine Secretary of State (Code of Maine Rules). MaineCare Benefits Manual (10-144 C.M.R. ch. 101), Chapter II, Section 109, Speech and Hearing Services (May 19, 2019). Checked October 30, 2026.
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    “Adult members (age twenty-one (21) and over) must have an initial evaluation by a physician or PCP documenting that the member has experienced a significant decline in his/her ability to communicate orally/visually, safely swallow or masticate, and that the member has rehabilitation potential ...”
16. 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”.
17. PT Compact Commission. PT Compact Map. “Enacted Legislation (3) Maine Michigan Rhode Island ... 3 Enacted Legislation Not Yet Issuing or Accepting Compact Privileges ...” Checked October 30, 2026.
18. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 32 M.R.S. §18701, Short title (Physical Therapy Licensure Compact). “This chapter may be known and cited as "the Physical Therapy Licensure Compact," referred to in this chapter as "the compact."” Checked October 30, 2026.
19. Maine Office of Professional and Occupational Regulation. Board of Physical Therapy Home. “Public Law Chapter 329 (LD1749) An Act to Establish the Physical Therapy Licensure Compact (PDF). This takes effect January 1, 2026 ...” Checked October 30, 2026.
20. 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. ... Maine Not Yet not required ME OT Practice Act ...” Checked October 30, 2026.
21. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 32 M.R.S. §2287, Short title; findings and declaration of purpose (Occupational Therapy Licensure Compact). “This chapter may be known and cited as "the Occupational Therapy Licensure Compact" or "compact." [PL 2021, c. 324, §2 (NEW).]” Checked October 30, 2026.
22. Maine Office of Professional and Occupational Regulation. Board of Occupational Therapy Practice Home. “2021 Public Law Chapter 324 (LD 31) "An Act to Adopt the Occupational Therapy Licensure Compact" (PDF)” Checked October 30, 2026.
23. Audiology and Speech-Language Pathology Interstate Compact Commission. Compact Map (legend and Maine’s state entry). “Legislation Enacted - Not Yet Issuing Privileges: 33 ... Maine LD 717 (2023)” Checked October 30, 2026.
24. Audiology and Speech-Language Pathology Interstate Compact Commission. ASLP-IC Home. “Registration is open for licensed practitioners in Louisiana, Ohio, Tennessee, and West Virginia ...” Checked October 30, 2026.
25. Audiology and Speech-Language Pathology Interstate Compact Commission. Delegate Information. “Member State Appointed Delegates ... Maine Audiology Appointment Pending Maine SLP Appointment Pending ...” Checked October 30, 2026.
26. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 32 M.R.S. §17501, Short title, legislative intent and declaration of purpose (Audiology and Speech-Language Pathology Interstate Compact). “This subchapter may be known and cited as "the Audiology and Speech-Language Pathology Interstate Compact."” Checked October 30, 2026.
27. Maine Office of Professional and Occupational Regulation. Board of Speech, Audiology and Hearing Home. “2023 Public Law Chapter 310 (LD 717) "An Act to Adopt the Audiology and Speech-Language Pathology Interstate Compact (PDF)” Checked October 30, 2026.
28. 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.”.
29. Maine Secretary of State (Code of Maine Rules). MaineCare Benefits Manual (10-144 C.M.R. ch. 101), Chapter I, Section 1, General Administrative Policies and Procedures (last updated May 29, 2022), Section 1.03-8. Checked October 30, 2026.
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    “For MaineCare purposes such records must be retained for a period of not less than five (5) years from the date of service or longer if necessary to meet other statutory requirements.”
30. Maine Secretary of State (Code of Maine Rules). 02-643 C.M.R. ch. 9, Speech-Language Pathology Assistants. “The supervising speech-language pathologist shall retain log entries for a period of 5 years on a rolling basis.” Checked October 30, 2026.
31. Maine Secretary of State, Bureau of Corporations, Elections, and Commissions. Filing an Annual Report. “An annual report is required to be filed every year in order to maintain a good standing status. The legal filing deadline is June 1st.” Checked October 30, 2026.
32. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 13 M.R.S. §731, Election of professional corporation status. Checked October 30, 2026.
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    “One or more persons may incorporate a professional corporation by delivering to the Secretary of State for filing articles of incorporation that state that the corporation is a professional corporation and the corporation’s purpose is to render the specified professional service.”
33. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 13 M.R.S. §731, Election of professional corporation status. “A qualified person or persons performing any professional service described in section 723, subsection 7, paragraph B desiring to form a corporation may incorporate as a professional corporation.” Checked October 30, 2026.
34. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 13 M.R.S. §723, Definitions (Maine Professional Service Corporation Act). Checked October 30, 2026.
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    “A. Accountants, advanced practice registered nurses, attorneys, chiropractors, dentists, optometrists, osteopathic physicians, physicians and surgeons, physician associates, podiatrists, registered nurses and veterinarians; and ... B. Any person not listed in paragraph A who is required by state law to have a license as a precondition to engaging in that person’s profession.”
35. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 31 M.R.S. §1560, Nature of professional limited liability company business. “A professional limited liability company, as defined in Title 13, section 723, subsection 5, is subject to the Maine Professional Service Corporation Act except as follows.” Checked October 30, 2026.
36. Maine Department of Education, Child Development Services. Child Development Services (CDS). “The Child Development Services (CDS) system is an Intermediate Educational Unit that provides both Early Intervention (birth through two years) and Free Appropriate Public Education (for ages three through five years) under the supervision of the Maine Department of Education.” Checked October 30, 2026.
37. Maine Department of Education, Child Development Services. Child Development Services (CDS) Referrals. “Child Development Services accepts referrals online, by phone or by fax. ... Within three business days of receiving the referral, a representative from the CDS regional site serving the town in which the child resides will contact the parent/guardian ...” Checked October 30, 2026.
38. Maine Department of Education, Child Development Services. Families. “A list of Established Conditions that make children under the age of 3 automatically eligible for Early Intervention Services through Part C.” Checked October 30, 2026.
39. Maine Department of Education, Child Development Services. Child Development Services (CDS). “CDS consists of nine regional sites and a state office.” Checked October 30, 2026.
40. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 32 M.R.S. §3112, Board created; appointment; powers and duties. Checked October 30, 2026.
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    “The Board of Examiners in Physical Therapy, as established by Title 5, section 12004‑A, subsection 31, and within the Department of Professional and Financial Regulation, consists of 4 physical therapists and one public member as defined in Title 5, section 12004‑A. ... Members of the board are appointed by the Governor for a term of 4 years.”
41. Maine Office of Professional and Occupational Regulation. Board of Physical Therapy Home. “Welcome to the website of the Office of Professional and Occupational Regulation, an agency within the Department of Professional and Financial Regulation.” Checked October 30, 2026.
42. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 32 M.R.S. §3112, Board created; appointment; powers and duties. “A. To review the qualifications of applicants for licensure and to license physical therapists and physical therapist assistants who qualify under this chapter ...” Checked October 30, 2026.
43. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 32 M.R.S. §3113-A, License required; limitations and exceptions. Checked October 30, 2026.
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    “A person may not practice or profess to be authorized to practice physical therapy or physiotherapy as a physical therapist in this State ... unless that person is licensed in accordance with the provisions of this chapter.”
44. Maine Office of Professional and Occupational Regulation. Board of Physical Therapy - Licensing - Physical Therapist, Physical Therapist Assistant. “This license renews annually on March 31.” Checked October 30, 2026.
45. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 32 M.R.S. §3116, License renewal. “All licenses must be renewed at such times as the Commissioner of Professional and Financial Regulation may designate upon application by the licensee accompanied by the renewal fee as set under section 3116‑A.” Checked October 30, 2026.
46. Maine Office of Professional and Occupational Regulation. Board of Physical Therapy - Frequently Asked Questions. “Do I have to complete continuing education for license renewal requirements? Maine Law does not require continuing education for this profession.” Checked October 30, 2026.
47. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 32 M.R.S. §3116-B, Continuing education requirements for license renewal. “The board shall establish by rule continuing education requirements as a condition of renewal of a license as authorized under Title 10, section 8003, subsection 5‑A, paragraph D. ... [PL 2023, c. 317, §9 (NEW).]” Checked October 30, 2026.
48. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 32 M.R.S. §3113-A, License required; limitations and exceptions. “A licensed physical therapist assistant may act only under the direction of a physical therapist licensed to practice in this State.” Checked October 30, 2026.
49. Maine Secretary of State (Code of Maine Rules). 02-393 C.M.R. ch. 4, Standards for Supervision of Physical Therapist Assistants and Physical Therapy Aides. Checked October 30, 2026.
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    “Unless specifically authorized by the board, a licensed physical therapist may not directly supervise more than two assistants at any given time. ... The communication between the physical therapist and the physical therapist assistant must occur after the physical therapist has re-assessed or evaluated the patient within 10 patient visits or every 30 days whichever comes first.”
50. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 32 M.R.S. §2273, Board of Occupational Therapy Practice; establishment; compensation. “There is established within the department, in accordance with Title 5, section 12004‑A, subsection 26, a Board of Occupational Therapy Practice. The board consists of 5 members appointed by the Governor.” Checked October 30, 2026.
51. Maine Office of Professional and Occupational Regulation. Board of Occupational Therapy Practice Home. “The Board of Occupational Therapy Practice was established to protect the public through the regulation of the practice of occupational therapy in Maine.” Checked October 30, 2026.
52. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 32 M.R.S. §2276, License required (occupational therapy). “A person may not practice, or profess to be authorized to practice occupational therapy, as an occupational therapist or occupational therapy assistant in this State ... unless that person is licensed in accordance with this chapter.” Checked October 30, 2026.
53. Maine Secretary of State (Code of Maine Rules). 02-477 C.M.R. ch. 4, License Renewal and Continuing Education Requirements; Reinstatement. “Licenses of all occupational therapists and occupational therapy assistants expire annually on March 31.” Checked October 30, 2026.
54. Maine Office of Professional and Occupational Regulation. Board of Occupational Therapy Practice - Licensing - Occupational Therapist, Occupational Therapy Assistant. “Annual (Fixed renewal date of March 31st)” Checked October 30, 2026.
55. Maine Secretary of State (Code of Maine Rules). 02-477 C.M.R. ch. 4, License Renewal and Continuing Education Requirements; Reinstatement. Checked October 30, 2026.
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    “Every occupational therapist shall complete a total of ten (10) hours and every occupational therapy assistant shall complete a total of six (6) hours of continuing education relevant to the practice of occupational therapy or interprofessional practice during each reporting period as a condition of renewal.”
56. Maine Secretary of State (Code of Maine Rules). 02-477 C.M.R. ch. 4, License Renewal and Continuing Education Requirements; Reinstatement. Checked October 30, 2026.
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    “During each reporting period, one (1) hour of the total required ten (10) hours for occupational therapists and one (1) hour of the total required six (6) hours for occupational therapy assistants shall be on ethics in the practice of occupational therapy.”
57. Maine Secretary of State (Code of Maine Rules). 02-477 C.M.R. ch. 4, License Renewal and Continuing Education Requirements; Reinstatement. “The reporting period is April 1 of the previous year through the March 31 renewal date.” Checked October 30, 2026.
58. Maine Secretary of State (Code of Maine Rules). 02-477 C.M.R. ch. 5, Role of the Occupational Therapy Assistant; Supervision of Occupational Therapy Assistants and Temporary Licensees. Checked October 30, 2026.
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    “May assist in the practice of occupational therapy only with the supervision of an occupational therapist; ... May not perform an evaluation independently, but may contribute to the evaluation process in collaboration or consultation with the occupational therapist ...”
59. Maine Secretary of State (Code of Maine Rules). 02-477 C.M.R. ch. 5, Role of the Occupational Therapy Assistant; Supervision of Occupational Therapy Assistants and Temporary Licensees. Checked October 30, 2026.
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    “Each occupational therapy assistant and temporary licensee must have a supervisor of record for each facility or work setting at or in which the occupational therapy assistant or temporary licensee is employed.”
60. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 32 M.R.S. §2272, Definitions (occupational therapy). “"Supervision of OTA" means initial directions and periodic inspection of the service delivery and provision of relevant in-service training.” Checked October 30, 2026.
61. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 32 M.R.S. §17201, Board established; membership; terms. “The Board of Speech, Audiology and Hearing, as established by Title 5, section 12004‑A, subsection 48, consists of 7 members appointed by the Governor.” Checked October 30, 2026.
62. Maine Office of Professional and Occupational Regulation. Board of Speech, Audiology and Hearing Home. “The Board of Speech, Audiology & Hearing is established to license qualified speech pathologists and audiologists and hearing aid dealers and fitters and to assure that communicatively disabled people in the State of Maine receive competent services.” Checked October 30, 2026.
63. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 32 M.R.S. §17103, License required (Board of Speech, Audiology and Hearing). Checked October 30, 2026.
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    “Licensure may be granted to an individual who meets the minimum qualifications established by the board. An individual may not practice or present that individual as a speech-language pathologist unless licensed in accordance with the laws of this State.”
64. Maine Secretary of State (Code of Maine Rules). 02-643 C.M.R. ch. 7, License Renewal; Inactive Status. Checked October 30, 2026.
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    “Licenses of all speech-language pathologists and audiologists other than the temporary license authorized by Chapter 4 of the board’s rules expire annually on February 28 of each year that is not a leap year and on February 29 of each year that is a leap year.”
65. Maine Office of Professional and Occupational Regulation. Board of Speech, Audiology and Hearing - Licensing - Audiologist, Speech-Language Pathologist. “Annual (Fixed renewal date of February 28th every year)” Checked October 30, 2026.
66. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 32 M.R.S. §17308, License; renewal. “Renewals are contingent upon evidence of participation in continuing professional education as determined by the board; temporary licensees, speech-language pathology assistants and trainees are exempt from this requirement.” Checked October 30, 2026.
67. Maine Secretary of State (Code of Maine Rules). 02-643 C.M.R. ch. 8, Continuing Professional Education. Checked October 30, 2026.
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    “The provisions of this chapter do not apply to temporary speech-language pathologists, speech-language pathology assistants and trainee hearing aid dealers and fitters. ... A speech-language pathologist, audiologist or hearing aid dealer and fitter shall certify at time of license renewal to completion of 10 hours of continuing professional education during the preceding license term as set forth in this chapter. A dually-licensed speech-language pathologist and audiologist shall certify at time of license renewal to completion of 16 hours of continuing professional education as set forth in this chapter.”
68. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 32 M.R.S. §17103, License required (Board of Speech, Audiology and Hearing). Checked October 30, 2026.
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    “Licensure may be granted to an individual who meets the minimum qualifications for a speech-language pathology assistant established by the board and who is supervised by a licensed speech-language pathologist, as set forth by the board by rule.”
69. Maine Secretary of State (Code of Maine Rules). 02-643 C.M.R. ch. 9, Speech-Language Pathology Assistants. Checked October 30, 2026.
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    “A speech-language pathology assistant may practice only under the supervision, as defined by 32 M.R.S. §17101(17), of an approved supervising speech-language pathologist as set forth in Sections 3, 4 and 5 of this chapter. ... A supervisor may supervise up to 2 full-time/40 hours per week supervisees, or 4 part-time/20 hours per week supervisees ...”
70. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 32 M.R.S. §2272, Definitions (occupational therapy). Checked October 30, 2026.
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    “"Occupational therapy" includes: ... B. Evaluation of client factors affecting activities of daily living, instrumental activities of daily living, education, work, play, leisure and social participation, including: ... (4) Performance skills, including motor, process, emotional regulation, cognitive, sensory perceptual, communication and social interaction skills; ...”
71. Maine Secretary of State (Code of Maine Rules). MaineCare Benefits Manual (10-144 C.M.R. ch. 101), Chapter II, Section 68, Occupational Therapy Services (last updated January 1, 2014). Checked October 30, 2026.
