For therapists

Mississippi PT, OT and SLP guide

Who licenses OTs, PTs and SLPs in Mississippi, whether patients need a referral, how Mississippi Medicaid pays for children and adults, telehealth and the compacts, the business and records rules, and a launch checklist, every rule quoted from its source.

  • Sources Cited
  • Worksheet Included
  • For Clinicians

For OT, PT and SLP clinics in Mississippi: a board and a department 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; Mississippi Medicaid covers children’s therapy under EPSDT and adults within its own rules; and telehealth follows the patient’s location.⁠1,2,3,4,5,6

Key takeaways

  • In Mississippi, physical therapists are licensed by the Mississippi State Board of Physical Therapy and occupational therapists and speech-language pathologists by the Mississippi State Department of Health, under their licensing laws and rules.⁠1,7,8
  • For physical therapy, a physical therapist with a doctorate in physical therapy from an accredited institution, or with 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 a patient who has made no measurable or functional improvement after 30 calendar days of that treatment; any physical therapist may perform an initial evaluation or screening consultation without one.⁠2,9,10,11,12,13,14,15,16
  • Mississippi Medicaid covers occupational, physical and speech therapy for children under EPSDT, and its adult coverage, for members 21 and older, follows its covered-services rules.⁠3,4,5,6,17,18,19,20
  • Telehealth to a patient in Mississippi requires authority to practice where the patient is located; the PT Compact, the OT Compact and the ASLP Interstate Compact stand as their commissions state for Mississippi.⁠21,22,23,24,25,26,27,28,29,30,31
  • Medicare’s plan of care must be certified by a physician or nonphysician practitioner, and since January 2025 a signed order or referral on file can stand in for that signature on an initial plan delivered within 30 days of the evaluation.⁠32
  • As a Mississippi Medicaid requirement, current and former providers keep medical records for at least five years, or longer where federal or state law requires. Providers that file no cost report keep the records supporting their claims for five years from the date of service or until all audit findings are resolved, whichever is later.⁠33
  • The business entity is registered with the Mississippi Secretary of State’s Business Services, and the state’s rules on who may own a therapy entity apply.⁠34,35,36
  • A child under three with a developmental delay is referred to the First Steps Early Intervention Program, which runs separately from an outpatient clinic’s own intake.⁠37,38,39

Who licenses OTs, PTs and SLPs in Mississippi?

A board and a department license the three disciplines in Mississippi, 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.

DisciplineLicensed byLicensing law and rulesRenewal and continuing educationAssistants
Physical therapyMississippi State Board of Physical TherapyMississippi Code of 1972, Title 73, Chapter 23 (Mississippi Physical Therapy Practice Law); Mississippi Administrative Code, Title 30, Parts 3101 and 3103 (Mississippi State Board of Physical Therapy)Every two years, with the licensure period running July 1 through June 30: odd-numbered years for surnames A through L and even-numbered years for surnames M through Z; a renewal filed after June 30 is subject to a late fee; 30 continuing competence units each two-year licensing period, with no carryover; at least 7.5 must relate directly to the clinical practice of physical therapy, 3 hours must be ethics, professionalism or jurisprudence, and at least 15 must come from Certified Activities; licensees record and report their continuing competence through CE Broker, as the board’s page saysA physical therapist may supervise no more than four PTAs and physical therapy students in total at any point in the workday, counting all locations and employers; a PTA practices only under the direct supervision of a physical therapist licensed in Mississippi; the supervising PT must re-evaluate and personally treat a patient seen by a PTA at least every sixth PTA visit or every 30th calendar day, whichever comes first⁠1,40,41,42,43,44,45,46
Occupational therapyMississippi State Department of HealthMississippi Code of 1972, Title 73, Chapter 24 (Mississippi Occupational Therapy Practice Act); Mississippi Administrative Code, Title 15, Part 19, Subpart 60, Chapter 8 (Regulations Governing Licensure of Occupational Therapists and Occupational Therapy Assistants)Every two years, with the licensure period construed as May 1 through April 30 of even-numbered years; renewal requires a renewal fee and proof of completed continuing professional education; 20 contact hours each licensure period, with no carryover; 13 hours must be live face-to-face training and 2 hours must be ethics; a licensee may submit proof of current NBCOT certification instead of continuing education certificates, except for the 2 ethics hoursAn OT may supervise or consult with no more than two OTAs, except in school settings or settings that provide maintenance or tertiary services, such as the Department of Mental Health’s regional treatment centers; under indirect supervision, the OT has face-to-face contact with the patient once every seven therapy visits or 21 calendar days, whichever comes first, and documents communication with the OTA⁠7,47,48,49,50,51,52,53,54,55
Speech-language pathologyMississippi State Department of HealthMississippi Code of 1972, Title 73, Chapter 38 (Speech-Language Pathologists and Audiologists); Mississippi Administrative Code, Title 15, Part 19, Subpart 60, Chapter 10 (Regulations Governing Licensure of Speech-Language Pathologists and Audiologists)Every two years, with regular licenses expiring at midnight on June 30 of even-numbered years; the act provides for biennial renewal, paid on or before the expiration date; 20 contact hours each licensing term, with no carryover; at least 10 must relate directly to clinical practiceThe licensure rules provide for registered speech-language pathology aides: an SLP may supervise no more than three aides, directly observing an aide’s first five hours with clients and then 20 percent of the aide’s client time each week, documented weekly⁠8,56,57,58,59,60,61,62,63,64

Physical therapists and physical therapist assistants answer to the Mississippi State Board of Physical Therapy.⁠1,40,41,42,43,44,45,46 Occupational therapists, speech-language pathologists and their assistants answer to the Mississippi State Department of Health.⁠7,8,47,48,49,50,51,52,53,54,55,56,57,58,59,60,61,62,63,64 Under the occupational therapy law, the licensing board is the Mississippi State Board of Health, advised by the Mississippi Advisory Council in Occupational Therapy; the State Department of Health’s Professional Licensure division licenses occupational therapists and OTAs.⁠7,47,48,49,50,51,52,53,54,55 Under the speech-language pathology law, the licensing board is the Mississippi State Board of Health, aided by the Mississippi Council of Advisors in Speech-Language Pathology and Audiology; the State Department of Health’s Professional Licensure division licenses speech-language pathologists.⁠8,56,57,58,59,60,61,62,63,64 No one may practice as a speech-language pathologist in Mississippi without a license under the act or a compact privilege to practice.⁠8,56,57,58,59,60,61,62,63,64 The licensure rules do not prevent a person employed by the federal government, a school district or a private or parochial school from working as a speech-language pathologist without a license, when the services are performed solely within that employer’s jurisdiction.⁠8,56,57,58,59,60,61,62,63,64 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 Mississippi license renewal require?

Each regulator 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 regulator’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 Mississippi 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 from an accredited institution, or with 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 a patient who has made no measurable or functional improvement after 30 calendar days of that treatment; any physical therapist may perform an initial evaluation or screening consultation without one.⁠2,9,10,11,12,13,14,15,16 Any licensed physical therapist may treat without a prescription or referral children with a diagnosed developmental disability, home health and nursing home patients under the plan of care, and wellness and prevention clients, and may treat a condition diagnosed within the previous 180 days after informing the diagnosing provider, sending that provider a plan of care within the first 15 days. No physical therapist may render a medical diagnosis of a disease. Treating without a prescription or referral does not require any health plan, insurer or workers’ compensation to cover the service and does not get around their preauthorization requirements. The section leaves the Division of Medicaid free to set its own coverage rules for physical therapy and does not change its benefits, exclusions or limitations. The section was last amended by Laws 2024, chapter 310, effective July 1, 2024. The board’s home page gives its referral rule amendment (Part 3103, Rule 3.1), adopted after the 2024 direct access law, as final effective March 7, 2025. Mississippi Medicaid, as a payer, covers outpatient physical therapy when it is medically necessary, ordered by a physician, physician assistant or nurse practitioner, and prior authorized.⁠2,9,10,11,12,13,14,15,16 For occupational therapy, the occupational therapy law makes it unlawful for anyone not licensed, and not holding a compact privilege, as an occupational therapist or OTA to represent himself or herself in any manner as someone who provides occupational therapy services.⁠65,66 Mississippi Medicaid, as a payer, covers outpatient occupational therapy when it is medically necessary, ordered by a physician, physician assistant or nurse practitioner, and prior authorized.⁠65,66 For speech-language pathology, the licensing act requires a license, or a compact privilege to practice, to practice as a speech-language pathologist in Mississippi.⁠67,68 Mississippi Medicaid, as a payer, covers outpatient speech-language pathology when it is medically necessary, ordered by a physician, physician assistant or nurse practitioner for a communication impairment or swallowing disorder due to disease, trauma or congenital anomaly, and prior authorized.⁠67,68

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.⁠32 Mississippi 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 Mississippi Medicaid pay for pediatric and adult therapy?

