Ohio therapy practice guide: PT, OT and SLP

For OT, PT and SLP clinics in Ohio: two state boards license the disciplines, a physical therapist with a master’s or doctoral degree may evaluate and treat without a referral, Ohio Medicaid covers children’s therapy under EPSDT and adults within its own rules, and telehealth follows the patient’s location. Every rule here is quoted from its source.⁠^1,2,3,4

Who licenses OTs, PTs and SLPs in Ohio?

Two state boards license the three disciplines in Ohio, and each publishes its own licensing law, rules, renewal cycle and continuing-education requirement.⁠^1,5,6 The Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board licenses occupational therapists and physical therapists, each through its own section.⁠^1,5 A clinic that employs more than one discipline keeps three registers, not one.

Physical therapists and physical therapist assistants answer to the Physical Therapy Section of the Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board.⁠^{1,26,27,28,29,30,31,32} Occupational therapists and occupational therapy assistants answer to the Occupational Therapy Section of the Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board.⁠^{5,33,34,35,36,37} Speech-language pathologists answer to the Ohio Speech and Hearing Professionals Board.⁠^{6,38,39,40,41} A license is a state authorization; a national certification (NBCOT for occupational therapy, the ASHA certificate for speech-language pathology, the NPTE for physical therapy) is a different thing and does not replace it. Compact privileges for practitioners licensed elsewhere are covered under telehealth below.

What does an Ohio license renewal require?

Each board sets its own cycle and hours, listed in the table above, and the register template at the end of this page tracks them per clinician.⁠^1,5,6 A renewal missed is a lapse, and the board’s own rules say what a lapsed licensee may and may not do; the clinic reads those rules before a clinician’s renewal date passes, not after.

Can a patient see an Ohio 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 who holds a master’s or doctoral degree from an accredited physical therapy program, or who had two years of licensed practice by December 31, 2004, may evaluate and treat without a prescription or referral; with the patient’s consent the therapist informs the patient’s practitioner of the evaluation within five business days, and consults with or refers to that practitioner if the patient makes no substantial progress in the 30 days after the first visit, unless the care is for fitness, wellness or prevention or for a previously diagnosed chronic, neuromuscular or developmental condition; the section states that nothing in the physical therapy act requires insurers or Medicaid to pay for therapy given without a prescription or referral, and Ohio Medicaid, as a payer, pays for physical therapy rendered in response to a prescription.⁠^2,7,8,9,10 For occupational therapy, Ohio’s occupational therapy law defines occupational therapy, including evaluation of factors affecting daily living, education, work, play and social participation, and requires a current license to practice it; Ohio Medicaid, as a payer, pays for occupational therapy rendered in response to a prescription from a licensed practitioner of the healing arts.⁠^42,43,44 For speech-language pathology, Ohio’s law defines the practice of speech-language pathology, including evaluation and habilitation or rehabilitation of communication disorders, and requires a license to practice it; its definition of speech-language pathology covers disorders of mastication or deglutition following a medical examination by a physician; Ohio Medicaid, as a payer, pays for speech-language pathology rendered in response to a referral from a licensed practitioner of the healing arts.⁠^45,46,47,48

The payer’s rule is separate. Medicare pays for outpatient therapy under a plan of care certified by a physician or nonphysician practitioner, and the regulation’s 2025 text lets a signed order or referral on file, with the plan delivered within 30 days of the initial evaluation, stand in for that signature on an initial plan.⁠¹⁹ Ohio 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 Ohio Medicaid pay for pediatric and adult therapy?

Ohio Medicaid is run by the Ohio Department of Medicaid, and a clinic enrolls through its provider enrollment route before it bills.⁠⁴⁹ 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.⁠⁵⁰ Healthchek, Ohio’s EPSDT benefit for members under 21, covers every medically necessary treatment to correct or ameliorate a condition, and its coverage limits, the therapy visit limits included, may be exceeded with prior authorization. The skilled therapy rule separately defines developmental services for children younger than seven.⁠^3,4

Ohio Medicaid pays for medically necessary physical, occupational and speech therapy of reasonable amount, frequency and duration, rendered on an evaluation and a treatment or maintenance plan and on a prescription or referral, with up to 30 visits per discipline per benefit year in a non-institutional setting without prior authorization.⁠¹¹ In a non-institutional setting, visits past 30 per benefit year in physical therapy, in occupational therapy, or in speech-language pathology and audiology need prior authorization, requested from the Ohio Department of Medicaid, its designee or the member’s managed care entity before the services are rendered. Paper requests cannot be processed except as section 5160.34 allows.⁠^51,52 More than 90 percent of Ohio Medicaid’s more than 3 million members receive coverage through its Next Generation managed care program, and most members are placed in managed care automatically, so a clinic works with the managed care plans as well as the department.⁠⁵³ The fee schedule is published by the agency, and a clinic reads the current file rather than a remembered rate.⁠⁵⁴

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

For physical, occupational and speech therapy alike, Ohio Medicaid pays the first unit of the highest-paying service of a discipline on a date at 100 percent of the fee schedule amount and each further unit or procedure in that discipline at 80 percent, only for services in the treatment or maintenance plan. It pays an evaluation once per injury or condition, separately from therapy, and allows a re-evaluation every 30 to 60 days for rehabilitative care and every 30 days to six months for developmental care.⁠^{55,56,57,58,59} 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 Ohio Medicaid pay for therapy in schools?