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    “Pursuant to 42 CFR§440.110, MaineCare occupational therapy services must be prescribed by a physician or other licensed practitioner of the healing arts within the scope of practice under Maine law and must be provided by or under the direction of a qualified professional staff as defined in 68.09-1.”
72. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 32 M.R.S. §17306, Scope of practice; speech-language pathologist. “Speech-language pathologists identify, assess and provide treatment for individuals of all ages with communication and swallowing disorders.” Checked October 30, 2026.
73. Maine Secretary of State (Code of Maine Rules). MaineCare Benefits Manual (10-144 C.M.R. ch. 101), Chapter II, Section 109, Speech and Hearing Services (May 19, 2019). Checked October 30, 2026.
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    “All covered services provided under this Section must be ordered or requested in writing by a practitioner of the healing arts as allowed by the respective licensing authority and his or her scope of practice.”
74. Maine Department of Health and Human Services, Office of MaineCare Services. Provider Enrollment & Revalidation. Checked October 30, 2026.
75. 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.”.
76. Maine Secretary of State (Code of Maine Rules). MaineCare Benefits Manual (10-144 C.M.R. ch. 101), Chapter II, Section 68, Occupational Therapy Services (last updated January 1, 2014). Checked October 30, 2026.
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    “If CMS approves, Prior Authorization is required for all services. ... Prior Authorization is approved upon medical necessity, as determined by the clinical judgment of the Department’s medical staff.”
77. Maine Secretary of State (Code of Maine Rules). MaineCare Benefits Manual (10-144 C.M.R. ch. 101), Chapter II, Section 85, Physical Therapy Services (last updated January 1, 2014). “If CMS approves, Prior Authorization is required for all services.” Checked October 30, 2026.
78. Maine Secretary of State (Code of Maine Rules). MaineCare Benefits Manual (10-144 C.M.R. ch. 101), Chapter II, Section 109, Speech and Hearing Services (May 19, 2019). “To request prior authorization of adult services, the request must be made in writing to: ... Prior Authorization Unit ...” Checked October 30, 2026.
79. Maine Department of Health and Human Services, Office of MaineCare Services. MaineCare Member Handbook (November 2025). “Before you can get some services or equipment, MaineCare must approve it. This approval is called Prior Authorization (PA). ... Some physical therapy, occupational therapy, and speech therapy ...” Checked October 30, 2026.
80. Maine Secretary of State (Code of Maine Rules). MaineCare Benefits Manual (10-144 C.M.R. ch. 101), Chapter I, Section 1, General Administrative Policies and Procedures (last updated May 29, 2022). Checked October 30, 2026.
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    “MaineCare managed care providers are primary care providers when all parties have completed and signed a MaineCare provider Agreement and have received approval from MaineCare to provide comprehensive health care to members receiving managed care benefits. Such providers must comply with Chapter VI, Section 1, Primary Care Case Management and other appropriate sections of the MBM.”
81. Maine Secretary of State (Code of Maine Rules). MaineCare Benefits Manual (10-144 C.M.R. ch. 101), Chapter I, Section 1, General Administrative Policies and Procedures (last updated May 29, 2022). Checked October 30, 2026.
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    “Providers of MaineCare Managed Care services, as noted in Chapter VI Primary Care Case Management, must have a referral from the member’s primary care provider site prior to the member visit. Certain services are exempt from needing a referral from the primary care provider and are outlined under Chapter VI, Section 1, Primary Care Case Management, Section 1.05.”
82. MaineCare Partner Portal (Office of MaineCare Services). Provider Fee Schedules. Checked October 30, 2026.
83. Maine Secretary of State (Code of Maine Rules). MaineCare Benefits Manual (10-144 C.M.R. ch. 101), Chapter II, Section 85, Physical Therapy Services (last updated January 1, 2014). Checked October 30, 2026.
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    “Providers must bill in accordance with the Department’s billing instructions for the CMS 1500 claim form. ... All services provided on the same day must be submitted on the same claim form.”
84. Maine Secretary of State (Code of Maine Rules). MaineCare Benefits Manual (10-144 C.M.R. ch. 101), Chapter II, Section 85, Physical Therapy Services (last updated January 1, 2014). “MaineCare will not reimburse for more than two (2) hours of physical therapy services per day.” Checked October 30, 2026.