Mississippi Medicaid is run by the Mississippi Division of Medicaid (DOM), and a clinic enrolls through its provider enrollment route before it bills.⁠69 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.⁠70 For children and young people under 21 who are eligible for EPSDT, Medicaid pays for all medically necessary physical, occupational and speech therapy without regard to service limitations, with prior authorization.⁠3,4,5,6

Medicaid’s speech therapy rule names adults and children in therapist offices, therapy clinics and hospital outpatient departments, and its physical therapy rule names adult beneficiaries in hospital outpatient departments, among the outpatient therapy services that need prior authorization for certain codes. Medicaid does not cover outpatient physical therapy provided in the home setting. The Division’s MississippiCAN comparison chart says home health physical, occupational and speech therapy are covered only for EPSDT-eligible members aged 20 and under.⁠17,18,19,20 Medicaid requires prior authorization for certain outpatient therapy services through its Utilization Management and Quality Improvement Organization (UM/QIO), and denies payment when it was not obtained.⁠71,72,73,74 Mississippi Medicaid’s managed care program is MississippiCAN, offered through three plans: Magnolia Health, Molina Healthcare and TrueCare. Uninsured children under 19 with household income at or below 200 percent of the federal poverty level (MAGI-equivalent) are covered by CHIP, a separate health plan.⁠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 Mississippi Medicaid want OT, PT and SLP claims coded?

Medicaid pays units of timed therapy codes on the total time actually spent delivering the service. The Division’s notice of October 27, 2026 says speech treatment code 92507 is retired effective December 31, 2026, with CMS replacing it with five more specific codes beginning January 1, 2027. The rates for the new codes and the prior authorization conversion rules were not yet final.⁠79,80 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 Mississippi Medicaid pay for therapy in schools?

School providers bill Medicaid for therapy, with prior authorization for certain codes, and outpatient therapy coverage requires that the services not duplicate another provider’s, including services in a school-based setting.⁠81,82 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 Mississippi Medicaid cover therapy by telehealth?

Medicaid lists physical, occupational and speech therapy among the provider types allowed to deliver telehealth from the distant site, and the beneficiary’s home is an allowed originating site.⁠83,84 The telehealth section below covers the state’s own rules for the session itself.

What are Mississippi’s telehealth rules for therapy?

A therapist treating a patient by video needs authority to practice where the patient is located at the time of the session, and the federal telehealth site says so plainly: licensure follows the patient’s location, and a compact privilege is one route to it.⁠21 The PT board’s telehealth rule requires an active Mississippi license in good standing, or other legal authorization to practice where the patient is, and holds tele-physical therapy to the board’s rules and the standards of care for onsite physical therapy. The occupational therapy rules allow telehealth visits held to the same standard of care as in-person occupational therapy. Before physical therapy is provided through telehealth, the PT or PTA must obtain written, informed consent from the patient or another person with authority to make the patient’s health care treatment decisions.⁠85,86,87,88

CompactMississippi’s statusSource
PT Compact (physical therapy)Member: the commission lists Mississippi among its 38 member states, which its map describes as actively issuing and accepting compact privileges, and the board gives the compact’s effective date in Mississippi as July 16, 2018, with its jurisprudence exam required before a privilege is approved (October 30, 2026)The PT Compact Commission⁠22,23,24
OT Compact (occupational therapy)Member, accepting applications: the commission’s Before You Apply table, which leaves out non-member states, gives October 5, 2026 for Mississippi under "Accepting OT Applications?", with no jurisprudence requirement, and the State Department of Health says the compact becomes active on October 5, 2026 (October 30, 2026)The OT Compact Commission⁠25,26,27
ASLP Interstate Compact (speech-language pathology and audiology)Member, not yet issuing privileges: the commission lists Mississippi’s appointed delegates, its home page names Louisiana, Ohio, Tennessee and West Virginia as the states open for registration, and the State Department of Health says the ASLP compact becomes active on November 9, 2026 (October 30, 2026)The ASLP-IC Commission⁠28,29,30,31

A compact privilege is not a national license: it is a privilege to practice in the specific member state that issued it, under that state’s licensing law, and a state that has enacted the compact may not yet be issuing privileges, which is why the table names the commission’s current status.⁠22,23,24 Mississippi requires health insurance and employee benefit plans to cover telemedicine services to the same extent as if the services were provided in person. The Code marks the section as repealed effective July 1, 2028.⁠89,90

Which business steps are specific to Mississippi?

The entity is registered with the Mississippi Secretary of State’s Business Services, and the choice of entity is shaped by the state’s rule on who may own a therapy business.⁠34 Mississippi’s Professional Corporation Act defines a professional service as one that may be lawfully rendered only by a person licensed or otherwise authorized by a licensing authority in Mississippi to render it, and the professional limited liability company article opens its definition of professional service with the same words.⁠35,36 State tax registration is with the Mississippi Department of Revenue.⁠91 The Department of Revenue says all sales of tangible personal property are subject to sales or use tax unless specifically exempt or excluded, and that certain services are taxable under Miss. Code Ann. § 27-65-23. Prescription drugs dispensed by a pharmacist are exempt, over-the-counter medications are taxable, and equipment and supplies sold to doctor and dentist offices are taxable.⁠92,93,94 Mississippi’s Workers’ Compensation Law covers every person, firm and private corporation, other than nonprofit charitable, fraternal, cultural or religious corporations or associations, that has five or more workers regularly in service in the same business or establishment.⁠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 Mississippi?

As a Mississippi Medicaid requirement, current and former providers keep medical records for at least five years, or longer where federal or state law requires. Providers that file no cost report keep the records supporting their claims for five years from the date of service or until all audit findings are resolved, whichever is later.⁠33 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

The occupational therapy and speech-language pathology licensure rules list revealing confidential information, except as the law requires, among the grounds for disciplinary sanctions.⁠98,99 A person doing business in Mississippi that owns, licenses or maintains residents’ personal information must disclose a breach of security to all affected individuals without unreasonable delay, subject to the statute’s exceptions and the completion of an investigation into the incident.⁠100,101 Mississippi requires any person, including physicians, nurses, psychologists, school employees and child caregivers, who has reasonable cause to suspect that a child is neglected or abused, or a victim of commercial sexual exploitation or human trafficking, to make an immediate oral report, followed by a written report, to the Department of Child Protection Services. Mississippi’s law on reporting sex crimes against minors names health care practitioners performing their occupational duties, including physical therapists, as mandatory reporters. Any person who knows or suspects that a vulnerable person is being abused, neglected or exploited must report it immediately to the Department of Human Services or the county department of human services, with separate rules for care facilities.⁠102,103,104

Which Mississippi rules shape a pediatric clinic?

First Steps, the Mississippi State Department of Health’s early intervention program under Part C of IDEA, serves families of infants and toddlers under 3 who have a developmental delay or a diagnosed condition likely to cause delays. A family or its primary care provider can refer a child with the referral form or by phone. The state’s Early Intervention Act defines eligible children as those from birth through 36 months of age who need early intervention services because of developmental delays or other listed reasons.⁠37,38,39 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. Mississippi requires health insurance policies delivered, issued or renewed on or after January 1, 2016 to cover the screening, diagnosis and treatment of autism spectrum disorder, and its definition of treatment includes therapeutic care, meaning services of licensed speech-language pathologists, occupational therapists or physical therapists as covered by the policy. Applied behavior analysis is limited to 25 hours a week and is not required beyond age 8, unless extended under an ongoing treatment plan as the statute allows. The section does not apply to nongrandfathered individual and small group plans that must include essential health benefits.⁠105,106,107,108 The autism insurance mandates guide covers how such a mandate meets a plan’s own terms.

Which Mississippi rules shape an adult clinic?

Medicare claims from Mississippi 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 Mississippi clinic reads.⁠109 CMS announced the Jurisdiction H award to Novitas on June 25, 2026.⁠109 Mississippi Medicaid’s adult therapy rules are in the Medicaid section above. The Workers’ Compensation Commission’s 2026 Medical Fee Schedule, effective June 1, 2026, must be used for reimbursement; it is sold by FAIR Health and is not posted on the Commission’s website.⁠110

Which associations and directory pages serve Mississippi?

