Nevada PT, OT and SLP guide

For OT, PT and SLP clinics in Nevada: three state boards license the disciplines; the licensing law and the board’s rules give the physical therapist the evaluation and the plan of care, but not the diagnosis of physical disabilities; Nevada 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

Who licenses OTs, PTs and SLPs in Nevada?

Three state boards license the three disciplines in Nevada, and each publishes its own licensing law, rules, renewal cycle and continuing-education requirement.⁠^1,6,7 A clinic that employs more than one discipline keeps three registers, not one.

Physical therapists and physical therapist assistants answer to the Nevada Physical Therapy Board.⁠^{1,34,35,36,37,38,39,40,41,42,43,44} Occupational therapists and occupational therapy assistants answer to the State of Nevada Board of Occupational Therapy.⁠^{6,45,46,47,48,49} Speech-language pathologists answer to the Nevada Speech-Language Pathology, Audiology and Hearing Aid Dispensing Board.⁠^{7,50,51,52,53,54,55,56,57,58,59,60} The Nevada Physical Therapy Board, five members appointed by the Governor (three licensed physical therapists, one licensed physical therapist assistant and one member of the public), licenses physical therapists and physical therapist assistants.⁠^{1,34,35,36,37,38,39,40,41,42,43,44} The Board of Occupational Therapy, five members appointed by the Governor (three occupational therapists, one occupational therapist or occupational therapy assistant and one member of the public), licenses occupational therapists and occupational therapy assistants.⁠^{6,45,46,47,48,49} The Speech-Language Pathology, Audiology and Hearing Aid Dispensing Board, seven members appointed by the Governor (three speech-language pathologists from different practice settings, two audiologists, one hearing aid specialist and one member of the public), licenses speech-language pathologists.⁠^{7,50,51,52,53,54,55,56,57,58,59,60} No one may practice speech-language pathology in Nevada without a valid license under the chapter, except as the chapter provides.⁠^{7,50,51,52,53,54,55,56,57,58,59,60} 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 Nevada 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.⁠^1,6,7 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 Nevada PT, OT or SLP without a referral?

State law answers this discipline by discipline, and a payer may still require a referral the law does not. For physical therapy, the licensing law defines physical therapy to include performing and interpreting tests and measurements as an aid to evaluation or treatment and planning programs of treatment on their results, but not the diagnosis of physical disabilities, and the board’s rules have the physical therapist interpret the record of a patient referred by a provider of health care, perform the initial evaluation and develop the plan of care.⁠^2,8,9 For occupational therapy, the board’s rule lets an occupational therapist treat a patient for specific medical conditions when a provider of health care licensed in Nevada has referred the patient, and lets the occupational therapist, without referral, evaluate, plan and carry out a program of intervention, monitor and consult for a person whose ability to perform the tasks of daily living is impaired by developmental deficiencies, the aging process, environmental deprivation, sensory impairment, psychological or social dysfunction or other conditions, including in residential, educational, vocational and recreational settings and adult or child day care centers.⁠^61,62,63,64 For speech-language pathology, the licensing act requires a license to practice speech-language pathology and defines the practice to include prevention, screening, consultation, assessment, treatment, counseling, collaboration and referral services for disorders of speech, fluency, resonance, voice, language, feeding, swallowing and cognitive aspects of communication, and participating in a diagnosis at a physician’s request.⁠^65,66 Nevada Medicaid, as a payer, requires therapy to be prescribed by a physician, physician assistant or advanced practice nurse and rendered under that professional’s written orders, as part of a treatment regimen the therapist designs and the ordering professional approves.⁠⁹

The payer’s rule is separate. Medicare pays for outpatient therapy under a plan of care certified by a physician or nonphysician practitioner, and the regulation’s 2025 text lets a signed order or referral on file, with the plan delivered within 30 days of the initial evaluation, stand in for that signature on an initial plan.⁠²² Nevada 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 Nevada Medicaid pay for pediatric and adult therapy?

Nevada Medicaid is run by the Nevada Health Authority (NVHA), created by Senate Bill 494 in the 2025 Legislative Session, and a clinic enrolls through its provider enrollment route before it bills.⁠⁶⁷ 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.⁠⁶⁸ For most members under 21, Nevada Medicaid provides physical, occupational and speech therapy as a mandated EPSDT service. Therapy may be ordered under an EPSDT referral by a physician, physician assistant or advanced practice nurse, and therapy for developmental delay in speech and language, fine motor or gross motor skills may be covered when the deficit meets all medical necessity requirements.⁠^3,4,5

For adults, as for children, Nevada Medicaid pays for physical, occupational and speech therapy that is medically necessary to restore or ameliorate functional limitations from an illness or injury that can improve in a reasonable, predictable period. Community-based and hospital outpatient therapy share the same coverage and limits, and an individual session is covered for up to one hour a day with the same therapist.⁠^10,11,12 Evaluations and re-evaluations need no prior authorization. All other therapy must be prior authorized by Nevada Medicaid’s QIO-like vendor, except speech-language pathology for a stutter (fluency disorder) for members under 26 and any therapy for children under four, an age the manual corrected effective August 26, 2026. Requests go through the Provider Web Portal on form FA-7 with measurable goals and documentation of medical necessity.⁠^69,70,71 Most Nevada Medicaid and Nevada Check Up members get care through health plans, and since January 1, 2026 the mandatory managed care program, once limited to Clark and Washoe counties, covers rural and urban counties statewide through five health plans: Anthem Blue Cross and Blue Shield, CareSource Healthcare, Health Plan of Nevada, Molina Healthcare of Nevada and SilverSummit Healthplan. Members receiving child welfare or foster care services, home and community-based waiver services, hospice or Medical Assistance to the Aged, Blind, and Disabled are among those excluded, and children and youth with special health care needs may enroll voluntarily.⁠^{72,73,74,75,76} The fee schedule is published by the agency, and a clinic reads the current file rather than a remembered rate.⁠⁷⁷

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

Nevada Medicaid’s therapy billing guide caps a day’s billing by the same provider for the same member at four units across occurrence-based and time-based codes, requires the discipline modifier and the authorization number on every claim, and limits maintenance therapy to 10 sessions every 3 years.⁠^{78,79,80,81,82,83} 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 Nevada Medicaid pay for therapy in schools?

Nevada Medicaid pays qualified providers for School Health Services to Medicaid-eligible students under 21, whatever their special education or disability status, but not for services that are educational in nature. Local and state education agencies are paid for physical therapy, occupational therapy and speech-language pathology services prescribed by a physician, physician assistant or APRN.⁠^84,85 A school’s billing is the district’s, under its own program; an outpatient clinic’s claim for the same child is a separate matter with its own eligibility and authorization.

Does Nevada Medicaid cover therapy by telehealth?

Nevada Medicaid pays for telehealth that is clinically appropriate and within the professional’s scope of practice, with the originating site in Nevada, and its telehealth chapter says services by telehealth have parity with in-person care.⁠⁸⁶ The telehealth section below covers the state’s own rules for the session itself.

What are Nevada’s telehealth rules for therapy?