The Medicaid School Program enrolls school districts, the state schools for the deaf and the blind and community schools that employ or contract for therapists, among other practitioners, and covers students aged 3 to 21 with an IEP, a 504 plan or a school services plan of care.⁠^60,61 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 Ohio Medicaid cover therapy by telehealth?

Ohio Medicaid pays for medically necessary audiology, speech-language pathology, physical therapy and occupational therapy delivered by telehealth, home health included; OTAs, PTAs and SLP aides may render telehealth services but may not bill for them.⁠^62,63 The telehealth section below covers the state’s own rules for the session itself.

What are Ohio’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.⁠¹² Section 4743.09 lets occupational therapists, physical therapists, speech-language pathologists and their assistants provide telehealth, synchronous or asynchronous, from an initial visit on, under board rules that set a standard of care equal to that for in-person services. The therapist may require an in-person visit instead, must protect patient information, and must obtain the patient’s consent once before billing for telehealth.⁠^64,65,66,67

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.⁠^13,14 Section 3902.30 requires a health benefit plan to cover telehealth on the same basis and to the same extent as in-person care, bars excluding a service only because it is delivered by telehealth and bars telehealth cost sharing above that for comparable in-person care, and states that it is not to be read to require payment at the in-person rate.⁠⁶⁸

Which business steps are specific to Ohio?

The entity is registered with the Ohio Secretary of State, and the choice of entity is shaped by the state’s rule on who may own a therapy business. Physical therapists and occupational therapists may practice through a corporation, a limited liability company, a partnership or a professional association under Chapter 1785, and such an entity may combine their services with those of physicians, nurses, psychologists, counselors and other listed professions.⁠^21,22,23 State tax registration is with the Ohio Department of Taxation, with which every business taxpayer registers.⁠⁶⁹ Ohio’s sales tax applies to retail sales, leases and rentals of tangible goods and to some selected services. Sales of prosthetic devices, durable medical equipment for home use and mobility enhancing equipment are exempt when made pursuant to a prescription for use by a person, and a business making taxable sales must first obtain a vendor’s license.⁠^70,71,72 Every Ohio employer with one or more employees must have workers’ compensation coverage, applying to the Ohio Bureau of Workers’ Compensation on its Application for Ohio Workers’ Compensation Coverage (U-3), and a private employer pays its premium into the state insurance fund except as section 4123.35 otherwise provides.⁠^73,74 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 Ohio?

Ohio Medicaid’s provider agreement requires an enrolled provider to keep records that fully disclose the services provided for six years from the date payment is received, or until an audit begun within those six years is completed.⁠²⁰ 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.⁠^75,76

Ohio’s Chapter 3798 bars a HIPAA covered entity from using or disclosing protected health information without an authorization valid under the HIPAA privacy rule, except where federal rules require or permit it, and requires it to give patients access to their records and keep privacy safeguards consistent with HIPAA.⁠^77,78 Section 1349.19 requires a person that owns or licenses computerized personal information to notify each Ohio resident whose information was, or is reasonably believed to have been, accessed and acquired without authorization in a way that creates a material risk of identity theft or fraud, in the most expedient time possible and within 45 days of discovering the breach.⁠⁷⁹ Section 2151.421 requires every health care professional, defined as an individual who provides health-related services and naming speech-language pathologists, acting in a professional capacity to report immediately, to the public children services agency or a peace officer, known or suspected abuse or neglect of a child under 18 or of a person under 21 with a developmental disability or physical impairment. Section 5101.63 requires the persons it lists, employees of a home health agency, an outpatient health facility or a hospital among them, who have reasonable cause to believe an adult is being abused, neglected or exploited to report that belief immediately to the county department of job and family services.⁠^80,81

Which Ohio rules shape a pediatric clinic?

Ohio Early Intervention serves families of children from birth to age three with developmental delays or disabilities, in the places the child lives and plays. Anyone can refer a child by phone at 1-800-755-4769 or online, and checking eligibility costs the family nothing.⁠^24,25 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. Ohio’s autism mandate requires health insuring corporations and sickness and accident insurers, other than nongrandfathered individual and small group plans, to cover screening, diagnosis and treatment of autism spectrum disorder, including at least 20 visits a year each of speech and language therapy and occupational therapy for a member under 14, with prior authorization and a prescription or order from a psychologist trained in autism, a developmental pediatrician or a pediatric clinical nurse specialist or nurse practitioner.⁠^82,83,84,85 The autism insurance mandates guide covers how such a mandate meets a plan’s own terms. The Ohio Department of Health’s Complex Medical Help program assists Ohio residents under 26 with special health care needs who meet its medical and financial criteria. Its rules list physical therapists, occupational therapists and speech-language pathologists among eligible providers, with their services prescribed by a physician the program has approved.⁠^86,87

Which Ohio rules shape an adult clinic?