The state chapters are APTA Mississippi for physical therapy, the Mississippi Occupational Therapy Association (MSOTA) for occupational therapy and the Mississippi Speech-Language-Hearing Association (MSHA) for speech-language pathology.⁠111,112,113 On DrSensory, families browse Mississippi 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.⁠114

Which Mississippi cities have DrSensory city pages?

Beyond its three Mississippi pages, the directory publishes city pages for one Mississippi city, Jackson, 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.⁠114

CityOccupational therapyPhysical therapySpeech therapy
JacksonOccupational therapy in JacksonPhysical therapy in JacksonSpeech therapy in Jackson

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

DrSensory lists 21 PT, OT and SLP clinics in Mississippi, on its occupational therapy, physical therapy and speech therapy pages for the state.⁠114

Is your clinic one of the 21?

An unclaimed listing shows what public records hold: the name, address, phone and therapy. A claimed listing carries the Claimed and verified badge and the clinic’s own name, address, phone, hours, website, therapies, ages served and insurance accepted, corrected in the clinic’s own editor.

Claiming starts with finding the listing and confirming the clinic’s email with a six-digit code. Claiming is free. Nothing is charged. The subscription, the one paid tier, adds a description, photos, clinicians, reviews and family messages, at $349.99 a year or $29.99 a month for the first location.

Claim your listingSee the pricing

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

RequirementWhere it comes fromWhat the clinic doesSource
A license for each clinicianMississippi State Board of Physical Therapy, Mississippi State Department of HealthVerify every license on the regulator’s site and enter its renewal date in the register1,7,8,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,59,60,61,62,63,64
Referral or direct accessThe licensing law for each disciplineSet the intake rule per discipline; keep the payer’s rule beside it2,9,10,11,12,13,14,15,16,65,66,67,68
Medicaid enrollment and coverageThe Mississippi Division of Medicaid (DOM)Enroll, read the program’s rules and each plan’s provider manual, note who issues authorizations3,4,5,6,69
Medicare plan of care42 CFR 424.24Certify every plan, or hold the signed order or referral on file with the plan delivered within 30 days32
Telehealth across a state lineThe patient’s state and the compactsConfirm the patient’s location each session; hold a license or a privilege there21,22,23,24
The business entityThe Mississippi Secretary of State’s Business ServicesChoose the entity the state’s law allows and register it34,35,36
Record retentionState law, Medicare and HIPAAKeep the longest period that applies33,96

Which templates does a Mississippi launch need?

Mississippi launch checklist. Each line names its source so the clinic can re-read the rule when it changes.

  • Physical therapy licenses verified with the Mississippi State Board of Physical Therapy; renewal dates and continuing-education hours entered in the register
  • Occupational therapy licenses verified with the Mississippi State Department of Health; the same
  • Speech-language pathology licenses verified with the Mississippi State Department of Health; the same
  • The intake rule for referrals set per discipline from the licensing law, with the payer’s rule beside it
  • Mississippi Medicaid enrollment filed; the program’s rules, each plan’s provider manual and who issues authorizations noted
  • Medicare enrollment and the plan-of-care routine in place
  • Telehealth: the patient-location check at every session; licenses or compact privileges for every state served
  • The entity registered with the Mississippi Secretary of State’s Business Services; the ownership rule read
  • The state’s sales-tax rule on services and on goods sold to patients read; a seller’s permit where the clinic sells goods
  • Record retention set to the longest period that applies
  • The early-intervention and school pathways known to intake, with the referral routes
  • The Medicare contractor’s therapy articles bookmarked
  • The state association memberships decided

License and renewal register. One line per clinician.

  • Clinician: [their name]
  • Discipline and department or board: [physical therapy, occupational therapy or speech-language pathology; the department or board]
  • License number: [as the department or board lists it]
  • Renewal date: [the date]
  • Continuing-education hours due and completed: [hours due by the department or board’s rule; hours completed to date]
  • Compact privileges held: [the states and the privilege numbers, if any]
  • Checked on the department or board’s site: [the date and by whom]

Payer register. One line per payer the clinic bills.

  • Payer: [Mississippi Medicaid, a managed care plan, Medicare through Novitas Solutions, Inc., a commercial plan]
  • Enrollment or contract status and effective date: [the status; the date]
  • Referral rule: [what the payer requires]
  • Authorization rule and who issues it: [what needs authorization; who issues it]
  • Telehealth rule: [covered services and modifiers]
  • Fee schedule location and date read: [where; when]
  • Owner: [who keeps this line current]

How might two Mississippi clinics plan a launch?

A pediatric occupational therapy clinic in Jackson. Hypothetical; a planning exercise, not a claim about demand in Jackson.

  • Licensing: the owner and one occupational therapy assistant are verified with the Mississippi State Department of Health; the assistant’s supervision rule from the department goes into the staffing plan.
  • Referrals: the licensing law’s rule for occupational therapy sets the intake script; Mississippi Medicaid’s referral and authorization rules sit beside it.
  • Medicaid: enrollment is filed before the first family is scheduled, and the program’s authorization rule for children, quoted above, is written into the scheduling routine.
  • Early intervention: families with children under three are told how the referral to the First Steps Early Intervention Program works and that the clinic’s services run beside it.
  • Records: the chart policy is set on day one at or above the longest retention period that applies.

An adult physical therapy clinic in Jackson. Hypothetical; a planning exercise, not a claim about demand in Jackson.

  • Licensing: two physical therapists verified with the Mississippi State Board of Physical Therapy; one holds a PT Compact privilege for a neighboring state, which the telehealth policy records.
  • Referrals: the licensing law’s direct-access rule, with its thirty-day improvement condition sets the intake script; Medicare’s plan-of-care routine is written before the first Medicare patient, with the signed order or referral held on file where the referring practitioner sends one.
  • Medicare: enrollment through Novitas Solutions, Inc.; the contractor’s therapy articles are read for the codes the clinic bills.
  • Telehealth: the patient-location check is part of every video session’s note; a patient who travels out of state is seen only where the clinic holds authority.
  • Business: the entity is registered with the Mississippi Secretary of State’s Business Services in the form the state’s law allows, and the local business license is filed with the city.

Frequently asked questions

Can I practice in Mississippi on a compact privilege from another state?

Only as the compact’s commission states for Mississippi: the table above gives each compact’s status, and a privilege is issued for a specific member state under that state’s licensing law, not as a national license.⁠22,23,24,25,26,27,28,29,30,31

Does Mississippi Medicaid cover therapy for adults?

Within its own rules: its adult coverage, for members 21 and older, follows its covered-services rules, as the Medicaid section quotes, while children’s coverage runs under EPSDT.⁠17,18,19,20,70

Do patients in Mississippi need a referral before therapy?

The licensing law answers per discipline and the referral section quotes each rule; a payer may still require a referral or a certified plan of care the law does not, so the intake script carries both rules.⁠2,9,10,11,12,13,14,15,16,32

Can I treat a Mississippi patient by telehealth from another state?

Only with authority to practice in Mississippi, since licensure follows the patient’s location; a compact privilege is one route where the compact is live for the state.⁠21,22,23,24

How long must a Mississippi clinic keep therapy records?

For Mississippi Medicaid services, at least five years.⁠33 Medicare’s 7-year and HIPAA’s 6-year rules cover other documents and do not shorten it.⁠96,97

Which entity can a Mississippi therapy clinic form?

Mississippi’s Professional Corporation Act defines a professional service as one that may be lawfully rendered only by a person licensed or otherwise authorized by a licensing authority in Mississippi to render it, and the professional limited liability company article opens its definition of professional service with the same words.⁠35,36 Registration with the Mississippi Secretary of State’s Business Services follows the choice.⁠34

How is a young child referred to early intervention in Mississippi?

Through the State Department of Health’s First Steps program, for children under 3; a family or its primary care provider can refer a child with the referral form or by phone.⁠37,38,39

Where do families find Mississippi therapy clinics on DrSensory?