A therapist treating a patient by video needs authority to practice where the patient is located at the time of the session, and the federal telehealth site says so plainly: licensure follows the patient’s location, and a compact privilege is one route to it.⁠¹³ Nevada requires a provider of health care at a distant site to hold a Nevada license before using telehealth to direct or manage the care of, or diagnose, a patient located in Nevada. The occupational therapy rule requires a Nevada license for telehealth to a patient in Nevada and the same standard of care as in person, and the speech-language pathology statute requires a Nevada license for telepractice to any person in Nevada and services substantially equivalent in quality to in-person services. For occupational therapy, the board’s rule requires the patient’s consent to telehealth before services begin, documented in the record.⁠^87,88,89,90

A compact privilege is not a national license: it is a privilege to practice in the specific member state that issued it, under that state’s licensing law, and a state that has enacted the compact may not yet be issuing privileges, which is why the table names the commission’s current status.⁠^14,15,16 Nevada requires health insurance policies to cover services provided through telehealth to the same extent as in person and bars a prior authorization requirement for a telehealth service that does not need one in person. Payment must equal the in-person amount only for services received at a qualifying originating site or furnished by a federally qualified health center or rural health clinic (other than audio-only), and for mental health and substance use counseling or treatment.⁠^91,92

Which business steps are specific to Nevada?

The entity is registered with the Nevada Secretary of State, which also issues the state business license NRS 76.100 requires, through its Nevada Orion portal, and the choice of entity is shaped by the state’s rule on who may own a therapy business.⁠^25,26,27 Nevada’s professional entities law lets a professional corporation or professional limited-liability company be organized to render a professional service, meaning a personal service that may legally be performed only under a license, and, apart from the combinations the statute lists, only one specific type of professional service.⁠²⁸ State tax registration is with the Nevada Department of Taxation.⁠⁹³ The Department of Taxation says most tangible personal property transferred for value is taxable in Nevada, along with services necessary to complete such a sale. Prosthetic devices, orthotic appliances and ambulatory casts, and other supports and casts prescribed or applied by a licensed provider of health care within the provider’s scope of practice, are exempt under a statute effective through December 31, 2028.⁠^94,95 Nevada’s industrial insurance law requires every employer within its provisions to provide and secure compensation for personal injuries by accident that an employee sustains arising out of and in the course of the employment.⁠⁹⁶ 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 Nevada?

Nevada requires each custodian of health care records to keep patients’ records for 5 years after they are received or produced, unless federal law sets a longer period, and never to destroy the records of a person under 23. A provider of health care also posts a sign, and gives each new patient a written statement, that records may be destroyed after that period.⁠^23,24 Two federal periods sit beside it and are often confused with it: Medicare requires 7 years for documentation of orders, certifications, referrals and payment requests, and HIPAA requires 6 years for its own compliance documentation, and neither sets the retention period for the clinical chart.⁠^97,98

The PT and OT board rules require licensees to keep patient records secure and confidential and to release a confidential record only on the exceptions they list, such as the patient’s written consent (for a physical therapist’s minor patient, a parent’s or legal guardian’s), a board subpoena, a court order or a clear and immediate danger.⁠^99,100 Nevada requires a data collector that owns or licenses computerized personal information to notify any Nevada resident whose unencrypted personal information was, or is reasonably believed to have been, acquired by an unauthorized person, in the most expedient time possible and without unreasonable delay, and to notify the nationwide consumer reporting agencies when more than 1,000 people must be notified at one time.⁠¹⁰¹ Nevada requires a person licensed under chapters that include 637B, 640 and 640A of NRS, the speech-language pathology, physical therapy and occupational therapy chapters, who in a professional capacity knows or has reasonable cause to believe a child has been abused or neglected, to report it to a child welfare agency or a law enforcement agency as soon as reasonably practicable and no later than 24 hours after.⁠¹⁰²

Which Nevada rules shape a pediatric clinic?

Nevada’s Early Intervention Services, supervised under IDEA Part C by the IDEA Part C Office in the Aging and Disability Services Division, serve families with children under three who need extra support in their development. Anyone can refer a child, families choose their provider, and the state-operated provider, Nevada Early Intervention Services (NEIS), offers speech, physical and occupational therapy in the child’s natural environment at no cost to the family.⁠^{29,30,31,32,33} 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. Nevada requires group health benefit plans to cover screening, diagnosis and treatment of autism spectrum disorders for covered persons under 18, or under 22 while enrolled in high school, with treatment under a treatment plan that may include therapeutic care by licensed or certified speech-language pathologists, occupational therapists and physical therapists and no limit on the number of visits. Applied behavior analysis carries the yearly maximum benefit the statute sets, and individual health benefit plans must offer an option of coverage for screening, diagnosis and treatment of autism spectrum disorders for the same ages.⁠^103,104,105 The autism insurance mandates guide covers how such a mandate meets a plan’s own terms.

Which Nevada rules shape an adult clinic?

Medicare claims from Nevada go to Noridian Healthcare Solutions, LLC, the Medicare Administrative Contractor for Jurisdiction E, Parts A and B (American Samoa, California, Guam, Hawaii, Nevada and the Northern Mariana Islands), whose local coverage articles for therapy are the ones a Nevada clinic reads.⁠¹⁰⁶ Nevada Medicaid’s adult therapy rules are in the Medicaid section above. The Division of Industrial Relations publishes the Nevada Medical Fee Schedule for workers’ compensation, effective February 1, 2026, which pays services by a licensed PTA or OTA, identified with modifier -29, at 50 percent of the maximum allowable fee for licensed physical or occupational therapists.⁠^107,108

Which associations and directory pages serve Nevada?

The state chapters are APTA Nevada for physical therapy, the Nevada Occupational Therapy Association for occupational therapy and the Nevada Speech-Language-Hearing Association (NSHA) for speech-language pathology.⁠^109,110,111 On DrSensory, families browse Nevada 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.⁠¹¹²

Which Nevada cities have DrSensory city pages?

Beyond its three Nevada pages, the directory publishes city pages for 3 Nevada cities, 9 pages across the three disciplines, each listing the clinics whose address is in that city; a clinic appears on the city page of its address without any action of its own, and a city or discipline without a page is reached through the state page.⁠¹¹²

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

DrSensory lists 73 PT, OT and SLP clinics in Nevada, on its occupational therapy, physical therapy and speech therapy pages for the state.⁠¹¹²

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

Which templates does a Nevada launch need?

How might two Nevada clinics plan a launch?