Medicare claims from Ohio go to CGS Administrators, LLC, the Medicare Administrative Contractor for Jurisdiction 15, Part B (Kentucky and Ohio), whose local coverage articles for therapy are the ones an Ohio clinic reads.⁠⁸⁸ Ohio Medicaid’s adult therapy rules are in the Medicaid section above. The Ohio Bureau of Workers’ Compensation publishes the professional provider fee schedule that managed care organizations, the bureau and self-insuring employers use to pay for services. It identifies always-therapy services, which are billed with the -GP, -GO or -GN modifier for the physical, occupational or speech therapy plan of care.⁠^89,90,91

Which associations and directory pages serve Ohio?

The state chapters are the Ohio Physical Therapy Association for physical therapy, the Ohio Occupational Therapy Association for occupational therapy and the Ohio Speech-Language-Hearing Association for speech-language pathology.⁠^92,93,94 On DrSensory, families browse Ohio 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.⁠⁹⁵

Which Ohio cities have DrSensory city pages?

Beyond its three Ohio pages, the directory publishes city pages for 4 Ohio cities, 12 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.⁠⁹⁵

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

DrSensory lists 81 PT, OT and SLP clinics in Ohio, on its occupational therapy, physical therapy and speech therapy pages for the state.⁠⁹⁵

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

Which templates does an Ohio launch need?

How might two Ohio clinics plan a launch?

Sources

1. Ohio. Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board (Physical Therapy Section). Checked October 30, 2026.
2. Ohio Legislative Service Commission (Ohio Laws). Section 4755.481 | Treatment without prescription or referral.. Checked October 30, 2026.
   Show the passageHide the passage

   “(A) If a physical therapist evaluates and treats a patient without the prescription of, or the referral of the patient by, a person described in division (H)(1) of section 4755.48 of the Revised Code, all of the following apply: (1) The physical therapist shall, upon consent of the patient, inform the relevant person described in division (H)(1) of section 4755.48 of the Revised Code of the evaluation not later than five business days after the evaluation is made. (2) If the physical therapist determines, based on reasonable evidence, that no substantial progress has been made with respect to that patient during the thirty-day period immediately following the date of the patient’s initial visit with the physical therapist, the physical therapist shall consult with or refer the patient to a person described in division (H)(1) of section 4755.48 of the Revised Code, unless either of the following applies: (a) The evaluation, treatment, or services are being provided for fitness, wellness, or prevention purposes. (b) The patient previously was diagnosed with chronic, neuromuscular, or developmental conditions and the evaluation, treatment, or services are being provided for problems or symptoms associated with one or more of those previously diagnosed conditions.”
3. Ohio Department of Medicaid (Ohio Administrative Code). Rule 5160-1-14 | Healthchek: early and periodic screening, diagnostic, and treatment (EPSDT) covered services.. Checked October 30, 2026.
   Show the passageHide the passage

   “(1) "Healthchek" is Ohio’s early and periodic screening, diagnostic, and treatment (EPSDT) benefit for all medicaid recipients younger than twenty-one years of age ... (6) All medically necessary screenings, health care, diagnostic services, treatment, and other measures described in 42 C.F.R. 440.347 (as in effect October 1, 2025) to correct or ameliorate defects and physical and mental illnesses and conditions, regardless of whether such measures are addressed in agency 5160 of the Administrative Code. (D) Additional provisions. (1) Coverage limits that have been established may be exceeded, with prior authorization, for medically necessary services rendered to medicaid-eligible individuals younger than twenty-one years of age.”
4. Ohio Department of Medicaid (Ohio Administrative Code). Rule 5160-8-35 | Skilled therapy services.. Checked October 30, 2026.
   Show the passageHide the passage

   “(a) "Developmental service" is a skilled therapy service rendered, in accordance with developmental milestones established by the American academy of pediatrics, to enable individuals younger than seven years of age to attain a level of age-appropriate functionality that they have not yet achieved but are expected to achieve.”
5. Ohio. Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board (Occupational Therapy Section). Checked October 30, 2026.
6. Ohio. Ohio Speech and Hearing Professionals Board. Checked October 30, 2026.
7. Ohio Legislative Service Commission (Ohio Laws). Section 4755.48 | Prohibitions.. Checked October 30, 2026.
   Show the passageHide the passage

   “(H)(1) Except as provided in division (H)(2) of this section and subject to division (I) of this section, no person shall practice physical therapy other than on the prescription of, or the referral of a patient by, a person who is licensed in this or another state to do at least one of the following: (a) Practice medicine and surgery, chiropractic, dentistry, osteopathic medicine and surgery, podiatric medicine and surgery; (b) Practice as a physician assistant; (c) Practice nursing as an advanced practice registered nurse. (2) The prohibition in division (H)(1) of this section on practicing physical therapy other than on the prescription of, or the referral of a patient by, any of the persons described in that division does not apply if either of the following applies to the person: (a) The person holds a master’s or doctorate degree from a professional physical therapy program that is accredited by a national physical therapy accreditation agency approved by the physical therapy section of the Ohio occupational therapy, physical therapy, and athletic trainers board. (b) On or before December 31, 2004, the person has completed at least two years of practical experience as a licensed physical therapist.”
8. Ohio Legislative Service Commission (Ohio Laws). Section 4755.481 | Treatment without prescription or referral.. Checked October 30, 2026.
   Show the passageHide the passage