85. Maine Secretary of State (Code of Maine Rules). MaineCare Benefits Manual (10-144 C.M.R. ch. 101), Chapter II, Section 85, Physical Therapy Services (last updated January 1, 2014). “A Physical Therapy Assistant may not enroll as an independent billing provider.” Checked October 30, 2026.
86. Maine Secretary of State (Code of Maine Rules). MaineCare Benefits Manual (10-144 C.M.R. ch. 101), Chapter II, Section 68, Occupational Therapy Services (last updated January 1, 2014). “A COTA/L or an OTA/L may not enroll as an independent billing provider.” Checked October 30, 2026.
87. Maine Secretary of State (Code of Maine Rules). MaineCare Benefits Manual (10-144 C.M.R. ch. 101), Chapter II, Section 109, Speech and Hearing Services (May 19, 2019). “A speech-language pathology assistant must be supervised by a licensed speech-language pathologist.” Checked October 30, 2026.
88. Maine Department of Health and Human Services, Office of MaineCare Services. MaineCare Member Handbook (November 2025). Checked October 30, 2026.
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    “There are three ways MaineCare covers medical services when a member is at school: ... This program covers medically necessary services listed in the member’s Individualized Education Program (IEP) or Individualized Family Service Plan (IFSP). ... Speech therapy (Section 109) ... Physical therapy (Section 85) ... Occupational therapy (Section 68)”
89. Maine Department of Health and Human Services, Office of MaineCare Services. MaineCare Member Handbook (November 2025). “School-Based Health Centers or Clinics ... Some MaineCare providers use space in a school to provide medical services to students.” Checked October 30, 2026.
90. Maine Secretary of State (Code of Maine Rules). MaineCare Benefits Manual (10-144 C.M.R. ch. 101), Chapter II, Section 109, Speech and Hearing Services (May 19, 2019). “Approved settings for these services are the practitioners’ office, speech and hearing agencies, members’ homes, and schools for members under age 21.” Checked October 30, 2026.
91. Maine Secretary of State (Code of Maine Rules). MaineCare Benefits Manual (10-144 C.M.R. ch. 101), Chapter I, Section 4, Telehealth Services (last updated November 6, 2023). Checked October 30, 2026.
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    “Any medically necessary MaineCare Covered Service may be delivered via Telehealth Services, provided the following requirements are met: ... The Covered Service delivered by Telehealth Services is of comparable quality to what it would be were it delivered in person.”
92. Maine Secretary of State (Code of Maine Rules). MaineCare Benefits Manual (10-144 C.M.R. ch. 101), Chapter I, Section 4, Telehealth Services (last updated November 6, 2023). Checked October 30, 2026.
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    “... must bill for the underlying Covered Service using the same claims they would if it were delivered face-to-face and must add the GT modifier for Interactive Telehealth Services and the 93 modifier for Telephonic Services.”
93. Maine Secretary of State (Code of Maine Rules). MaineCare Benefits Manual (10-144 C.M.R. ch. 101), Chapter I, Section 4, Telehealth Services (last updated November 6, 2023). “Prior authorization is required for Telehealth Services only if prior authorization is required for the underlying Covered Service.” Checked October 30, 2026.
94. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 32 M.R.S. §3120, Telehealth services (physical therapy). Checked October 30, 2026.
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    “A person licensed under this chapter may provide telehealth services as long as the licensee acts within the scope of practice of the licensee’s license, in accordance with any requirements and restrictions imposed by this section and in accordance with standards of practice.”
95. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 32 M.R.S. §2276-A, Telehealth services (occupational therapy). Checked October 30, 2026.
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    “A person licensed under this chapter may provide telehealth services as long as the licensee acts within the scope of practice of the licensee’s license, in accordance with any requirements and restrictions imposed by this section and in accordance with standards of practice.”
96. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 32 M.R.S. §17402, Telehealth services permitted (speech-language pathology and audiology). Checked October 30, 2026.