Sources

1. Nevada Physical Therapy Board. Nevada Physical Therapy Board. Checked October 30, 2026.
2. Nevada Legislature. Nevada Revised Statutes, NRS 640.024, Practice of physical therapy defined. Checked October 30, 2026.
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   “Practice of physical therapy: 1. Includes: (a) The performing and interpreting of tests and measurements as an aid to evaluation or treatment; (b) The planning of initial and subsequent programs of treatment on the basis of the results of tests; ... 2. Does not include: (a) The diagnosis of physical disabilities ...”
3. Nevada Medicaid. Medicaid Services Manual, Chapter 1700, Therapy (MTL 29/26, effective August 26, 2026). “Nevada Medicaid provides therapy services for most Medicaid-eligible individuals under the age of 21 as a mandated service, a required component of Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) benefit.” Checked October 30, 2026.
4. Nevada Medicaid. Medicaid Services Manual, Chapter 1700, Therapy (MTL 29/26, effective August 26, 2026). “2. Therapy services may be ordered under an EPSDT referral by a physician, physician’s assistant or an APN.” Checked October 30, 2026.
5. Nevada Medicaid. Medicaid Services Manual, Chapter 1700, Therapy (MTL 29/26, effective August 26, 2026). “7. Therapy for Development Delay disorders may be covered for speech and language, fine motor and/or gross motor skills development when the functional deficit(s), identified by current diagnosis code(s) meet all medical necessity requirements.” Checked October 30, 2026.
6. State of Nevada Board of Occupational Therapy. State of Nevada Board of Occupational Therapy. Checked October 30, 2026.
7. Nevada Speech-Language Pathology, Audiology and Hearing Aid Dispensing Board. Nevada Speech-Language Pathology, Audiology and Hearing Aid Dispensing Board. Checked October 30, 2026.
8. Nevada Legislature. Nevada Administrative Code, NAC 640.590, Treatment of patient; delegation of treatment. Checked October 30, 2026.
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   “2. A physical therapist shall: (a) Interpret the record of a patient who is referred to the physical therapist by a provider of health care; (b) Perform the initial evaluation of a patient and identify any problem of the patient; (c) Develop a plan of care for a patient based upon the initial evaluation of the patient, which includes the goal of the treatment of the patient ...”
9. Nevada Medicaid. Medicaid Services Manual, Chapter 1700, Therapy (MTL 29/26, effective August 26, 2026). Checked October 30, 2026.
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   “Therapy services must be prescribed by a physician, physician’s assistant or an Advanced Practitioner of Nursing (APN). ... It must be rendered according to the written orders of the physician, physician’s assistant (PA) or an Advanced Practitioner of Registered Nursing (APRN) and be directly related to the active treatment regimen designed by the therapist and approved by the professional who wrote the order.”
10. Nevada Medicaid. Medicaid Services Manual, Chapter 1700, Therapy (MTL 29/26, effective August 26, 2026). Checked October 30, 2026.
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    “Medicaid will reimburse physical, occupational, speech therapy services rendered to eligible Medicaid recipients and eligible participants in the Nevada Check Up (NCU) Program. Therapy must be medically necessary (reference Medicaid Services Manual (MSM) Chapter 100 – Medicaid Program; Section 103.1) to restore or ameliorate functional limitations that are the result of an illness or injury which can respond or improve as a result of the prescribed therapy treatment plan in a reasonable, predictable period of time.”
11. Nevada Medicaid. Medicaid Services Manual, Chapter 1700, Therapy (MTL 29/26, effective August 26, 2026). “Therapy services provided in the community-based and/or hospital outpatient setting are subject to the same coverage and therapy limitations.” Checked October 30, 2026.
12. Nevada Medicaid. Medicaid Services Manual, Chapter 1700, Therapy (MTL 29/26, effective August 26, 2026). “... a. An individual therapy session may be covered up to a maximum of one hour when service is provided to the same recipient by the same therapist on the same day.” Checked October 30, 2026.
13. U.S. Department of Health and Human Services. Getting started with licensure (Telehealth.HHS.gov, last updated February 21, 2024). Checked October 26, 2026.
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    “Health professionals must meet the licensure requirements of the state where they are located and be licensed or legally permitted to practice in the state where the patient is located”. Its companion page, Licensing across state lines (last updated April 30, 2025): “The ability to deliver health care services across state lines varies based on state regulations”; “Prior to an appointment, providers should verify patient location and obtain consent”; “Compacts allow participating health care providers to practice in participating states”.
14. PT Compact Commission. PT Compact Map. “Member States (38) ... Nevada ... Compact Privilege Availability 38 Member States Actively Issuing and Accepting Compact Privileges ...” Checked October 30, 2026.
15. Nevada Physical Therapy Board. Physical Therapy Compact (PT Compact in Nevada). “As of January 20th, 2026, The Nevada Board is now issuing compact privileges ... To be eligible, practitioners must hold an active license in a home state that is a PT Compact member and meet other requirements, including passing Nevada’s Jurisprudence Exam.” Checked October 30, 2026.
16. Nevada Legislature. Nevada Revised Statutes, NRS 640.154, Enactment of Compact; text of Compact. “The Physical Therapy Licensure Compact is hereby ratified and entered into with all other jurisdictions legally joining the Compact, in substantially the form set forth in this section: ... (Added to NRS by 2025, 660)” Checked October 30, 2026.
17. Occupational Therapy Compact Commission. Before You Apply for an OT Compact Privilege. “States not listed below are not a member of the Occupational Therapy Compact.” Checked October 30, 2026.
18. Audiology and Speech-Language Pathology Interstate Compact Commission. Delegate Information. “Member State Appointed Delegates ... Nevada Audiology ... Nevada SLP ...” Checked October 30, 2026.
19. 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.
20. Nevada Speech-Language Pathology, Audiology and Hearing Aid Dispensing Board. Audiology & Speech-Language Pathology Interstate Compact. Checked October 30, 2026.
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    “* PENDING - NOT YET OPERATIONAL * Nevada passed legislation in 2025 through Assembly Bill 230 to join the Audiology and Speech-Language Pathology Interstate Compact (ASLP-IC), ... This legislation took effect July 1, 2025, and the ASLP-IC began issuing privileges in late October 2025. Nevada is working to become operational as we establish needed regulations, policies, data exchange processes, and other structures. ... Page Updated: 4/28/2026 ...”
21. Nevada Legislature. Nevada Revised Statutes, NRS 637B.248, Enactment of Compact; text of Compact. “The Audiology and Speech-Language Pathology Interstate Compact is hereby ratified and entered into with all other jurisdictions legally joining the Compact, in substantially the form set forth in this section ...” Checked October 30, 2026.
22. Code of Federal Regulations. 42 CFR 424.24, Requirements for medical and other health services furnished by providers under Medicare Part B (eCFR, up to date as of October 22, 2026; paragraph (c), outpatient physical therapy, occupational therapy and speech-language pathology services). Checked October 26, 2026.
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    “The individual needs, or needed, physical therapy, occupational therapy, or speech-language pathology services.”; “The services were furnished while the individual was under the care of a physician, nurse practitioner, clinical nurse specialist, or physician assistant.”; “The initial certification must be obtained as soon as possible after the plan is established.”; “Recertification is required at least every 90 days.”; “When it is recertified, the plan or other documentation in the patient’s record must indicate the continuing need for physical therapy, occupational therapy or speech-language pathology services.”; “the therapist has documented evidence that the plan of treatment has been delivered to the physician, NP, PA, or CNS within 30 days of completion of the initial evaluation, the certification does not need to be signed by a physician, NP, CNS, or PA who has knowledge of the case.”; “No references to an order or referral in this subsection shall be construed to require an order or referral for outpatient physical therapy, occupational therapy, or speech-language pathology services.”.
23. Nevada Legislature. Nevada Revised Statutes, NRS 629.051, Retention of records; disclosure to patients concerning destruction of records. Checked October 30, 2026.
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    “1. Except as otherwise provided in this section and in regulations adopted by the State Board of Health pursuant to NRS 652.135 with regard to the records of a medical laboratory and unless a longer period is provided by federal law, each custodian of health care records shall retain the health care records of patients as part of the regularly maintained records of the custodian for 5 years after their receipt or production. ... 7. A custodian of health care records shall not destroy the health care records of a person who is less than 23 years of age on the date of the proposed destruction of the records.”