   “(B) Nothing in sections 4755.40 to 4755.56 of the Revised Code shall be construed to require reimbursement under any health insuring corporation policy, contract, or agreement, any sickness and accident insurance policy, the medicaid program, or the health partnership program or qualified health plans established pursuant to sections 4121.44 to 4121.442 of the Revised Code, for any physical therapy service rendered without the prescription of, or the referral of the patient by, a person described in division (H)(1) of section 4755.48 of the Revised Code.”
9. Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board. Scope of Practice and FAQs. Checked October 30, 2026.
   Show the passageHide the passage

   “The Ohio Physical Therapy Practice Act does not vary with practice setting. Section 4755.481 of the Revised Code authorizes physical therapists to evaluate and treat without a physician’s referral. The physical therapist must, upon consent of the patient, parent, or legal guardian, inform the patient’s medical heath professional of the physical therapy evaluation within five (5) business days of the evaluating having taken place.”
10. Ohio Department of Medicaid (Ohio Administrative Code). Rule 5160-8-35 | Skilled therapy services.. Checked October 30, 2026.
    Show the passageHide the passage

    “The service is rendered in response either to a prescription (in the case of physical therapy or occupational therapy) or to a referral (in the case of speech-language pathology and audiology) issued by a licensed practitioner of the healing arts, in accordance with 42 C.F.R. 440.110 (October 1, 2017) and rule 5160-1-17.9 of the Administrative Code. This condition does not apply to services rendered through the medicaid school program, which is described in Chapter 5160-35 of the Administrative Code.”
11. Ohio Department of Medicaid (Ohio Administrative Code). Rule 5160-8-35 | Skilled therapy services.. Checked October 30, 2026.
    Show the passageHide the passage

    “(1) Payment may be made for a skilled therapy service if the following conditions are met: (a) The service is medically necessary, in accordance with rule 5160-1-01 of the Administrative Code. (b) The amount, frequency, and duration of service is reasonable. ... (2) Payment for skilled therapy services rendered without prior authorization in a non-institutional setting is subject to the following limits: (a) For physical therapy services, a total of not more than thirty visits per benefit year; (b) For occupational therapy services, a total of not more than thirty visits per benefit year; and (c) For speech-language pathology and audiology services, a total of not more than thirty visits per benefit year.”
12. U.S. Department of Health and Human Services. Getting started with licensure (Telehealth.HHS.gov, last updated February 21, 2024). Checked October 26, 2026.
    Show the passageHide the passage

    “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”.
13. PT Compact Commission. PT Compact Map. “Member States (38) ... Ohio ... Compact Privilege Availability 38 Member States Actively Issuing and Accepting Compact Privileges ...” Checked October 30, 2026.
14. Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board. PT Compact. Checked October 30, 2026.
    Show the passageHide the passage

    “If you have a license in another PT Compact state, you may receive authority to practice in Ohio in an expedited way by signing up for a PT Compact privilege. Ohio PT and PTA license holders may use their Ohio license to obtain a privilege to practice in another PT Compact state.”
15. Occupational Therapy Compact Commission. Before You Apply for an OT Compact Privilege. “State Accepting OT Applications? ... Ohio January 12, 2026 ...” Checked October 30, 2026.
16. Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board. OT Compact. “Ohio has gone live with the Occupational Therapy Compact. ... Ohio OT and OTA license holders may use their Ohio license to obtain a compact privilege in another member state.” Checked October 30, 2026.
17. Audiology and Speech-Language Pathology Interstate Compact Commission. Compact Privilege Status Update. “February 9, 2026 Licensed practitioners in Ohio can register and begin the privilege to practice process.” Checked October 30, 2026.
18. Ohio Speech and Hearing Professionals Board. Interstate Compact - ASLP. “Ohio became the 14th state to join the ASLP-IC and will begin processing applications on February 9, 2026. ... As of February 2026, Ohio licensees will only be able to apply for privileges in West Virginia and Louisiana.” Checked October 30, 2026.
19. Code of Federal Regulations. 42 CFR 424.24, Requirements for medical and other health services furnished by providers under Medicare Part B (eCFR, up to date as of October 22, 2026; paragraph (c), outpatient physical therapy, occupational therapy and speech-language pathology services). Checked October 26, 2026.
    Show the passageHide the passage

    “The individual needs, or needed, physical therapy, occupational therapy, or speech-language pathology services.”; “The services were furnished while the individual was under the care of a physician, nurse practitioner, clinical nurse specialist, or physician assistant.”; “The initial certification must be obtained as soon as possible after the plan is established.”; “Recertification is required at least every 90 days.”; “When it is recertified, the plan or other documentation in the patient’s record must indicate the continuing need for physical therapy, occupational therapy or speech-language pathology services.”; “the therapist has documented evidence that the plan of treatment has been delivered to the physician, NP, PA, or CNS within 30 days of completion of the initial evaluation, the certification does not need to be signed by a physician, NP, CNS, or PA who has knowledge of the case.”; “No references to an order or referral in this subsection shall be construed to require an order or referral for outpatient physical therapy, occupational therapy, or speech-language pathology services.”.
20. Ohio Department of Medicaid (Ohio Administrative Code). Rule 5160-1-17.2 | Provider agreement for providers.. Checked October 30, 2026.
    Show the passageHide the passage