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    “A person licensed under this chapter may provide telehealth services as long as the licensee acts within the scope of practice of the licensee’s license, in accordance with any requirements and restrictions imposed by this subchapter and in accordance with standards of practice.”
97. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 32 M.R.S. §3120, Telehealth services (physical therapy). “When providing telehealth services, a person licensed under this chapter shall comply with all state and federal confidentiality and privacy laws.” Checked October 30, 2026.
98. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 32 M.R.S. §3120, Telehealth services (physical therapy). “All laws and rules governing professional responsibility, unprofessional conduct and generally accepted standards of practice that apply to a person licensed under this chapter also apply to that licensee while providing telehealth services.” Checked October 30, 2026.
99. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 24-A M.R.S. §4316, Coverage for telehealth services. Checked October 30, 2026.
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    “A carrier offering a health plan in this State may not deny coverage on the basis that the health care service is provided through telehealth if the health care service would be covered if it were provided through in-person consultation between an enrollee and a provider and as long as the provider is acting within the scope of practice of the provider’s license ... A carrier may offer a health plan containing a provision for a deductible, copayment or coinsurance requirement for a health care service provided through telehealth as long as the deductible, copayment or coinsurance does not exceed the deductible, copayment or coinsurance applicable to a comparable service provided through in-person consultation.”
100. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 36 M.R.S. §1754-B, Registration of sellers. Checked October 30, 2026.
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     “... the following persons, other than casual sellers, shall register with the assessor and collect and remit taxes in accordance with the provisions of this Part: ... Every person that has a substantial physical presence in this State and that makes sales of tangible personal property or taxable services in this State ...”
101. Maine Revenue Services. Maine Revenue Services home. “Register a New Business ...” Checked October 30, 2026.
102. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 36 M.R.S. §1811, Sales tax. “A tax is imposed on the value of all tangible personal property, products transferred electronically and taxable services sold at retail in this State.” Checked October 30, 2026.
103. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 36 M.R.S. §1752, Definitions (subsection 17-B, Taxable service). “"Taxable service" means: ... The rental of living quarters in a hotel, rooming house or tourist or trailer camp; ... Cable and satellite television or radio services; ... Fabrication services; ... Telecommunications services ...” Checked October 30, 2026.
104. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 36 M.R.S. §1760, Exemptions (subsection 5-A, Prosthetic or orthotic devices). “Prosthetic or orthotic devices sold by means of an order issued by a health care practitioner as defined in Title 24, section 2502, subsection 1‑A who is licensed under Title 32.” Checked October 30, 2026.
105. Maine Revenue Services. Notice to Service Provider Tax Accounts: Service Provider Tax Repealed Effective January 1, 2026 (November 21, 2025). “Effective January 1, 2026, the SPT is repealed.” Checked October 30, 2026.
106. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 39-A M.R.S. §401, Liability of employer. Checked October 30, 2026.
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     “Every private employer, including an independent contractor who hires and pays employees, is subject to this Act and shall secure the payment of compensation with respect to all employees by purchasing a workers’ compensation policy or self-insuring as set forth in section 403.”
107. 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.”.
108. 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.”.
109. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 22 M.R.S. §1711-C, Confidentiality of health care information. “An individual’s health care information is confidential and may not be disclosed other than to the individual by the health care practitioner or facility except as provided in subsection 3, 3‑A, 3‑B, 6 or 11.” Checked October 30, 2026.
110. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 32 M.R.S. §3120, Telehealth services (physical therapy). “When providing telehealth services, a person licensed under this chapter shall comply with all state and federal confidentiality and privacy laws.” Checked October 30, 2026.
111. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 10 M.R.S. §1348, Security breach notice requirements. Checked October 30, 2026.
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     “If any other person who maintains computerized data that includes personal information becomes aware of a breach of the security of the system, the person shall conduct in good faith a reasonable and prompt investigation to determine the likelihood that personal information has been or will be misused and shall give notice of a breach of the security of the system following discovery or notification of the security breach to a resident of this State if misuse of the personal information has occurred or if it is reasonably possible that misuse will occur. ... If there is no delay of notification due to law enforcement investigation pursuant to subsection 3, the notices must be made no more than 30 days after the person identified in paragraph A or B becomes aware of a breach of security and identifies its scope.”
112. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 22 M.R.S. §4011-A, Reporting of suspected abuse or neglect. Checked October 30, 2026.
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     “The following adult persons shall immediately, within no more than 24 hours, report or cause a report to be made to the department when the person knows or has reasonable cause to suspect that a child has been or is likely to be abused or neglected or that a suspicious child death has occurred: ... When acting in a professional capacity: ... (2) A health care practitioner ...”
113. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 22 M.R.S. §4002, Definitions (child and family services and child protection). “"Health care practitioner" means a physician or any other person certified, registered or licensed in the healing arts ...” Checked October 30, 2026.
114. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 22 M.R.S. §3477, Persons mandated to report suspected abuse, neglect or exploitation. Checked October 30, 2026.
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     “The following persons immediately shall report to the department when the person knows or has reasonable cause to suspect that an incapacitated or dependent adult has been or is likely to be abused, neglected or exploited: ... (13) A physical therapist; ... (14) A speech therapist; ... (15) An occupational therapist ...”
115. Maine Office of Professional and Occupational Regulation. Board of Occupational Therapy Practice Home. “... now requires mandated reporter training at least once every four years.” Checked October 30, 2026.
116. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 24-A M.R.S. §2847-T, Coverage for the diagnosis and treatment of autism spectrum disorders (group). Checked October 30, 2026.
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     “All group health insurance policies, contracts and certificates must provide coverage for autism spectrum disorders for an individual covered under a policy, contract or certificate who is 10 years of age or under in accordance with the following. ... The policy, contract or certificate may not include any limits on the number of visits.”
117. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 24-A M.R.S. §2847-T, Coverage for the diagnosis and treatment of autism spectrum disorders (group). “(3) Therapy services provided by a licensed or certified speech therapist, occupational therapist or physical therapist.” Checked October 30, 2026.
118. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 24-A M.R.S. §2847-T, Coverage for the diagnosis and treatment of autism spectrum disorders (group). “... the policy, contract or certificate may limit coverage for applied behavior analysis to $36,000 per year.” Checked October 30, 2026.
119. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 24-A M.R.S. §2768, Coverage for the diagnosis and treatment of autism spectrum disorders (individual). Checked October 30, 2026.
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     “All individual health insurance policies and contracts must provide coverage for autism spectrum disorders for an individual covered under a policy or contract who is 10 years of age or under in accordance with the following.”
120. Maine Legislature, Office of the Revisor of Statutes (Maine Revised Statutes). 24-A M.R.S. §2847-T, Coverage for the diagnosis and treatment of autism spectrum disorders (group). Checked October 30, 2026.
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     “This section may not be construed to affect any obligation to provide services to an individual with an autism spectrum disorder under an individualized education plan or an individualized family service plan.”
121. Centers for Medicare & Medicaid Services. Who are the MACs: A/B MAC Jurisdiction K (JK) (page last modified July 8, 2026). “Contract Awardee: National Government Services, Inc., contract number 75FCMC22C0003 ... JK processes FFS Medicare Part A and Part B claims for Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode Island, and Vermont ...” Checked October 30, 2026.
122. Maine Workers’ Compensation Board. Medical Fee Schedule, 90-351 C.M.R. ch. 5, effective October 1, 2026, Section 2.01. Checked October 30, 2026.
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     “Pursuant to 39-A M.R.S.A. § 209-A, the medical fee schedule for services rendered by individual health care providers must reflect the methodology underlying the federal Centers for Medicare and Medicaid Services resource-based relative value scale. ... The conversion factor for all other professional services is $60.00.”
123. APTA Maine. APTA Maine (the state association's site). Checked October 30, 2026.
124. the Maine Occupational Therapy Association (MEOTA). the Maine Occupational Therapy Association (MEOTA) (the state association's site). Checked October 30, 2026.
125. DrSensory. Occupational therapy clinics in Maine, 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.
126. 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 Maine, not legal, compliance, billing or financial advice. Rules change; the clinic confirms each with its source before acting on it.