24. Nevada Legislature. Nevada Revised Statutes, NRS 629.051, Retention of records; disclosure to patients concerning destruction of records. Checked October 30, 2026.
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    “2. A provider of health care shall post, in a conspicuous place in each location at which the provider of health care performs health care services, a sign which discloses to patients that their health care records may be destroyed after the period set forth in subsection 1. 3. When a provider of health care performs health care services for a patient for the first time, the provider of health care shall deliver to the patient a written statement which discloses to the patient that the health care records of the patient may be destroyed after the period set forth in subsection 1.”
25. Nevada Legislature. Nevada Revised Statutes, NRS 76.100, State business license required; application and fee for license; activities constituting conduct of business. Checked October 30, 2026.
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    “1. A person shall not conduct a business in this State unless and until the person obtains a state business license issued by the Secretary of State. If the person is: (a) An entity required to file an initial or annual list with the Secretary of State pursuant to this title, the person must obtain the state business license at the time of filing the initial or annual list.”
26. Nevada Department of Taxation. Start / Run a Business. “Get a Business License ID# online with Nevada Orion (Secretary of State).” Checked October 30, 2026.
27. Nevada Department of Taxation. Start / Run a Business. “Step 2: Apply for a Business License ... Apply Online: Get a Business License ID# online with Nevada Orion (Secretary of State) .” Checked October 30, 2026.
28. Nevada Legislature. Nevada Revised Statutes, NRS 89.020 and 89.050, Definitions; Scope of business (Professional Entities and Associations). Checked October 30, 2026.
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    “8. Professional entity means either a professional corporation or a professional limited-liability company. 9. Professional limited-liability company means a limited-liability company organized pursuant to this chapter to render professional service. 10. Professional service means any type of personal service which may legally be performed only pursuant to a license, certificate of registration or other legal authorization. ... 1. Except as otherwise provided in subsection 2, a professional entity may be organized only for the purpose of rendering one specific type of professional service and may not engage in any business other than rendering the professional service for which it was organized and services reasonably related thereto ...”
29. Nevada Aging and Disability Services Division. Early Intervention Services: Programs for Infants and Toddlers. “Early Intervention Services (EI) in Nevada helps families with young children under the age of three who need extra support in their development.” Checked October 30, 2026.
30. Nevada Aging and Disability Services Division. IDEA Part C. “The IDEA Part C Office, within the Aging and Disability Services Division (ADSD), supervises Early Intervention services (EIS) provided by programs in the state of Nevada according to the Individuals with Disabilities Education Act (IDEA).” Checked October 30, 2026.
31. Nevada Aging and Disability Services Division. Early Intervention Services: Programs for Infants and Toddlers. “If you have concerns about your child’s development, the first step is to request an evaluation by clicking the ’Submit a Referral’ button below. Anyone can refer a child—parents, caregivers, doctors, or other professionals.” Checked October 30, 2026.
32. Nevada Aging and Disability Services Division. Early Intervention Services: Programs for Infants and Toddlers. “Nevada Early Intervention Services (NEIS) is the state-operated provider within the Early Intervention system. ... In Nevada, parents have a choice. Nevada families may choose the Early Intervention provider that feels right for them.” Checked October 30, 2026.
33. Nevada Aging and Disability Services Division. Early Intervention Services: Programs for Infants and Toddlers. Checked October 30, 2026.
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    “Nevada Early Intervention Services provides a wide range of therapies and supports designed to help your child grow, learn, and reach important developmental milestones. Services are delivered in your child’s natural environment—such as your home, childcare setting, or community—and are always offered at no cost to your family. ... Speech and Language Services ... Physical Therapy Services ... Occupational Therapy Services ...”
34. Nevada Legislature. Nevada Revised Statutes, NRS 640.030, Creation; number, appointment, qualifications, terms and removal of members; quorum; civil liability; compliance with Open Meeting Law. Checked October 30, 2026.
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    “1. The Nevada Physical Therapy Board, consisting of five members appointed by the Governor, and any nonvoting advisory members appointed by the Board pursuant to NRS 640.055, is hereby created. 2. The Governor shall appoint: (a) Three members who are licensed physical therapists in the State of Nevada. (b) One member who is a licensed physical therapist assistant in the State of Nevada. (c) One member who is a representative of the general public.”
35. Nevada Physical Therapy Board. FAQs. “The Nevada Physical Therapy Board licenses physical therapist (PT’s) and physical therapist assistants (PTA’s).” Checked October 30, 2026.
36. Nevada Legislature. Nevada Revised Statutes, NRS 640.150, Renewal; expiration and reinstatement of license; continuing competency; regulations; fees. Checked October 30, 2026.
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    “1. A license to practice as a physical therapist or physical therapist assistant expires 1 year after the date of its issuance or on the date prescribed by the Board, whichever is later. Except as otherwise provided in subsection 2, a physical therapist or physical therapist assistant may renew a license before its expiration upon: (a) Presentation of proof of completion of a program of continuing competency as required by subsection 3; (b) Payment of a renewal fee established by the Board; and (c) Submission of all information required to complete the renewal. 2. A license may be renewed within 30 days after the date it expires.”
37. Nevada Physical Therapy Board. License Renewal and Continuing Competence. “Your annual renewal is primarily done through your licensee portal, and can be done up to 60 days before your expiration.” Checked October 30, 2026.
38. Nevada Physical Therapy Board. License Renewal and Continuing Competence. Checked October 30, 2026.
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    “The NV Jurisprudence Exam (NVJAM) is a free open-book, examination that assesses an individual’s knowledge and understanding of the laws, regulations, and practice standards that govern physical therapy in the State of Nevada. This Exam appears in your renewal through your Licensee Portal, and can not be completed before you begin your renewal.”
39. Nevada Physical Therapy Board. License Renewal and Continuing Competence. “Each licensed physical therapist and physical therapist assistant is required to complete 15 hours of continuing competency within the year immediately preceding his or her application for renewal of a license. At least 1 CCU must include an activity regarding Cultural, Access, and Ethical Standards (DEI)” Checked October 30, 2026.
40. Nevada Legislature. Nevada Administrative Code, NAC 640.400, General requirements (continuing education). Checked October 30, 2026.
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    “1. Except as otherwise provided in subsections 3, 4 and 5, every physical therapist or physical therapist assistant must complete 1.5 units of an approved course within the year immediately preceding his or her application for the renewal of his or her license, of which not more than 0.8 units may be completed in nonclinical courses.”
41. Nevada Legislature. Nevada Administrative Code, NAC 640.006, Unit of continuing education defined. “Unit of continuing education means 10 hours of instruction in an approved course.” Checked October 30, 2026.
42. Nevada Legislature. Nevada Administrative Code, NAC 640.594, Supervision of unlicensed person; limitation on number of persons supervised. Checked October 30, 2026.
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    “2. A physical therapist may not supervise more than: (a) Two physical therapists assistants at the same time. (b) Two physical therapists technicians at the same time. (c) Two students of physical therapy at the same time. (d) Two graduates of physical therapy at the same time. (e) If supervising any combination of graduates of physical therapy, students of physical therapy, physical therapists assistants and physical therapists technicians, a combined total of three such persons at the same time.”
43. Nevada Legislature. Nevada Revised Statutes, NRS 640.094, Requirements for physical therapist assistant to assist in practice of physical therapy. Checked October 30, 2026.