On the state’s occupational therapy, physical therapy and speech therapy pages and on the city pages listed above, built from the clinic addresses the directory holds; a clinic’s listing appears on the pages of its own address, and a paid listing adds the clinic’s own description, hours and specialties.⁠114,115

Sources

  1. Mississippi State Board of Physical Therapy. Mississippi State Board of Physical Therapy. Checked October 30, 2026.
  2. Mississippi State Board of Physical Therapy. Miss. Code Ann. § 73-23-35, Licensing requirement; performing services without a prescription (board’s compilation, effective July 1, 2024). Checked October 30, 2026.
    Show the passageHide the passage
    “(4) The provisions of subsection (3) of this section shall not apply in the following circumstances: (a) Without a prescription or referral, a physical therapist licensed or privileged to practice under this chapter may perform an initial evaluation or consultation of a screening nature to determine the need for physical therapy. (b) For the treatment of a condition within the scope of physical therapy, a physical therapist licensed or privileged to practice under this chapter may implement physical therapy treatment with or without a prescription or referral from a person licensed as a physician, dentist, osteopath, podiatrist, chiropractor, physician assistant or nurse practitioner if the physical therapist meets one (1) of the following criteria: (i) The physical therapist has a doctorate degree in physical therapy from an accredited institution; or (ii) The physical therapist has five (5) years of licensed clinical practice experience. (c) If the patient has not made measurable or functional improvement after thirty (30) calendar days of implementing physical therapy treatment under the authority of this subsection (4), the physical therapist shall refer the patient to an appropriate health care provider.”
  3. Mississippi Secretary of State (Mississippi Administrative Code). Miss. Admin. Code Title 23, Part 213, Rule 1.13, Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) (physical therapy). “The Division of Medicaid pays for all medically necessary services for EPSDT-eligible beneficiaries in accordance with Part 223 of Title 23, without regard to service limitations and with prior authorization.” Checked October 30, 2026.
  4. Mississippi Secretary of State (Mississippi Administrative Code). Miss. Admin. Code Title 23, Part 213, Rule 2.11, Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) (occupational therapy). “The Division of Medicaid pays for all medically necessary services for EPSDT-eligible beneficiaries in accordance with Part 223 of Title 23, without regard to service limitations and with prior authorization.” Checked October 30, 2026.
  5. Mississippi Secretary of State (Mississippi Administrative Code). Miss. Admin. Code Title 23, Part 213, Rule 3.11, Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) (speech-language pathology). “The Division of Medicaid pays for all medically necessary services for EPSDT-eligible beneficiaries in accordance with Part 223 of Title 23, without regard to service limitations and with prior authorization.” Checked October 30, 2026.
  6. Mississippi Secretary of State (Mississippi Administrative Code). Miss. Admin. Code Title 23, Part 223, Rule 1.1, Program Description (EPSDT). “EPSDT services are provided to beneficiaries under age twenty-one (21).” Checked October 30, 2026.
  7. Mississippi State Department of Health. Mississippi State Department of Health. Checked October 30, 2026.
  8. Mississippi State Department of Health. Mississippi State Department of Health. Checked October 30, 2026.
  9. Mississippi State Board of Physical Therapy. Miss. Code Ann. § 73-23-35, Licensing requirement; performing services without a prescription (board’s compilation, effective July 1, 2024). Checked October 30, 2026.
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    “(3) Except as otherwise provided in this subsection (3) and in subsection (4) of this section, a physical therapist licensed under this chapter or privileged to practice shall not perform physical therapy services without a prescription or referral from a person licensed as a physician, dentist, osteopath, podiatrist, chiropractor, physician assistant or nurse practitioner. However, a physical therapist licensed under this chapter or privileged to practice may perform physical therapy services without a prescription or referral under the following circumstances: (a) To children with a diagnosed developmental disability pursuant to the patient’s plan of care. (b) As part of a home health care agency pursuant to the patient’s plan of care. (c) To a patient in a nursing home pursuant to the patient’s plan of care. (d) 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. (e)(i) To an individual for a previously diagnosed condition or conditions for which physical therapy services are appropriate after informing the health care provider rendering the diagnosis. The diagnosis must have been made within the previous one hundred eighty (180) days. The physical therapist shall provide the health care provider who rendered the diagnosis with a plan of care for physical therapy services within the first fifteen (15) days of physical therapy intervention.”
  10. Mississippi State Board of Physical Therapy. Miss. Code Ann. § 73-23-35, Licensing requirement; performing services without a prescription (board’s compilation, effective July 1, 2024). “(d) No physical therapist shall render a medical diagnosis of a disease.” Checked October 30, 2026.
  11. Mississippi State Board of Physical Therapy. Miss. Code Ann. § 73-23-35, Licensing requirement; performing services without a prescription (board’s compilation, effective July 1, 2024). Checked October 30, 2026.
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    “(5) Physical therapy services performed without a prescription or referral from a person licensed as a physician, dentist, osteopath, podiatrist, chiropractor, physician assistant or nurse practitioner shall not be construed to mandate coverage for physical therapy services under any health care plan, insurance policy, or workers’ compensation or circumvent any requirement for preauthorization of services in accordance with any health care plan, insurance policy or workers’ compensation.”
  12. Mississippi State Board of Physical Therapy. Miss. Code Ann. § 73-23-35, Licensing requirement; performing services without a prescription (board’s compilation, effective July 1, 2024). Checked October 30, 2026.
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    “(6) Nothing in this section shall restrict the Division of Medicaid from setting rules and regulations regarding the coverage of physical therapy services and nothing in this section shall amend or change the Division of Medicaid’s schedule of benefits, exclusions and/or limitations related to physical therapy services as determined by state or federal regulations and state and federal law.”
  13. Mississippi Legislature (Mississippi Code of 1972 Annotated, public access site maintained by LexisNexis). Miss. Code Ann. § 73-23-35 (history note). “Laws, 2024, ch. 310, § 1, eff from and after July 1, 2024.” Checked October 30, 2026.
  14. Mississippi State Board of Physical Therapy. Welcome to the Mississippi State Board of Physical Therapy Website. “Notice of Final Rule Adoption Effective March 7, 2025 On May 9, 2024, the Board voted to formally adopt these rule amendments. These final adoptions to the rules are affecting Title 30, Part 3103, Chapter 3, Rule 3.1.” Checked October 30, 2026.
  15. Mississippi State Board of Physical Therapy. Welcome to the Mississippi State Board of Physical Therapy Website. “Pursuant to passage of SB2072 (Direct Access) during the 2024 legislative session, on May 9, 2024, the Board voted to implement a rule amendment affecting Title 30, Part 3103, Chapter 3, Rule 3.1.” Checked October 30, 2026.
  16. Mississippi Secretary of State (Mississippi Administrative Code). Miss. Admin. Code Title 23, Part 213, Rule 1.3, Covered Physical Therapy Services. Checked October 30, 2026.
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    “A. The Division of Medicaid covers physical therapy services in the outpatient setting when medically necessary, ordered by a physician, physician assistant or nurse practitioner, and prior authorized by a Utilization Management/Quality Improvement Organization (UM/QIO), the Division of Medicaid or a designated entity to treat a beneficiary’s illness, condition, or injury and the following requirements are met ...”
  17. Mississippi Secretary of State (Mississippi Administrative Code). Miss. Admin. Code Title 23, Part 213, Rule 3.5, Prior Authorization/Pre-certification (speech-language pathology). Checked October 30, 2026.
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    “B. Prior Authorization/Pre-certification for outpatient therapy services is only required for certain procedure codes when the services fall into one (1) of the following categories: 1. Therapy services provided to beneficiaries, adult and/or children in individual therapist offices or in therapy clinics, 2. Therapy services provided to beneficiaries, adult and/or children in the outpatient department of hospitals ...”
  18. Mississippi Secretary of State (Mississippi Administrative Code). Miss. Admin. Code Title 23, Part 213, Rule 1.6, Prior Authorization/Precertification (physical therapy). “2. Therapy services provided to adult beneficiaries in the outpatient department of hospitals ...” Checked October 30, 2026.
  19. Mississippi Secretary of State (Mississippi Administrative Code). Miss. Admin. Code Title 23, Part 213, Rule 1.4, Non-Covered Physical Therapy Services. “W. Services are provided in the home setting, ...” Checked October 30, 2026.
  20. Mississippi Division of Medicaid. MississippiCAN Comparison Chart (revised August 11, 2026). “(Home health physical, occupational, and speech therapy services are covered exclusively for EPSDT-eligible members aged 20 and under, with additional visits authorized when medically necessary).” Checked October 30, 2026.
  21. U.S. Department of Health and Human Services. Getting started with licensure (Telehealth.HHS.gov, last updated February 21, 2024). Checked October 26, 2026.