    “(D) To maintain all records necessary and in such form so as to fully disclose the extent of services provided and significant business transactions. The provider will maintain such records for a period of six years from the date of receipt of payment or until any audit initiated within the required six year record maintenance period is completed.”
21. Ohio Legislative Service Commission (Ohio Laws). Section 4755.471 | Forms of business entities authorized to provide services.. Checked October 30, 2026.
    Show the passageHide the passage

    “(A) An individual whom the physical therapy section of the Ohio occupational therapy, physical therapy, and athletic trainers board licenses, certificates, or otherwise legally authorizes to engage in the practice of physical therapy may render the professional services of a physical therapist within this state through a corporation formed under division (B) of section 1701.03 of the Revised Code, a limited liability company formed under former Chapter 1705. of the Revised Code as that chapter existed prior to February 11, 2022, or Chapter 1706. of the Revised Code, a partnership, or a professional association formed under Chapter 1785. of the Revised Code.”
22. Ohio Legislative Service Commission (Ohio Laws). Section 4755.111 | Rendering of therapy services through business entity.. Checked October 30, 2026.
    Show the passageHide the passage

    “(A) An individual whom the occupational therapy section of the Ohio occupational therapy, physical therapy, and athletic trainers board licenses, certificates, or otherwise legally authorizes to engage in the practice of occupational therapy may render the professional services of an occupational therapist within this state through a corporation formed under division (B) of section 1701.03 of the Revised Code, a limited liability company formed under former Chapter 1705. of the Revised Code as that chapter existed prior to February 11, 2022, or Chapter 1706. of the Revised Code, a partnership, or a professional association formed under Chapter 1785. of the Revised Code.”
23. Ohio Legislative Service Commission (Ohio Laws). Section 4755.471 | Forms of business entities authorized to provide services.. Checked October 30, 2026.
    Show the passageHide the passage

    “(B) A corporation, limited liability company, partnership, or professional association described in division (A) of this section may be formed for the purpose of providing a combination of the professional services of the following individuals who are licensed, certificated, or otherwise legally authorized to practice their respective professions ...”
24. Ohio Department of Children and Youth. Ohio Early Intervention. Checked October 30, 2026.
    Show the passageHide the passage

    “Early Intervention (EI) helps families with children from birth to age three who are delayed in growth or learning compared to other kids, or who have disabilities. Your EI team helps you and your child by finding out what your child does well and what they need help with. They work with you as soon as possible and help in places where your child lives, plays, and spends time. There is no downside to making a referral to EI. It won’t cost anything to see if your child is eligible for these services.”
25. Ohio Early Intervention. Ohio Early Intervention. “Anyone can make a referral. If you have a concern, call us or complete a simple, online referral below. We will set up a time to talk to you that fits into your schedule. Call 1-800-755-4769 or Refer Now ...” Checked October 30, 2026.
26. Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board. PT-PTA Renewal. Checked October 30, 2026.
    Show the passageHide the passage

    “Physical Therapist licenses expire on January 31 of even numbered years (January 31, 2026). Physical Therapist Assistant licenses expire on January 31 of odd numbered years (January 31, 2025). Renewals open on November 1 prior to the expiration date. ... Your license expires January 31. You cannot practice in the state of Ohio with an expired license. You cannot renew late.”
27. Ohio Legislative Service Commission (Ohio Laws). Section 4755.46 | Renewals.. Checked October 30, 2026.
    Show the passageHide the passage

    “Every license to practice as a physical therapist or physical therapist assistant expires biennially in accordance with the schedule established in rules adopted by the physical therapy section of the Ohio occupational therapy, physical therapy, and athletic trainers board under section 4755.411 of the Revised Code.”
28. Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board. Continuing Education. Checked October 30, 2026.
    Show the passageHide the passage

    “Physical Therapists are required to have 24 total hours of continuing education credit during the two year renewal period. Physical Therapist Assistants are required to have 12 total hours of continuing education credit during the two year renewal period. The Ohio JAM is required for both license types each renewal period and counts for two hours.”
29. Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board. PT-PTA Renewal. “First time renewals are not required to complete ANY continuing education requirements. You do not have to take the JAM.” Checked October 30, 2026.
30. Ohio Legislative Service Commission (Ohio Laws). Section 4755.51 | Continuing education.. Checked October 30, 2026.
    Show the passageHide the passage

    “Except in the case of a first license renewal, a physical therapist is eligible for renewal of the physical therapist’s license only if the physical therapist has completed twenty-four units of continuing education in one or more courses, activities, or programs approved by the physical therapy section of the Ohio occupational therapy, physical therapy, and athletic trainers board.”
31. Ohio Legislative Service Commission (Ohio Laws). Rule 4755:2-2-05 | Supervision.. Checked October 30, 2026.
    Show the passageHide the passage