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    “A person licensed as a physical therapist assistant may assist in the practice of physical therapy only under the supervision of a supervising physical therapist, as regulated by the Board and subject to the conditions and limitations of this chapter and any regulations adopted pursuant thereto.”
44. Nevada Legislature. Nevada Administrative Code, NAC 640.592, Supervision of physical therapist assistant. Checked October 30, 2026.
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    “1. A physical therapist who supervises a physical therapist assistant who provides treatment to a patient: (a) Shall contact the patient initially to evaluate the patient and write a plan of care for that patient. ... (c) Must be accessible for communication by telephone during the time that the physical therapist assistant is treating the patient, if the physical therapist assistant has at least 2,000 hours of experience as a physical therapist assistant. (d) Shall provide the required treatment and reevaluate the patient not less than every seventh day of treatment or within 21 days, whichever occurs first.”
45. Nevada Legislature. Nevada Revised Statutes, NRS 640A.080, Creation; qualifications, appointment and terms of members; vacancies. Checked October 30, 2026.
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    “1. The Board of Occupational Therapy, consisting of five members appointed by the Governor, is hereby created. 2. The Governor shall appoint to the Board: (a) One member who is a representative of the general public. ... (b) One member who is an occupational therapist or occupational therapy assistant. (c) Three members who are occupational therapists.”
46. State of Nevada Board of Occupational Therapy. State of Nevada Board of Occupational Therapy (home page). “The Board is responsible for the administration, regulation and enforcement of the practice of occupational therapy in Nevada. The Board licenses qualified occupational therapists and occupational therapy assistants and regulates the professional practice of occupational therapy throughout the State.” Checked October 30, 2026.
47. Nevada Legislature. Nevada Administrative Code, NAC 640A.050, Expiration and renewal of standard license. “1. A standard license issued by the Board, including, without limitation, a standard license that has been converted to inactive status, expires 2 years after the date on which the license was issued.” Checked October 30, 2026.
48. Nevada Legislature. Nevada Administrative Code, NAC 640A.070, Continuing education: Generally. Checked October 30, 2026.
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    “1. Except as otherwise provided in subsection 5 and NAC 640A.101, a person with a standard license shall complete, to the satisfaction of the Board, at least 24 hours of continuing education per biennial renewal cycle. 2. If the licensee obtains more than 24 hours of continuing education during a biennial renewal cycle, he or she may carry over a maximum of 10 hours towards completion of his or her requirement for continuing education for the following biennial renewal cycle. 3. A licensee must achieve a passing score on the Nevada Occupational Therapy Jurisprudence Examination at least once every 5 years.”
49. Nevada Legislature. Nevada Administrative Code, NAC 640A.250, Occupational therapy assistant or provisional licensee: Practice under general supervision of occupational therapist. Checked October 30, 2026.
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    “1. An occupational therapy assistant or a provisional licensee shall not practice occupational therapy without the general supervision of an occupational therapist. Immediate physical presence or constant presence on the premises where the occupational therapy assistant or provisional licensee is practicing is not required of the occupational therapist. To provide satisfactory general supervision, the treating occupational therapist shall: (a) Provide an initial program of intervention, and any subsequent changes to the initial program, for patients assigned to the occupational therapy assistant or provisional licensee. (b) Not less than 1 hour for each 40 hours of work performed by the occupational therapy assistant or provisional licensee and, in any event, not less than 1 hour each month, engage in: (1) Clinical observation of the occupational therapy assistant or provisional licensee; or (2) Direct communication with the occupational therapy assistant or provisional licensee.”
50. Nevada Legislature. Nevada Revised Statutes, NRS 637B.100, Creation; number, appointment and qualifications of members; terms; vacancies. Checked October 30, 2026.
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    “1. The Speech-Language Pathology, Audiology and Hearing Aid Dispensing Board, consisting of seven members appointed by the Governor, is hereby created. 2. The Governor shall appoint: (a) Three members who are speech-language pathologists, each of whom must practice in a different setting, including, without limitation, a university, public school, hospital or private practice; (b) Two members who are audiologists; (c) One member who is a hearing aid specialist; and (d) One member who is a representative of the general public.”
51. Nevada Speech-Language Pathology, Audiology and Hearing Aid Dispensing Board. Nevada Speech-Language Pathology, Audiology and Hearing Aid Dispensing Board (home page). “Established under the provisions of NRS Chapter 637B and NAC Chapter 637B, the Board serves to protect the public health, safety and welfare through three primary responsibilities ...” Checked October 30, 2026.
52. Nevada Legislature. Nevada Revised Statutes, NRS 637B.290, Practice without license: Prohibition; penalties. “1. Except as otherwise provided in this chapter, a person shall not engage in the practice of audiology, speech-language pathology or fitting and dispensing hearing aids in this State without holding a valid license issued pursuant to the provisions of this chapter.” Checked October 30, 2026.
53. Nevada Legislature. Nevada Administrative Code, NAC 637B.036, Expiration and renewal of standard or provisional license; combined application for renewal of license as audiologist and speech-language pathologist. Checked October 30, 2026.
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    “1. Each standard and provisional license issued by the Board, including, without limitation, each standard license that has been converted to inactive status, expires 1 year after the date on which the license was issued. 2. An application to renew a license will not be approved unless the application is submitted not later than 30 days after the date on which the license expired.”
54. Nevada Speech-Language Pathology, Audiology and Hearing Aid Dispensing Board. Renew Your License. “All Board licenses, except temporary, must be renewed annually. ... The online renewal window opens 60 days prior to license expiration.” Checked October 30, 2026.
55. Nevada Legislature. Nevada Administrative Code, NAC 637B.400, Requirements for renewal of standard or provisional license; records; audits; excess credits may not be carried forward. Checked October 30, 2026.
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    “1. Except as otherwise provided in subsection 2 of NAC 637B.403 and NAC 637B.430, as a prerequisite for each renewal of a standard license or provisional license, a licensee must complete, during the annual period immediately preceding the renewal, at least 10 hours of continuing education approved by the Board that directly pertains to the profession in which he or she holds a license issued by the Board, including at least 1 hour of continuing education relating to ethics, cultural competence, cultural humility, culturally responsive practices or diversity, equity and inclusion.”
56. Nevada Speech-Language Pathology, Audiology and Hearing Aid Dispensing Board. Continuing Education. “Hours completed in excess of the required 10 may not be carried over/counted for the next year.” Checked October 30, 2026.
57. Nevada Legislature. Nevada Revised Statutes, NRS 637B.245, Speech-language pathology assistants, provisional licensees and students: Supervision; requirements for practice; regulations. Checked October 30, 2026.
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    “1. A speech-language pathology assistant, speech-language pathology provisional licensee or speech-language pathology student may engage in the practice of speech-language pathology only under the supervision of a supervising speech-language pathologist and in accordance with the provisions of this chapter and any regulations adopted pursuant thereto.”
58. Nevada Legislature. Adopted Regulation of the Speech-Language Pathology, Audiology and Hearing Aid Dispensing Board, LCB File No. R026-25. Checked October 30, 2026.
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    “3. A supervising speech-language pathologist shall not, at any one time, serve as a primary supervising speech-language pathologist for more than a combination of the equivalent of three full-time speech-language pathology provisional licensees, speech-language pathology assistants or speech-language pathology students.”
59. Nevada Legislature. Nevada Revised Statutes, NRS 637B.071, Speech-language pathology assistant defined. “Speech-language pathology assistant means a person licensed pursuant to NRS 637B.198 to engage in the practice of speech-language pathology under the supervision of a supervising speech-language pathologist.” Checked October 30, 2026.