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    “Health professionals must meet the licensure requirements of the state where they are located and be licensed or legally permitted to practice in the state where the patient is located”. Its companion page, Licensing across state lines (last updated April 30, 2025): “The ability to deliver health care services across state lines varies based on state regulations”; “Prior to an appointment, providers should verify patient location and obtain consent”; “Compacts allow participating health care providers to practice in participating states”.
  22. PT Compact Commission. PT Compact Map. “Member States (38) ... Mississippi ... Actively Issuing and Accepting Compact Privileges ...” Checked October 30, 2026.
  23. Mississippi Legislature (Mississippi Code of 1972 Annotated, public access site maintained by LexisNexis). Miss. Code Ann. § 73-23-101, Physical Therapy Licensure Compact. Checked October 30, 2026.
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    “The Physical Therapy Licensure Compact is enacted into law and entered into by this state with any and all states legally joining in the Compact in accordance with its terms, in the form substantially as follows ...”
  24. Mississippi State Board of Physical Therapy. PT Compact. “1. Pass the Mississippi Jurisprudence Exam. You must pass the Jurisprudence Exam before you can be approved for Compact Privilege. ... Physical Therapy Licensure Compact in Mississippi: Effective July 16, 2018 ...” Checked October 30, 2026.
  25. 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 OT Applications? Jurisprudence Information ... Mississippi October 5, 2026 not required ...” Checked October 30, 2026.
  26. Mississippi Legislature (Mississippi Code of 1972 Annotated, public access site maintained by LexisNexis). Miss. Code Ann. § 73-24-51, Occupational Therapy Licensure Compact. Checked October 30, 2026.
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    “The Occupational Therapy Licensure Compact is enacted into law and entered into by this state with any and all states legally joining in the Compact in accordance with its terms, in the form substantially as follows ...”
  27. Mississippi State Department of Health. Professional Licensure. “The Occupational Therapy Licensure Compact (OTLC) becomes active on October 5, 2026.” Checked October 30, 2026.
  28. Audiology and Speech-Language Pathology Interstate Compact Commission. Delegate Information. “Member State Appointed Delegates ... Mississippi Agency ...” Checked October 30, 2026.
  29. 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.
  30. Mississippi Legislature (Mississippi Code of 1972 Annotated, public access site maintained by LexisNexis). Miss. Code Ann. § 73-38-51, Audiology and Speech-Language Pathology Interstate Compact. Checked October 30, 2026.
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    “The Audiology and Speech-Language Pathology Interstate Compact is enacted into law and entered into by this state with any and all states legally joining in the Compact in accordance with its terms, in the form substantially as follows ...”
  31. Mississippi State Department of Health. Professional Licensure. “The Audiology & Speech-Language Pathology interstate Compact (ASPL-IC) becomes active on November 9, 2026.” Checked October 30, 2026.
  32. 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.”.
  33. Mississippi Secretary of State (Mississippi Administrative Code). Miss. Admin. Code Title 23, Part 200, Rule 1.3, Maintenance of Records. Checked October 30, 2026.
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    “E. All current and former Medicaid providers must retain medical records for a minimum of five (5) years or longer as required by federal or state law. ... 2. All providers not required to submit a cost report must keep and maintain books, documents, and other records as prescribed by the Division of Medicaid in substantiation of its claim for services rendered to Medicaid beneficiaries, for a period of five (5) years from the date of service or until after the date all audit findings are resolved, whichever is later.”
  34. Mississippi Secretary of State. Business FAQs. “Go to the Business Services home page and click on the button entitled "File Business Documents." You will be asked to login with the username and password.” Checked October 30, 2026.
  35. Mississippi Legislature (Mississippi Code of 1972 Annotated, public access site maintained by LexisNexis). Miss. Code Ann. § 79-10-5, Definitions (Professional Corporation Act). Checked October 30, 2026.
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    “(g) "Professional service" means a service that may be lawfully rendered only by a person licensed or otherwise authorized by a licensing authority in this state to render the service, including ... accountants, dentists, architects, veterinarians, osteopaths, physicians, surgeons and attorneys-at-law.”
  36. Mississippi Legislature (Mississippi Code of 1972 Annotated, public access site maintained by LexisNexis). Miss. Code Ann. § 79-29-902, Article definitions (professional limited liability companies). Checked October 30, 2026.
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    “(g) "Professional service" means a service that may be lawfully rendered only by a person licensed or otherwise authorized by a licensing authority in this state to render the service, including ...”
  37. Mississippi State Department of Health. Early Intervention. Checked October 30, 2026.
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    “The First Steps early intervention program supports families of infants and toddlers under three years of age who have a developmental delay, or who have a diagnosed condition that’s likely to cause delays in development. ... Early intervention is authorized under Part C of the Individuals with Disabilities Education Act (IDEA).”
  38. Mississippi State Department of Health. Early Intervention. Checked October 30, 2026.
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    “If you or your primary care provider have noticed delays in your child’s development, or if your child has a qualifying diagnosed condition that’s likely to affect his or her development, you can fill out the referral form below and send it to us, or complete the Referral Form over the phone by calling (601) 576-7427 in the Jackson area, or toll-free at 1-800-451-3903.”
  39. Mississippi Legislature (Mississippi Code of 1972 Annotated, public access site maintained by LexisNexis). Miss. Code Ann. § 41-87-5, Definitions (Early Intervention Act for Infants and Toddlers). Checked October 30, 2026.
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    “(a) "Eligible infants and toddlers" or "eligible children" means children from birth through thirty-six (36) months of age who need early intervention services because they: (i) Are experiencing developmental delays as measured by appropriate diagnostic instruments and procedures in one or more of the following areas ...”
  40. Mississippi State Board of Physical Therapy. Miss. Admin. Code Title 30, Part 3103, Rule 4.1, General Provisions (renewal; board’s compilation of its regulations). Checked October 30, 2026.
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    “Rule 4.1 General Provisions. The Board shall issue licenses which shall be subject to biennial renewal. 1. The licensure period shall be construed as July 1 through June 30 of odd-numbered years for persons whose surnames begin with A through L and the licensure period shall be construed as July 1 through June 30 of even-numbered years for persons whose surnames begin with M through Z.”
  41. Mississippi State Board of Physical Therapy. Miss. Admin. Code Title 30, Part 3103, Rule 4.2, Procedure for Renewal of License (board’s compilation of its regulations). “5. Renewal applications filed after June 30 are subject to a late fee.” Checked October 30, 2026.
  42. Mississippi State Board of Physical Therapy. Miss. Admin. Code Title 30, Part 3103, Rule 5.2, Requirements (continuing competence; board’s compilation of its regulations). Checked October 30, 2026.
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    “1. Regulations set the requirement of 30 continuing competence units (CCU) to be accrued during each 2-ear licensing period (July 1- June 30). No carryover of continuing competence units from one licensure period to another shall be allowed. 2. At least 25 percent (7.5 CCU) of the required continuing competence units earned during each licensure period must be directly related to the clinical practice of physical therapy. ... 3. All licensees must take three (3) hours of study in ethics, professionalism, or jurisprudence per licensing period as part of their total CC requirements. 4. At least 15 of the 30 required continuing competence units must be from Certified Activities (outlined in Rule 5.4).”
  43. Mississippi State Board of Physical Therapy. Continuing Competence. “All licensees must record and report compliance of continuing competence activities through the free online system provide by CE Broker.” Checked October 30, 2026.
  44. Mississippi State Board of Physical Therapy. Miss. Admin. Code Title 30, Part 3103, Rule 8.2, Direction and Supervision of the physical therapist assistant (board’s compilation of its regulations). Checked October 30, 2026.
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    “2. Physical Therapist Assistants under Supervision. It is the responsibility of the physical therapist to determine the number of physical therapist assistants he or she can supervise safely and competently. However, in no case shall the physical therapist supervise more than a total of four (4) physical therapist assistants and/or physical therapy students at any point in time during the physical therapist’s work day. The number of supervisees is inclusive of all geographic locations or employing agencies.”
  45. Mississippi State Board of Physical Therapy. Miss. Admin. Code Title 30, Part 3103, Rule 8.1, Definition (physical therapist assistant; board’s compilation of its regulations). “1. To practice only under the direct supervision of a physical therapist licensed to practice in Mississippi.” Checked October 30, 2026.
  46. Mississippi State Board of Physical Therapy. Miss. Admin. Code Title 30, Part 3103, Rule 8.2, Direction and Supervision of the physical therapist assistant (board’s compilation of its regulations). Checked October 30, 2026.