    “(1) In accordance with section 4755.40 of the Revised Code, a physical therapist assistant may only be supervised by a physical therapist and may not be supervised by any other person, including those persons licensed to practice in any other profession. (2) Supervision for a physical therapist assistant does not require the supervising physical therapist to be on-site or on location. The supervising physical therapist shall be available by telecommunication at all times and able to respond appropriately to the needs of the patient.”
32. Ohio Legislative Service Commission (Ohio Laws). Rule 4755:2-2-03 | Physical therapist assistant.. Checked October 30, 2026.
    Show the passageHide the passage

    “(B) Physical therapist assistants are not qualified to: (1) Interpret physician referrals; (2) Conduct initial patient evaluations; (3) Write initial or ongoing patient plans of care; (4) Conduct re-evaluations of the patient or make changes to the patient plan of care; or (5) Perform the discharge evaluation and complete the final discharge summary.”
33. Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board. OT-OTA License Renewal. Checked October 30, 2026.
    Show the passageHide the passage

    “Occupational Therapist licenses expire on June 30 of odd numbered years (June 30, 2025). Occupational Therapy Assistant licenses expire on June 30 of even numbered years (June 30, 2026). Renewals open on April 1 prior to the expiration date. ... Your license expires June 30. You cannot practice in the state of Ohio with an expired license. You cannot renew late.”
34. Ohio Legislative Service Commission (Ohio Laws). Section 4755.10 | Renewals.. “Licenses shall be renewed biennially in accordance with the schedule established in rules adopted by the occupational therapy section of the Ohio occupational therapy, physical therapy, and athletic trainers board under section 4755.06 of the Revised Code.” Checked October 30, 2026.
35. Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board. Continuing Education. “Occupational Therapists and Occupational Therapy Assistants are required to have 20 total hours of continuing education credit during the two year renewal period. One hour must be ethics, jurisprudence, or cultural competence. Another one hour must be in mental health and/or substance use.” Checked October 30, 2026.
36. Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board. OT-OTA License Renewal. “First time renewals are not required to complete ANY continuing education requirements.” Checked October 30, 2026.
37. Ohio Legislative Service Commission (Ohio Laws). Rule 4755:1-2-05 | Supervision.. Checked October 30, 2026.
    Show the passageHide the passage

    “Supervision of the occupational therapy assistant, as defined in division (C) of section 4755.04 of the Revised Code, requires initial direction and periodic inspection of the service delivery and relevant in-service training. The supervising occupational therapist need not be on-site, but shall be available for consultation with the occupational therapy assistant at all times. (1) The supervising occupational therapist shall provide supervision at least one time per week for all occupational therapy assistants who are in their first year of practice. (2) The supervising occupational therapist shall provide supervision at least one time per month for all occupational therapy assistants beyond their first year of practice. ... (4) Co-signing client documentation alone does not meet the minimum level of supervision.”
38. Ohio Speech and Hearing Professionals Board. Interstate Compact - ASLP. “For Ohio licensees, your license expires at midnight on December 31st of the even-numbered year, e.g., every two years 12/31/2026, 12/31/2028, etc.” Checked October 30, 2026.
39. Ohio Speech and Hearing Professionals Board. Renewal. “Chapter 4753 Biennial Renewal Audiologist Audiology Aide Speech-Language Pathologist Speech-Language Pathologist Aide Licenses for the 2025-2026 practice biennium are valid through December 31, 2026. The license renewal period for the 2027-2028 practice biennium will be open on October 2, 2026.” Checked October 30, 2026.
40. Ohio Legislative Service Commission (Ohio Laws). Rule 4753-4-01 | Continuing education.. Checked October 30, 2026.
    Show the passageHide the passage

    “(A) A licensee shall earn twenty continuing education hours within the two-year licensure period immediately preceding the licensee’s renewal application. ... (2) Ten continuing education hours shall be acquired in the area of licensure. For a speech-language pathology license the ten hours shall be specific to the clinical practice of speech-language pathology ... (4) At least two continuing education hours shall relate to ethics. ... (6) A licensee is not required to obtain continuing education for the first renewal.”
41. Ohio Legislative Service Commission (Ohio Laws). Rule 4753-7-02 | Supervision requirements; aides.. Checked October 30, 2026.
    Show the passageHide the passage

    “Supervision of a speech-language pathology aide or an audiology aide shall be provided by a person who is actively licensed as a speech-language pathologist or audiologist under section 4753.06 of the Revised Code. The licensed speech-language pathologist or audiologist who signs the application for the aide shall supervise that particular aide. ... (B) The supervisor shall be able to provide direct, comprehensive, documented and immediate supervision to the aide. "Direct supervision of an aide" shall be defined as that given by a supervisor who is either present in the room in which the services are being given, or, who is immediately available to provide assistance to the aide within that particular contact with patient/client(s) served. A licensed speech-language pathologist or audiologist may supervise no more than two aides concurrently unless specifically authorized by the board. ... (D) An aide shall not begin practice until approved by the board.”
42. Ohio Legislative Service Commission (Ohio Laws). Section 4755.05 | Requirement of license or permit.. Checked October 30, 2026.
    Show the passageHide the passage