60. Nevada Speech-Language Pathology, Audiology and Hearing Aid Dispensing Board. Proposed Laws and Regulations. Checked October 30, 2026.
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    “NAC 637B revised in LCB File #R026-25 Effective April 29, 2026 Revised multiple sections of NAC Chapter 637B. Not yet codified into chapter. ... NRS 637B revised in Assembly Bill 177 ... Effective January 1, 2026. Codified into chapter. Included a number of significant proposed changes, including licensing of Speech-Language Pathology Assistants ...”
61. Nevada Legislature. Nevada Administrative Code, NAC 640A.230, Scope of services with and without referral of patient by licensed provider of health care. Checked October 30, 2026.
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    “1. An occupational therapist may practice occupational therapy on a patient for specific medical conditions if the patient has been referred to the occupational therapist by a provider of health care licensed to practice in this state. 2. An occupational therapist may, without referral, provide occupational therapy services, including, without limitation, evaluation, planning and implementing a program of intervention, monitoring services and consultation for a person whose ability to perform the tasks of daily living is impaired by: (a) Developmental deficiencies; (b) The aging process; (c) Environmental deprivation; (d) Sensory impairment; (e) Psychological or social dysfunction; or (f) Other conditions. 3. An occupational therapist may provide the occupational therapy services listed in subsection 2 in a nonmedical setting, including, without limitation, a residential setting, an educational setting, a vocational setting, a recreational setting, or a center that provides for the care of adults or children during the day.”
62. Nevada Legislature. Nevada Administrative Code, NAC 640A.230, Scope of services with and without referral of patient by licensed provider of health care. “(c) Specific medical conditions includes those conditions of acute trauma, infection, disease, aging or postsurgical status where custom requires the involvement of a provider of health care.” Checked October 30, 2026.
63. Nevada Legislature. Nevada Revised Statutes, NRS 640A.230, Unauthorized practice prohibited; penalties. “1. Except as otherwise provided in NRS 629.091, a person shall not practice occupational therapy, or represent that he or she is authorized to practice occupational therapy, in this state unless he or she holds a current license issued pursuant to this chapter.” Checked October 30, 2026.
64. Nevada Medicaid. Medicaid Services Manual, Chapter 1700, Therapy (MTL 29/26, effective August 26, 2026). Checked October 30, 2026.
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    “Therapy services must be prescribed by a physician, physician’s assistant or an Advanced Practitioner of Nursing (APN). ... It must be rendered according to the written orders of the physician, physician’s assistant (PA) or an Advanced Practitioner of Registered Nursing (APRN) and be directly related to the active treatment regimen designed by the therapist and approved by the professional who wrote the order.”
65. Nevada Legislature. Nevada Revised Statutes, NRS 637B.060, Practice of speech-language pathology defined. Checked October 30, 2026.
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    “Practice of speech-language pathology means the application of principles, methods and procedures relating to the development and effectiveness of human communication and disorders of human communication, and includes, without limitation: 1. The prevention, screening, consultation, assessment, treatment, counseling, collaboration and referral services for disorders of speech, fluency, resonance voice language, feeding, swallowing and cognitive aspects of communication; ... 9. At the request of a physician, participating in the diagnosis of a person.”
66. Nevada Medicaid. Medicaid Services Manual, Chapter 1700, Therapy (MTL 29/26, effective August 26, 2026). Checked October 30, 2026.
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    “Therapy services must be prescribed by a physician, physician’s assistant or an Advanced Practitioner of Nursing (APN). ... It must be rendered according to the written orders of the physician, physician’s assistant (PA) or an Advanced Practitioner of Registered Nursing (APRN) and be directly related to the active treatment regimen designed by the therapist and approved by the professional who wrote the order.”
67. Nevada Medicaid. Provider Enrollment. Checked October 30, 2026.
68. 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.”.
69. Nevada Medicaid. Medicaid Services Manual, Chapter 1700, Therapy (MTL 29/26, effective August 26, 2026). Checked October 30, 2026.
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    “1. Initial and re-evaluations do not require prior authorization. Appropriate therapy evaluations must be accomplished and submitted with prior authorization requests. 2. All therapy services must be prior authorized by the Quality Improvement Organization (QIO)-like vendor with the following exceptions: a. Speech Language Pathology services provided to a recipient under the age of 26 for the treatment of a stutter (fluency disorder). b. Therapy services provided to children under the age of four years old.”
70. Nevada Medicaid. Medicaid Services Manual Transmittal Letter, Chapter 1700, Therapy (August 25, 2026). Checked October 30, 2026.
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    “These revisions were heard and approved through the Public Hearing process pursuant to Nevada Revised Statutes (NRS) 422.2369 on August 25, 2026, and became effective August 26, 2026. The adopted changes include correcting the prior authorization requirement for therapy services provided to children. Prior authorization was not required for children through the age of three years old. Therefore, language has been updated to state that prior authorization is not required for children under the age of four years old.”
71. Nevada Medicaid. Provider Type 34 Billing Guide: Therapy (updated July 27, 2026; Gainwell Technologies, fiscal agent for Nevada Medicaid). Checked October 30, 2026.
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    “Submit prior authorization requests to Nevada Medicaid using the online prior authorization system on the Provider Web Portal by using form FA-7. Complete all applicable form fields. The request must include measurable goals and sufficient documentation to illustrate that the proposed services are medically necessary as defined in MSM Chapters 100 and 1700.”
72. Nevada Medicaid. Medicaid Services Manual, Chapter 3600, Managed Care Organization (MTL 38/26, effective October 28, 2026). Checked October 30, 2026.
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    “The mandatory Managed Care Program was previously only available to Medicaid and Nevada Check Up (NCU) recipients in urban Clark and Washoe counties. Effective January 1, 2026, Statewide Managed Care is available to rural and urban counties throughout Nevada. ... Currently, Nevada Medicaid contracts with five Health Maintenance Organizations (HMO) as MCOs and one Prepaid Ambulatory Health Plan (PAHP) as the Dental Benefits Administrator (DBA) for the State of Nevada.”
73. Nevada Medicaid. Health Plans. “Most Nevada Medicaid and Check Up members get health care through health and dental plans depending on where they live and their eligibility. Starting January 1, 2026, health plans are available statewide, including rural areas for the first time.” Checked October 30, 2026.
74. Nevada Medicaid. Contact a Health Plan. “Anthem Blue Cross and Blue Shield ... CareSource Healthcare ... Health Plan of Nevada ... Molina Healthcare of Nevada ... SilverSummit Healthplan ...” Checked October 30, 2026.
75. Nevada Medicaid. Medicaid Services Manual, Chapter 3600, Managed Care Organization (MTL 38/26, effective October 28, 2026). Checked October 30, 2026.
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    “B. Managed Care Excluded Populations The following recipients are excluded from enrollment in the Managed Care Program: 1. Recipients who are receiving services through child welfare and/or foster care; 2. Recipients receiving services in an Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID); 3. Recipients receiving services in a Nursing Facility (NF) for more than 180 calendar days; 4. Recipients admitted to a swing bed stay in an acute care hospital over 45 calendar days; 5. Recipients receiving hospice services; and 6. Recipients enrolled in a 1915(c) Home and Community Based Services (HCBS) waiver program; and 7. Recipients in Medical Assistance to the Aged, Blind, and Disabled (MAABD).”
76. Nevada Medicaid. Medicaid Services Manual, Chapter 3600, Managed Care Organization (MTL 38/26, effective October 28, 2026). Checked October 30, 2026.
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    “C. Managed Care Voluntary Populations The following Medicaid recipients are exempt from mandatory enrollment; however, they are allowed to voluntarily enroll in an MCO if they choose: ... 2. Medicaid and NCU recipients who are determined to be Children and Youth with Special Health Care Needs (CYSHCN); ...”
77. Nevada Medicaid. Rates (Fee Schedules). Checked October 30, 2026.
78. Nevada Medicaid. Provider Type 34 Billing Guide: Therapy (updated July 27, 2026; Gainwell Technologies, fiscal agent for Nevada Medicaid). Checked October 30, 2026.