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    “A supervising physical therapist must, however, re-evaluate and render personal treatment to a patient receiving physical therapy services from a physical therapist assistant a minimum of least once every sixth (6th) physical therapist assistants visit or at least once every or thirtieth (30th) calendar day, whichever occurs first.”
  47. Mississippi Legislature (Mississippi Code of 1972 Annotated, public access site maintained by LexisNexis). Miss. Code Ann. § 73-24-3, Definitions. “(b) "Board" shall mean the Mississippi State Board of Health.” Checked October 30, 2026.
  48. Mississippi Legislature (Mississippi Code of 1972 Annotated, public access site maintained by LexisNexis). Miss. Code Ann. § 73-24-11, Advisory Council in Occupational Therapy. “(1) There is hereby established the Mississippi Advisory Council in Occupational Therapy under the jurisdiction of the State Board of Health.” Checked October 30, 2026.
  49. Mississippi State Department of Health. Professional Licensure. “The Mississippi State Department of Health’s Professional Licensure division regulates and licenses certain health-related professions in Mississippi.” Checked October 30, 2026.
  50. Mississippi State Department of Health. Miss. Admin. Code Title 15, Part 19, Subpart 60, Rule 8.6.1, General Provisions (renewal). “1. The Board shall issue licenses which shall be subject to renewal biennially. 2. The licensure period shall be construed as May 1 through April 30 of even numbered years.” Checked October 30, 2026.
  51. Mississippi Legislature (Mississippi Code of 1972 Annotated, public access site maintained by LexisNexis). Miss. Code Ann. § 73-24-27, License renewal. Checked October 30, 2026.
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    “(1) Except as provided in Section 33-1-39, any license issued under this article shall be subject to renewal and shall expire unless renewed in the manner prescribed by the rules and regulations of the board, upon the payment of a renewal fee and demonstration of completion of continuing professional education.”
  52. Mississippi State Department of Health. Miss. Admin. Code Title 15, Part 19, Subpart 60, Rule 8.7.2, Requirements (continuing education). Checked October 30, 2026.
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    “Regulations set the requirement of 20 contact hours (CH) or 2 Continuing Education Units (CEU) to be accrued during the licensure period. No carryover of continuing education hours from one licensure period to another shall be allowed. Minimum requirements shall be: a. Thirteen (13) hours are required to be live face-to-face training ... b. Two (2) contact hours of an ethic courses(s) related to the practice of occupational therapy shall be required during each licensure period.”
  53. Mississippi State Department of Health. Miss. Admin. Code Title 15, Part 19, Subpart 60, Rule 8.7.2, Requirements (continuing education). “2. Individuals may choose to renew licensure by submitting proof of the National Board for Certification in Occupational Therapy (NBCOT)’s certification in lieu of continuing education certificates with the exception of the 2 hours of ethic requirement.” Checked October 30, 2026.
  54. Mississippi State Department of Health. Miss. Admin. Code Title 15, Part 19, Subpart 60, Rule 8.11.2, Supervision or Consultation. Checked October 30, 2026.
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    “... iii. An occupational therapist may not supervise/consult with more than two (2) occupational therapy assistants except in school settings, or settings where maintenance or tertiary type services are provided, such as the regional treatment centers under the direction of the Department of Mental Health.”
  55. Mississippi State Department of Health. Miss. Admin. Code Title 15, Part 19, Subpart 60, Rule 8.11.2, Supervision or Consultation. Checked October 30, 2026.
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    “... ii. Indirect Supervision: The supervising occupational therapist has face-to-face contact with the patient/client once every seven (7) therapy visits or twenty-one (21) calendar days whichever comes first and communicates with the occupational therapy assistant by verbal communication as well as documented evidence of the communication.”
  56. Mississippi Legislature (Mississippi Code of 1972 Annotated, public access site maintained by LexisNexis). Miss. Code Ann. § 73-38-3, Definitions. “(a) "Board" means the Mississippi State Board of Health.” Checked October 30, 2026.
  57. Mississippi Legislature (Mississippi Code of 1972 Annotated, public access site maintained by LexisNexis). Miss. Code Ann. § 73-38-11, Council of Advisors. Checked October 30, 2026.
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    “(1) There is established the Mississippi Council of Advisors in Speech-Language Pathology and Audiology under the jurisdiction of the Mississippi State Board of Health. The council shall aid the board in administering the provisions of this article.”
  58. Mississippi State Department of Health. Professional Licensure. “The Mississippi State Department of Health’s Professional Licensure division regulates and licenses certain health-related professions in Mississippi.” Checked October 30, 2026.
  59. Mississippi Legislature (Mississippi Code of 1972 Annotated, public access site maintained by LexisNexis). Miss. Code Ann. § 73-38-5, Licenses required of speech-language pathologists and audiologists. Checked October 30, 2026.
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    “(2) No person shall practice or represent himself or herself as a speech-language pathologist or audiologist in this state unless he or she is licensed in accordance with the provisions of this article or holds the privilege to practice.”
  60. Mississippi State Department of Health. Miss. Admin. Code Title 15, Part 19, Subpart 60, Rule 10.9.1, Persons and Practices Exempt. Checked October 30, 2026.
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    “Rule 10.9.1 Persons and Practices Exempt: Nothing in this chapter shall be construed as preventing or restricting: ... 4. A person from being employed or working in a volunteer capacity without a license, as provided in this chapter, as a speech-language pathologist or audiologist by the government of the United States or by the governing authority of any school district or private or parochial school in this state, if such person performs speech-language pathology or audiology services solely within the confines or under the jurisdiction of the organization by which he is employed, or working in a volunteer capacity ...”
  61. Mississippi State Department of Health. Miss. Admin. Code Title 15, Part 19, Subpart 60, Rule 10.6.1, General Provisions (renewal). Checked October 30, 2026.
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    “1. The Board shall issue regular licenses which shall be renewed prior to the expiration date of the license. 2. The licensure period shall be construed as July 1 through June 30 with all regular licenses expiring at midnight on June 30 of even-numbered years.”
  62. Mississippi Legislature (Mississippi Code of 1972 Annotated, public access site maintained by LexisNexis). Miss. Code Ann. § 73-38-29, Expiration and renewal of licenses or privileges to practice. Checked October 30, 2026.
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    “(2) Every person licensed under this article or holding the privilege to practice shall, on or before the license or the privilege to practice expiration date, pay a fee for the biennial renewal of license or the privilege to practice ...”
  63. Mississippi State Department of Health. Miss. Admin. Code Title 15, Part 19, Subpart 60, Rule 10.7.2, Requirements (continuing education). Checked October 30, 2026.
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    “Regulations set the requirement of 20 contact hours (CH) or 2 Continuing Education Units (CEU) to be accrued during the licensing term. No carryover of continuing education hours from one licensure period to another shall be allowed. At least fifty (50) percent (10 Contact Hours or 1 CEU) of the continuing education requirement must be directly related to the clinical practice of speech-language pathology or audiology.”
  64. Mississippi State Department of Health. Miss. Admin. Code Title 15, Part 19, Subpart 60, Rule 10.10.5, Registration (speech-language pathology and audiology aides). Checked October 30, 2026.
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    “Supervision Requirements: A licensed speech-language pathologist or audiologist may not supervise more than three (3) aides. ... e. The supervising licensee shall directly observe the first five (5) hours while the aide works with clients. Thereafter, the supervising licensee shall directly observe the aide during twenty percent (20%) of the time that the aide works with clients per week, to be documented weekly in the aide’s personnel file.”
  65. Mississippi Legislature (Mississippi Code of 1972 Annotated, public access site maintained by LexisNexis). Miss. Code Ann. § 73-24-7, License required to use title of occupational therapist or similar titles. Checked October 30, 2026.
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    “(1) It is unlawful for any person who is not licensed or does not hold a compact privilege under this chapter as an occupational therapist or as an occupational therapy assistant, or whose license or compact privilege has been suspended or revoked, to: (a) In any manner represent himself or herself as someone who provides occupational therapy services ...”
  66. Mississippi Secretary of State (Mississippi Administrative Code). Miss. Admin. Code Title 23, Part 213, Rule 2.3, Covered Occupational Therapy Services. Checked October 30, 2026.
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    “A. The Division of Medicaid covers occupational therapy services in the outpatient setting when medically necessary, ordered by a physician, physician assistant or nurse practitioner, and prior authorized by a Utilization Management/Quality Improvement Organization (UM/QIO), the Division of Medicaid or a designated entity to treat a beneficiary’s illness, condition, or injury and the following requirements are met ...”