    “No person who does not hold a current license under sections 4755.04 to 4755.13 of the Revised Code shall practice or offer to practice occupational therapy, or use in connection with the person’s name, or otherwise assume, use, or advertise, any title, initials, or description tending to convey the impression that the person is an occupational therapist or an occupational therapy assistant.”
43. Ohio Legislative Service Commission (Ohio Laws). Section 4755.04 | Occupational therapist definitions.. Checked October 30, 2026.
    Show the passageHide the passage

    “(A) "Occupational therapy" means the therapeutic use of everyday life activities or occupations with individuals or groups for the purpose of participation in roles and situations in the home, school, workplace, community, and other settings. The practice of occupational therapy includes all of the following: ... (2) Evaluation of factors affecting activities of daily living, instrumental activities of daily living, education, work, play, leisure, and social participation, including, but not limited to, sensory motor abilities, vision, perception, cognition, psychosocial, and communication and interaction skills ...”
44. Ohio Department of Medicaid (Ohio Administrative Code). Rule 5160-8-35 | Skilled therapy services.. Checked October 30, 2026.
    Show the passageHide the passage

    “The service is rendered in response either to a prescription (in the case of physical therapy or occupational therapy) or to a referral (in the case of speech-language pathology and audiology) issued by a licensed practitioner of the healing arts, in accordance with 42 C.F.R. 440.110 (October 1, 2017) and rule 5160-1-17.9 of the Administrative Code. This condition does not apply to services rendered through the medicaid school program, which is described in Chapter 5160-35 of the Administrative Code.”
45. Ohio Legislative Service Commission (Ohio Laws). Section 4753.01 | Speech-language pathologist and audiologist definitions.. Checked October 30, 2026.
    Show the passageHide the passage

    “(C) "Practice of speech-language pathology" means planning, directing, supervising, and conducting habilitative or rehabilitative counseling programs for individuals or groups of individuals who have or are suspected of having disorders of communication, any service in speech-language pathology including prevention, identification, evaluation, consultation, habilitation or rehabilitation, instruction, and research.”
46. Ohio Legislative Service Commission (Ohio Laws). Section 4753.01 | Speech-language pathologist and audiologist definitions.. Checked October 30, 2026.
    Show the passageHide the passage

    “(B) "Speech-language pathology" means the application of principles, methods, or procedures related to the development and disorders of human communication. Disorders include any and all conditions, whether of organic or nonorganic origin, that impede the normal process of human communication including disorders and related disorders of speech, articulation, fluency, voice, oral and written language; auditory comprehension and processing; oral, pharyngeal or laryngeal sensorimotor competencies; mastication or deglutition following a medical examination by a physician licensed pursuant to Chapter 4731. of the Revised Code ...”
47. Ohio Legislative Service Commission (Ohio Laws). Section 4753.02 | Unauthorized practice.. Checked October 30, 2026.
    Show the passageHide the passage

    “No person shall practice, offer to practice, or aid and abet the practice of the profession of speech-language pathology or audiology, or use in connection with the person’s name, or otherwise assume, use, or advertise any title or description tending to convey the impression that the person is a speech-language pathologist or audiologist unless the person is licensed or permitted under this chapter.”
48. Ohio Department of Medicaid (Ohio Administrative Code). Rule 5160-8-35 | Skilled therapy services.. Checked October 30, 2026.
    Show the passageHide the passage

    “The service is rendered in response either to a prescription (in the case of physical therapy or occupational therapy) or to a referral (in the case of speech-language pathology and audiology) issued by a licensed practitioner of the healing arts, in accordance with 42 C.F.R. 440.110 (October 1, 2017) and rule 5160-1-17.9 of the Administrative Code. This condition does not apply to services rendered through the medicaid school program, which is described in Chapter 5160-35 of the Administrative Code.”
49. Ohio Department of Medicaid. Enrollment & Support. Checked October 30, 2026.
50. Medicaid.gov (Centers for Medicare & Medicaid Services). Early and Periodic Screening, Diagnostic, and Treatment (Medicaid benefit page). Checked October 26, 2026.
    Show the passageHide the passage

    “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.”.
51. Ohio Department of Medicaid (Ohio Administrative Code). Rule 5160-8-35 | Skilled therapy services.. Checked October 30, 2026.
    Show the passageHide the passage

    “(2) Payment for skilled therapy services rendered without prior authorization in a non-institutional setting is subject to the following limits: (a) For physical therapy services, a total of not more than thirty visits per benefit year; (b) For occupational therapy services, a total of not more than thirty visits per benefit year; and (c) For speech-language pathology and audiology services, a total of not more than thirty visits per benefit year. (3) Payment for additional skilled therapy visits in a non-institutional setting can be requested through the prior authorization process, which is described in rule 5160-1-31 of the Administrative Code.”
52. Ohio Department of Medicaid (Ohio Administrative Code). Rule 5160-1-31 | Prior authorization.. Checked October 30, 2026.
    Show the passageHide the passage