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    “Session Limit: This column indicates the number of units allowed per day, by the same provider, with the same recipient. Codes with a 1 unit maximum are occurrence-based and all other codes are time- based. A combination of occurrence- and time-based codes may be used but may not exceed a total of four units.”
79. Nevada Medicaid. Provider Type 34 Billing Guide: Therapy (updated July 27, 2026; Gainwell Technologies, fiscal agent for Nevada Medicaid). “Include the appropriate modifier (i.e., GO) on all claims. After prior authorization is issued, billed services must match the approved authorization. Be sure to include the authorization number on all claims.” Checked October 30, 2026.
80. Nevada Medicaid. Provider Type 34 Billing Guide: Therapy (updated July 27, 2026; Gainwell Technologies, fiscal agent for Nevada Medicaid). “Covered Codes for Physical Therapists - Use modifier GP when billing these codes. Use modifier CQ in addition to GP when a Physical Therapy Assistant rendered the service.” Checked October 30, 2026.
81. Nevada Medicaid. Provider Type 34 Billing Guide: Therapy (updated July 27, 2026; Gainwell Technologies, fiscal agent for Nevada Medicaid). Checked October 30, 2026.
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    “Covered Codes for Occupational Therapists (OT) – Use modifier GO when billing these codes. Use modifier CO in addition to GO when an Occupational Therapy Assistant rendered the service. ... 97533* Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) contact by the provider, each 15 min. 4 units Required ...”
82. Nevada Medicaid. Provider Type 34 Billing Guide: Therapy (updated July 27, 2026; Gainwell Technologies, fiscal agent for Nevada Medicaid). Checked October 30, 2026.
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    “Covered Codes for Speech Therapists (ST) – Use modifier GN when billing these codes. 92507* Treatment of speech, language, voice, communication and/or auditory processing disorder; individual Required** Any combination of codes 92507, 92508, 92526 and 97533 are limited to 4 modalities and/or therapeutic procedures in one day.”
83. Nevada Medicaid. Provider Type 34 Billing Guide: Therapy (updated July 27, 2026; Gainwell Technologies, fiscal agent for Nevada Medicaid). “All maintenance therapy must be prior authorized, provided by a skilled therapist, and can only be billed upon the completion of a rehabilitative program. All maintenance therapy is limited to 10 sessions every 3 years.” Checked October 30, 2026.
84. Nevada Medicaid. Medicaid Services Manual, Chapter 2800, School Health Services (MTL 12/26, effective April 29, 2026). Checked October 30, 2026.
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    “Nevada Medicaid reimburses qualified providers for School Health Services (SHS) when rendered to Medicaid-eligible students under the age of 21, regardless of their special education or disability status. Nevada Medicaid does not reimburse for services provided to students that are educational in nature.”
85. Nevada Medicaid. Medicaid Services Manual, Chapter 2800, School Health Services (MTL 12/26, effective April 29, 2026). Checked October 30, 2026.
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    “... a. Nevada Medicaid reimburses LEAs/SEAs for physical therapy services, which consist of services prescribed by a physician, PA, or APRN provided to a student to improve neuromuscular, musculoskeletal, and cardiopulmonary disabilities ... a. Nevada Medicaid reimburses LEAs/SEAs for occupational therapy evaluation and treatment, which consist of services prescribed by a physician, PA, or APRN ... a. Nevada Medicaid reimburses LEAs/SEAs for speech, hearing, and language pathology services, which consist of services prescribed by a physician, PA, or APRN ...”
86. Nevada Medicaid. Medicaid Services Manual, Chapter 3400, Telehealth Services (effective November 29, 2023). Checked October 30, 2026.
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    “The DHCFP reimburses for telehealth services. The originating site must be located within the state. ... Services provided via telehealth must be clinically appropriate and within the health care professional’s scope of practice as established by its licensing agency. Services provided via telehealth have parity with in-person health care services.”
87. Nevada Legislature. Nevada Revised Statutes, NRS 629.515, Valid license or certificate required; exceptions; restrictions; jurisdiction over and applicability of laws; conditions for establishment of relationship with patient using telehealth. Checked October 30, 2026.
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    “1. Except as otherwise provided in this subsection, before a provider of health care who is located at a distant site may use telehealth to direct or manage the care or render a diagnosis of a patient who is located at an originating site in this State or write a treatment order or prescription for such a patient, the provider must hold a valid license or certificate to practice his or her profession in this State, including, without limitation, a telemedicine license issued pursuant to NRS 630.261.”
88. Nevada Legislature. Nevada Administrative Code, NAC 640A.235, Services provided by telehealth: Duties of licensee; methods; license required. Checked October 30, 2026.
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    “(c) Ensure that occupational therapy services provided by telehealth observe the same standard of care as those provided in person; ... 4. A person who is required to be licensed by the Board to practice occupational therapy pursuant to chapter 640A of NRS shall not provide occupational therapy services by telehealth to a patient who is physically located in this State unless the person holds the appropriate license to provide such services issued by the Board.”
89. Nevada Legislature. Nevada Revised Statutes, NRS 637B.244, Telepractice: Requirements for practice. Checked October 30, 2026.
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    “1. A person who engages in the practice of audiology or speech-language pathology by telepractice within this State and is a resident of this State or provides services by telepractice to any person in this State must: (a) Hold a license to engage in the practice of audiology or speech-language pathology, as applicable, in this State; ... (d) Provide services by telepractice that, as determined by the Board, are substantially equivalent in quality to services provided in person ...”
90. Nevada Legislature. Nevada Administrative Code, NAC 640A.235, Services provided by telehealth: Duties of licensee; methods; license required. “(g) Obtain the consent of the patient to receive occupational therapy services by telehealth before the provision of such services and document such consent.” Checked October 30, 2026.
91. Nevada Legislature. Nevada Revised Statutes, NRS 689A.0463, Coverage for services provided through telehealth required to same extent as though provided in person or by other means; reimbursement for certain services provided through telehealth required in same amount as though provided in person or by other means; prohibited acts. Checked October 30, 2026.
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    “1. A policy of health insurance must include coverage for services provided to an insured through telehealth to the same extent as though provided in person or by other means. 2. A policy of health insurance must provide reimbursement for services described in subsection 1 in the same amount as though provided in person or by other means: (a) If the services: (1) Are received at an originating site described in 42 U.S.C. 1395m(m)(4)(C) or furnished by a federally-qualified health center or a rural health clinic; and (2) Except for services described in paragraph (b), are not provided through audio-only interaction; or (b) For counseling or treatment relating to a mental health condition or a substance use disorder, including, without limitation, when such counseling or treatment is provided through audio-only interaction. ... 4. A policy of health insurance must not require an insured to obtain prior authorization for any service provided through telehealth that is not required for the service when provided in person.”
92. Nevada Legislature. Nevada Revised Statutes, NRS 689B.0369, Required provision concerning coverage for services provided through telehealth to same extent as though provided in person or by other means. Checked October 30, 2026.
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    “1. A policy of group or blanket health insurance must include coverage for services provided to an insured through telehealth to the same extent as though provided in person or by other means.”
93. Nevada Department of Taxation. Register a Business FAQs. Checked October 30, 2026.
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    “Registering your business with the Nevada Department of Taxation is required by law to meet your legal obligations regarding tax collection and payments under Nevada law. This allows you to obtain necessary tax permits for operating your business legally in Nevada. ... You must have a Federal Identification Number (FEIN# or EIN) and Business License before registering for a tax permit.”
94. Nevada Department of Taxation. Sales Tax FAQs. “In Nevada, most tangible personal property transferred for value is taxable. This includes most goods, wares, and merchandise. Services that are necessary for completing the sale of tangible personal property are also taxable.” Checked October 30, 2026.