  67. Mississippi Legislature (Mississippi Code of 1972 Annotated, public access site maintained by LexisNexis). Miss. Code Ann. § 73-38-5, Licenses required of speech-language pathologists and audiologists. Checked October 30, 2026.
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    “(2) No person shall practice or represent himself or herself as a speech-language pathologist or audiologist in this state unless he or she is licensed in accordance with the provisions of this article or holds the privilege to practice.”
  68. Mississippi Secretary of State (Mississippi Administrative Code). Miss. Admin. Code Title 23, Part 213, Rule 3.3, Covered Speech-Language Pathology and Audiology Services. Checked October 30, 2026.
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    “A. The Division of Medicaid covers speech-language pathology and audiology services in the outpatient setting when medically necessary, ordered by a physician, physician assistant or nurse practitioner, for the diagnosis and treatment of a communication impairment and/or swallowing disorder due to disease, trauma, or congenital anomaly and prior authorized by a Utilization Management/Quality Improvement Organization (UM/QIO), the Division of Medicaid or a designated entity and the following requirements are met ...”
  69. Mississippi Division of Medicaid. Online Provider Enrollment (MESA Provider Portal). Checked October 30, 2026.
  70. 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.”.
  71. Mississippi Secretary of State (Mississippi Administrative Code). Miss. Admin. Code Title 23, Part 213, Rule 1.6, Prior Authorization/Precertification (physical therapy). Checked October 30, 2026.
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    “A. Medicaid requires prior authorization/precertification for certain outpatient therapy services. 1. Prior authorization/precertification for therapy services is conducted through the Utilization Management and Quality Improvement Organization (UM/QIO). 2. Failure to obtain prior authorization/precertification will result in denial of payment to the providers billing for services.”
  72. Mississippi Secretary of State (Mississippi Administrative Code). Miss. Admin. Code Title 23, Part 213, Rule 1.7, Prescribing Provider Orders and Responsibilities. “A. The prescribing provider must complete a Certificate of Medical Necessity for Initial Referral/Orders and submit it to the therapist prior to the therapy evaluation.” Checked October 30, 2026.
  73. Mississippi Secretary of State (Mississippi Administrative Code). Miss. Admin. Code Title 23, Part 213, Rule 1.7, Prescribing Provider Orders and Responsibilities. “5. Medicaid requires the POC to be developed to cover a period of treatment not to exceed six (6) months.” Checked October 30, 2026.
  74. Mississippi Secretary of State (Mississippi Administrative Code). Miss. Admin. Code Title 23, Part 213, Rule 1.6, Prior Authorization/Precertification (physical therapy). “D. Medicaid will cover the initial evaluation and first (1st) therapy session on the same day, when medically necessary.” Checked October 30, 2026.
  75. Mississippi Division of Medicaid. MississippiCAN Comparison Chart (revised August 11, 2026). “MississippiCAN Comparison Chart ... Magnolia Health MississippiCAN Molina Healthcare MississippiCAN TrueCare MississippiCAN ...” Checked October 30, 2026.
  76. Mississippi Division of Medicaid. Frequently Used Links. “Managed Care Plans Magnolia Health Plan Molina Healthcare TrueCare ...” Checked October 30, 2026.
  77. Mississippi Secretary of State (Mississippi Administrative Code). Miss. Admin. Code Title 23, Part 101, Rule 1.13, Optional Coverage of Children Elected to be Covered by Mississippi. Checked October 30, 2026.
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    “C. Uninsured children under age nineteen (19) whose household income is at or below two hundred percent (200%) of the federal poverty level (FPL) converted to a MAGI-equivalent standard are covered by the Children’s Health Insurance Program (CHIP), which is a separate health plan.”
  78. Mississippi Division of Medicaid. Search Fee Schedule (MESA Provider Portal). Checked October 30, 2026.
  79. Mississippi Secretary of State (Mississippi Administrative Code). Miss. Admin. Code Title 23, Part 213, Rule 1.11, Documentation (physical therapy). Checked October 30, 2026.
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    “... a) The Division of Medicaid defines timed codes as procedure codes that reference a time per unit. b) The Division of Medicaid covers units of timed codes based upon the total time actually spent in the delivery of the service.”
  80. Mississippi Division of Medicaid. Important Update for Speech Therapy Providers: Procedure Code 92507 Ending 12/31/2026. Checked October 30, 2026.
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    “The current procedure code 92507-Treatment of speech, language, voice, communication, and/or auditory processing disorder will be retired effective December 31, 2026. Beginning January 1, 2027, the Centers for Medicare and Medicaid Services (CMS) will replace 92507 with five new, more specific procedure codes. ... Because the Final Rule is still pending federal approval, CMS has not released the associated 2027 reimbursement rates for the new codes. ... Additional guidance will be issued as soon as PA conversion rules and mapping to the new procedure codes are finalized.”
  81. Mississippi Secretary of State (Mississippi Administrative Code). Miss. Admin. Code Title 23, Part 213, Rule 1.6, Prior Authorization/Precertification (physical therapy). “B. Prior Authorization/Precertification for outpatient therapy services is only required for certain codes when the services fall into one (1) of the following categories: ... 7. Therapy services billed by school providers.” Checked October 30, 2026.
  82. Mississippi Secretary of State (Mississippi Administrative Code). Miss. Admin. Code Title 23, Part 213, Rule 1.3, Covered Physical Therapy Services. “6. The services do not duplicate another provider’s services including those services provided in a school-based setting.” Checked October 30, 2026.
  83. Mississippi Secretary of State (Mississippi Administrative Code). Miss. Admin. Code Title 23, Part 225, Rule 1.3, Covered Services (telehealth). “1. At the following originating sites: ... k) Beneficiary’s home. 2. At the distant site the following provider types are allowed to render telehealth services: ... m) Physical, occupational or speech therapy, ...” Checked October 30, 2026.
  84. Mississippi Secretary of State (Mississippi Administrative Code). Miss. Admin. Code Title 23, Part 225, Rule 1.5, Reimbursement (telehealth). Checked October 30, 2026.
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    “B. The Division of Medicaid reimburses all providers delivering a medically necessary telehealth service at the distant site at the current applicable Mississippi Medicaid fee-for-service rate or encounter for the service provided. The provider must include the appropriate modifier on the claim indicating the service was provided through telehealth.”
  85. Mississippi State Board of Physical Therapy. Miss. Admin. Code Title 30, Part 3103, Rule 3.2, Telehealth (board’s compilation of its regulations). Checked October 30, 2026.
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    “6. Compliance with Laws and Regulations. A licensing practicing tele-physical therapy practitioner must: a. Have an active Mississippi license in good standing to practice telehealth in the state of Mississippi. b. Otherwise, be authorized by law to practice in another jurisdiction where the patient is physically present or domiciled. c. Abide by the Board’s law and rules and regulations and all current standards of care requirements applicable to onsite physical therapy services.”
  86. Mississippi State Department of Health. Miss. Admin. Code Title 15, Part 19, Subpart 60, Rule 8.1.5, Telehealth. Checked October 30, 2026.
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    “Telehealth: A licensee may provide occupational therapy services to a client utilizing a telehealth visit if the occupational therapy services are provided in accordance with all requirements of this Act. ... 3. A licensee engaged in a telehealth visit shall be held to the same standard of care as a licensee who provides in-person occupational therapy. A licensee shall not utilize a telehealth visit if the standard of care for the particular occupational therapy services cannot be met using technology.”
  87. Mississippi State Board of Physical Therapy. Miss. Admin. Code Title 30, Part 3103, Rule 3.2, Telehealth (board’s compilation of its regulations). “... f. Obtain written, informed consent from the patient or other appropriate person with authority to make health care treatment decisions for the patient before services are provided through telehealth.” Checked October 30, 2026.
  88. Mississippi Secretary of State (Mississippi Administrative Code). Miss. Admin. Code Title 23, Part 225, Rule 1.6, Documentation (telehealth). “A. Signed consent for treatment using telehealth ...” Checked October 30, 2026.
  89. Mississippi Legislature (Mississippi Code of 1972 Annotated, public access site maintained by LexisNexis). Miss. Code Ann. § 83-9-351, Health insurance plans in Mississippi to provide coverage for telemedicine services. Checked October 30, 2026.
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    “(2) All health insurance and employee benefit plans in this state must provide coverage for telemedicine services to the same extent that the services would be covered if they were provided through in-person consultation.”
  90. Mississippi Legislature (Mississippi Code of 1972 Annotated, public access site maintained by LexisNexis). Miss. Code Ann. § 83-9-351 (section heading). “Health insurance plans in Mississippi to provide coverage for telemedicine services; definitions [Repealed effective July 1, 2028].” Checked October 30, 2026.
  91. Mississippi Department of Revenue. Business Tax Frequently Asked Questions. “How do I get a sales tax number or register to collect sales tax? You may apply online through TAP ...” Checked October 30, 2026.
  92. Mississippi Department of Revenue. Business Tax Frequently Asked Questions. Checked October 30, 2026.
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    “What is subject to sales tax? Unless specifically exempt or excluded, all sales of tangible personal property are subject to the sales or use tax. ... Are services taxable? Certain types of labor performed in connection with the sale and installation of tangible personal property are taxable. Other miscellaneous services are taxable (see Miss. Code Ann. 27-65-23.)”
  93. Mississippi Department of Revenue. Business Tax Frequently Asked Questions. “Prescription drugs that may only be legally dispensed by a licensed pharmacist upon written authority from a practitioner licensed to administer the prescription are exempt from sales tax. All over-the-counter medications are taxable regardless if a physician provided a prescription for the medications.” Checked October 30, 2026.
  94. Mississippi Department of Revenue. Business Tax Frequently Asked Questions. “The sales of equipment and supplies to doctor and dentist offices are taxable. These items are consumed by them in the performance of their professional service.” Checked October 30, 2026.
  95. Mississippi Legislature (Mississippi Code of 1972 Annotated, public access site maintained by LexisNexis). Miss. Code Ann. § 71-3-5, Employers subject to chapter. Checked October 30, 2026.
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    “The following shall constitute employers subject to the provisions of this chapter: Every person, firm and private corporation, including any public service corporation but excluding, however, all nonprofit charitable, fraternal, cultural, or religious corporations or associations, that have in service five (5) or more workmen or operatives regularly in the same business or in or about the same establishment under any contract of hire, express or implied.”
  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. Mississippi State Department of Health. Miss. Admin. Code Title 15, Part 19, Subpart 60, Rule 8.8.1, Standards of Conduct (occupational therapy). Checked October 30, 2026.
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    “Standards of Conduct: Licensees subject to these regulations shall conduct their activities, services, and practice in accordance with this section. Licensees may be subject to the exercise of the disciplinary sanctions enumerated in Rule 8.8.6 of these regulations if the Department finds that a licensee is guilty of any of the following: ... 14. Revealing confidential information except as may be required by law.”
  99. Mississippi State Department of Health. Miss. Admin. Code Title 15, Part 19, Subpart 60, Rule 10.8.1, Standards of Conduct (speech-language pathology). Checked October 30, 2026.
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    “Rule 10.8.1 Standards of Conduct: Licensees subject to these regulations shall conduct their activities, services, and practice in accordance with this section. Licensees may be subject to the exercise of the disciplinary sanctions enumerated in Rule 10.8.6 of these regulations if the Board finds that a licensee is guilty of any of the following: ... 14. Revealing confidential information except as may be required by law.”
  100. Mississippi Legislature (Mississippi Code of 1972 Annotated, public access site maintained by LexisNexis). Miss. Code Ann. § 75-24-29, Persons conducting business in Mississippi required to provide notice of a breach of security involving personal information to all affected individuals. Checked October 30, 2026.
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    “(3) A person who conducts business in this state shall disclose any breach of security to all affected individuals. ... disclosure shall be made without unreasonable delay, subject to the provisions of subsections (4) and (5) of this section and the completion of an investigation by the person to determine the nature and scope of the incident ...”
  101. Mississippi Legislature (Mississippi Code of 1972 Annotated, public access site maintained by LexisNexis). Miss. Code Ann. § 75-24-29. “(1) This section applies to any person who conducts business in this state and who, in the ordinary course of the person’s business functions, owns, licenses or maintains personal information of any resident of this state.” Checked October 30, 2026.
  102. Mississippi Legislature (Mississippi Code of 1972 Annotated, public access site maintained by LexisNexis). Miss. Code Ann. § 43-21-353, Duty to inform Department of Child Protection Services. Checked October 30, 2026.
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    “(1) Any attorney, physician, dentist, intern, resident, nurse, psychologist, social worker, family protection worker, family protection specialist, child caregiver, minister, law enforcement officer, public or private school employee or any other person having reasonable cause to suspect that a child is a neglected child, an abused child, or a victim of commercial sexual exploitation or human trafficking shall cause an oral report to be made immediately by telephone or otherwise and followed as soon thereafter as possible by a report in writing to the Department of Child Protection Services ...”
  103. Mississippi Legislature (Mississippi Code of 1972 Annotated, public access site maintained by LexisNexis). Miss. Code Ann. § 97-5-51, Mandatory reporting of sex crimes against minors. Checked October 30, 2026.
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    “"Mandatory reporter" means any of the following individuals performing their occupational duties: health care practitioner, clergy member, teaching or child care provider, law enforcement officer, or ... provides health care services, including a physician, surgeon, physical therapist, psychiatrist, psychologist, medical resident, medical intern, hospital staff member, licensed nurse, midwife ...”
  104. Mississippi Legislature (Mississippi Code of 1972 Annotated, public access site maintained by LexisNexis). Miss. Code Ann. § 43-47-7, Reporting abuse, neglect or exploitation of vulnerable persons. Checked October 30, 2026.
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    “(1) (a) Except as otherwise provided by Section 43-47-37 for vulnerable persons in care facilities and by Section 43-7-65 for the State Ombudsman Program, any person including, but not limited to, the following, who knows or suspects that a vulnerable person has been or is being abused, neglected or exploited shall immediately report such knowledge or suspicion to the Department of Human Services or to the county department of human services where the vulnerable person is located.”
  105. Mississippi Legislature (Mississippi Code of 1972 Annotated, public access site maintained by LexisNexis). Miss. Code Ann. § 83-9-26, Coverage for autism spectrum disorder. Checked October 30, 2026.
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    “(1) Except as otherwise provided herein, a health insurance policy shall provide coverage for the screening, diagnosis, and treatment of autism spectrum disorder. To the extent that the screening, diagnosis, and treatment of autism spectrum disorder are not already covered by a health insurance policy, coverage under this section will be included in health insurance policies that are delivered, executed, issued, amended, adjusted, or renewed in this state, or outside this state if insuring residents of this state, on or after January 1, 2016.”
  106. Mississippi Legislature (Mississippi Code of 1972 Annotated, public access site maintained by LexisNexis). Miss. Code Ann. § 83-9-26(4), definitions. Checked October 30, 2026.
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    “(j) "Therapeutic care" means services provided by licensed speech-language pathologists, occupational therapists, or physical therapists as covered ... by the health insurance policy. (k) "Treatment for autism spectrum disorder" means evidence-based care prescribed or ordered for an individual diagnosed with an autism spectrum disorder by ... (v) Therapeutic care.”
  107. Mississippi Legislature (Mississippi Code of 1972 Annotated, public access site maintained by LexisNexis). Miss. Code Ann. § 83-9-26(5). Checked October 30, 2026.
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    “(5) Coverage under this section for applied behavior analysis shall be limited to twenty-five (25) hours per week, and shall not be required beyond the age of eight (8) years ... Coverage for applied behavior analysis pursuant to an ongoing treatment plan may be extended beyond the limits provided in this subsection ...”
  108. Mississippi Legislature (Mississippi Code of 1972 Annotated, public access site maintained by LexisNexis). Miss. Code Ann. § 83-9-26(8). “(8) Nothing in this section shall apply to nongrandfathered plans in the individual and small group markets that are required to include essential health benefits under the Patient Protection ...” Checked October 30, 2026.
  109. Centers for Medicare & Medicaid Services. Who are the MACs: A/B MAC Jurisdiction H (JH). Checked October 30, 2026.
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    “Award Announcement: A/B MAC Jurisdiction H award on SAM, June 25, 2026 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 ...”
  110. Mississippi Workers’ Compensation Commission. Medical Fee Schedule. Checked October 30, 2026.
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    “The 2026 MWCC Medical Fee Schedule is effective June 1, 2026 and can be ordered at: orders.fairhealth.org. The fee schedule is not available on the MWCC website and must be purchased from FAIR Health at the link listed above. Important: The Mississippi Workers’ Compensation Commission Medical Fee Schedule for 2026 must be used for reimbursement.”
  111. APTA Mississippi. APTA Mississippi (the state association's site). Checked October 30, 2026.
  112. the Mississippi Occupational Therapy Association (MSOTA). the Mississippi Occupational Therapy Association (MSOTA) (the state association's site). Checked October 30, 2026.
  113. the Mississippi Speech-Language-Hearing Association (MSHA). the Mississippi Speech-Language-Hearing Association (MSHA) (the state association's site). Checked October 30, 2026.
  114. DrSensory. Occupational therapy clinics in Mississippi, 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.
  115. 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 Mississippi, not legal, compliance, billing or financial advice. Rules change; the clinic confirms each with its source before acting on it.