95. Nevada Legislature. Nevada Revised Statutes, NRS 372.283, Prosthetic devices, orthotic appliances and certain supports and casts; appliances and supplies relating to ostomy; products for hemodialysis; medicine; feminine hygiene products; diapers [Effective through December 31, 2028]. Checked October 30, 2026.
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    “[Effective through December 31, 2028.] 1. There are exempted from the taxes imposed by this act the gross receipts from sales and the storage, use or other consumption of: (a) Prosthetic devices, orthotic appliances and ambulatory casts for human use, and other supports and casts if prescribed or applied by a licensed provider of health care, within his scope of practice, for human use.”
96. Nevada Legislature. Nevada Revised Statutes, NRS 616B.612, Employers to provide compensation; effect of participation in consolidated insurance program; relief from certain liability. Checked October 30, 2026.
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    “1. Every employer within the provisions of chapters 616A to 616D, inclusive, or 617 of NRS, and those employers who accept the terms of those chapters and are governed by their provisions, shall provide and secure compensation according to the terms, conditions and provisions of those chapters for any personal injuries by accident sustained by an employee arising out of and in the course of the employment.”
97. 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.”.
98. 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.”.
99. Nevada Legislature. Nevada Administrative Code, NAC 640.610, Records; confidentiality. Checked October 30, 2026.
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    “1. A licensee shall: (a) Maintain in a secure and confidential manner any record of a patient which shows a medical problem of the patient or the scope of the treatment of the patient administered by the licensee; ... 2. Except as otherwise provided by law, a licensee may not release a record of a patient which is confidential, or any information contained therein, except: (a) With the written consent of the patient; (b) If the patient is a minor, with the written consent of the parent or legal guardian of the patient; ... (d) In response to a subpoena issued by the Board; (e) Pursuant to an order of a court of competent jurisdiction; or (f) If there is a clear and immediate danger to the patient, another person or to society.”
100. Nevada Legislature. Nevada Administrative Code, NAC 640A.290, Records of patients: Maintenance; release; falsification; review before signing. Checked October 30, 2026.
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     “1. A licensee shall maintain in a secure and confidential manner any record of a patient which shows a medical problem of the patient or the scope of the treatment of the patient administered by the licensee. 2. Except as otherwise provided by law, a licensee shall not release a record of a patient which is confidential, or any information contained therein, except: (a) With the written consent of the patient; (b) In response to a subpoena issued by the Board; (c) Pursuant to an order of a court of competent jurisdiction; or (d) When there exists a clear and immediate danger to the patient, another person or to society.”
101. Nevada Legislature. Nevada Revised Statutes, NRS 603A.220, Disclosure of breach of security of system data; methods of disclosure; applicability. Checked October 30, 2026.
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     “1. Except as otherwise provided in subsection 7, a data collector that owns or licenses computerized data which includes personal information shall disclose any breach of the security of the system data following discovery or notification of the breach to any resident of this State whose unencrypted personal information was, or is reasonably believed to have been, acquired by an unauthorized person. The disclosure must be made in the most expedient time possible and without unreasonable delay, consistent with the legitimate needs of law enforcement, as provided in subsection 3, or any measures necessary to determine the scope of the breach and restore the reasonable integrity of the system data. ... 6. If a data collector determines that notification is required to be given pursuant to the provisions of this section to more than 1,000 persons at any one time, the data collector shall also notify, without unreasonable delay, any consumer reporting agency that compiles and maintains files on consumers on a nationwide basis ...”
102. Nevada Legislature. Nevada Revised Statutes, NRS 432B.220, Persons required to make report; when and to whom reports are required. Checked October 30, 2026.
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     “1. Any person who is described in subsection 4 and who, in his or her professional or occupational capacity, knows or has reasonable cause to believe that a child has been abused or neglected shall: (a) Except as otherwise provided in subsection 2, report the abuse or neglect of the child to an agency which provides child welfare services or to a law enforcement agency; and (b) Make such a report as soon as reasonably practicable but not later than 24 hours after the person knows or has reasonable cause to believe that the child has been abused or neglected. ... 4. A report must be made pursuant to subsection 1 by the following persons: (a) A person providing services licensed or certified in this State pursuant to, without limitation, chapter 450B, 630, 630A, 631, 632, 633, 634, 634A, 634B, 635, 636, 637, 637B, 639, 640, 640A ...”
103. Nevada Legislature. Nevada Revised Statutes, NRS 689B.0335, Required provision concerning coverage for autism spectrum disorders for certain persons; prohibited acts. Checked October 30, 2026.
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     “1. A health benefit plan must provide coverage for screening for and diagnosis of autism spectrum disorders and for treatment of autism spectrum disorders to persons covered by the policy of group health insurance under the age of 18 years or, if enrolled in high school, until the person reaches the age of 22 years. ... 4. Except as otherwise provided in subsections 1 and 2, an insurer shall not limit the number of visits an insured may make to any person, entity or group for treatment of autism spectrum disorders. 5. Treatment of autism spectrum disorders must be identified in a treatment plan and may include medically necessary habilitative or rehabilitative care, prescription care, psychiatric care, psychological care, behavioral therapy or therapeutic care ... (n) Therapeutic care means services provided by licensed or certified speech-language pathologists, occupational therapists and physical therapists.”
104. Nevada Legislature. Nevada Revised Statutes, NRS 689B.0335, Required provision concerning coverage for autism spectrum disorders for certain persons; prohibited acts. “2. Coverage provided under this section is subject to: (a) A maximum benefit of the actuarial equivalent of $72,000 per year for applied behavior analysis treatment ...” Checked October 30, 2026.
105. Nevada Legislature. Nevada Revised Statutes, NRS 689A.0435, Option of coverage for autism spectrum disorders for certain persons required; prohibited acts. Checked October 30, 2026.
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     “1. A health benefit plan must provide an option of coverage for screening for and diagnosis of autism spectrum disorders and for treatment of autism spectrum disorders for persons covered by the policy under the age of 18 years or, if enrolled in high school, until the person reaches the age of 22 years.”
106. Centers for Medicare & Medicaid Services. Who are the MACs: A/B MAC Jurisdiction E (JE). “Contract Awardee: Noridian Healthcare Solutions, LLC, contract number 75FCMC21C0003 ... JE processes FFS Medicare Part A and Part B claims for American Samoa, California, Guam, Hawaii, Nevada and Northern Mariana Islands ...” Checked October 30, 2026.
107. Nevada Division of Industrial Relations. 2026 Nevada Medical Fee Schedule (Workers’ Compensation Section, effective February 1, 2026). Checked October 30, 2026.
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     “Services provided by a licensed physical therapist’s assistant or licensed occupational therapy assistant must be identified with the modifier “-29” and be reimbursed at 50 percent of the maximum allowable fee for licensed physical therapists or licensed occupational therapists.”
108. Nevada Division of Industrial Relations. Workers’ Compensation Section. “2026 Medical Fee Schedule-eff 2/1/26 ...” Checked October 30, 2026.
109. APTA Nevada. APTA Nevada (the state association's site). Checked October 30, 2026.
110. the Nevada Occupational Therapy Association. the Nevada Occupational Therapy Association (the state association's site). Checked October 30, 2026.
111. the Nevada Speech-Language-Hearing Association (NSHA). the Nevada Speech-Language-Hearing Association (NSHA) (the state association's site). Checked October 30, 2026.
112. DrSensory. Occupational therapy clinics in Nevada, 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.
113. 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 Nevada, not legal, compliance, billing or financial advice. Rules change; the clinic confirms each with its source before acting on it.