    “(A) Reimbursement for certain items or services covered under the medicaid program is dependent on obtaining prior authorization from the Ohio department of medicaid (ODM), its designee, or a medicaid managed care entity (MCE). Prior authorization requests have to be approved by ODM, its designee, or MCE before the services are rendered or the items are delivered unless the services or items meet the provisions stated in section 5160.34 of the Revised Code or paragraph (D) of this rule. (B) Except as authorized under section 5160.34 of the Revised Code, prior authorization requests submitted via paper cannot be processed.”
53. Ohio Department of Medicaid. Managed Care. “Today, Ohio Medicaid delivers healthcare coverage to more than 3 million Ohio residents. Of those residents, more than 90% receive coverage through our Next Generation managed care program. ... Most members are automatically selected for Medicaid managed care coverage.” Checked October 30, 2026.
54. Ohio Department of Medicaid. Fee Schedule & Rates. Checked October 30, 2026.
55. Ohio Department of Medicaid (Ohio Administrative Code). Rule 5160-8-35 | Skilled therapy services.. Checked October 30, 2026.
    Show the passageHide the passage

    “(1) If more than one skilled therapy service of the same discipline (e.g., physical therapy) is rendered by the same non-institutional provider or provider group to an individual on the same date, then the service with the highest payment amount specified in appendix DD to rule 5160-1-60 of the Administrative Code is considered to be the primary procedure. Payment for a covered skilled therapy service is the lesser of the provider’s submitted charge or a percentage of the amount specified in appendix DD to rule 5160-1-60 of the Administrative Code, determined in the following manner: (a) For the first unit of a primary procedure, one hundred per cent; or (b) For each additional unit or procedure within the same therapy discipline, eighty per cent. (2) Payment will be made only for covered services that are listed in the treatment or maintenance plan.”
56. Ohio Department of Medicaid (Ohio Administrative Code). Rule 5160-8-35 | Skilled therapy services.. Checked October 30, 2026.
    Show the passageHide the passage

    “For rehabilitative services, reevaluation may be performed not more frequently than every thirty days nor less frequently than every sixty days; for developmental services, reevaluation may be performed not more frequently than every thirty days nor less frequently than every six months. (c) The service is rendered on the basis of a clinical evaluation and assessment and in accordance with a treatment or maintenance plan. The performance of a clinical evaluation and assessment and the development of a treatment or maintenance plan are discrete services; payment for them is made separately from payment for skilled therapy. ... (4) For each type of skilled therapy, payment for evaluation services can be made not more than once per injury or condition.”
57. Ohio Department of Medicaid (Ohio Administrative Code). Rule 5160-8-35 | Skilled therapy services.. “(b) A licensed physical therapist assistant, occupational therapy assistant, speech-language pathology aide, or audiology aide who provides a particular service to one individual at a time under supervision ...” Checked October 30, 2026.
58. Ohio Department of Medicaid (Ohio Administrative Code). Rule 5160-8-35 | Skilled therapy services.. Checked October 30, 2026.
    Show the passageHide the passage

    “(5) Unattended electrical stimulation and iontophoresis therapy are considered to be part of the associated therapy procedure or medical encounter; no separate payment is made. (6) No payment is made for the following services as skilled therapy: (a) Services that do not meet current accepted standards of practice; (b) Consultations with family members or other non-medical personnel ...”
59. Ohio Department of Medicaid (Ohio Administrative Code). Rule 5160-1-17.9 | Ordering or referring providers.. “(E) Claims for services that require an order, prescription, referral, or certification will be denied if they do not include the following: (1) A valid national provider identifier (NPI) and the legal name of the ordering, prescribing, referring, or certifying provider ...” Checked October 30, 2026.
60. Ohio Department of Medicaid (Ohio Administrative Code). Rule 5160-35-02 | Qualifications to be a medicaid school program (MSP) provider.. Checked October 30, 2026.
    Show the passageHide the passage

    “(B) An MSP provider: (1) Is one of the following: (a) A local education agency (LEA) city school district, local school district, exempted village school district, or any other school district as defined in sections 3311.01 to 3311.04 of the Revised Code; (b) A state school for the deaf as defined by section 3325.01 of the Revised Code; (c) A state school for the blind as defined by section 3325.01 of the Revised Code; (d) A community school as defined by section 3314.01 of the Revised Code. (2) Is an eligible medicaid provider as defined in rule 5160-1-17 of the Administrative Code. (3) Will employ or contract for at least one of the following: (a) Occupational therapist as defined in Chapter 4755. of the Revised Code. (b) Physical therapist as defined in Chapter 4755. of the Revised Code.”
61. Ohio Department of Medicaid (Ohio Administrative Code). Rule 5160-35-01 | Definitions.. Checked October 30, 2026.
    Show the passageHide the passage

    “(6) Eligible child: a student for whom medicaid reimbursement may be sought through the medicaid school program who is enrolled in an entity defined in paragraph (B)(1) of rule 5160-35-02 of the Administrative Code, who is between the age of three to twenty-one, and has an individualized education program (IEP), a 504 plan, or a school services plan of care documenting medical necessity in that it indicates services that are allowable under medicaid.”
62. Ohio Department of Medicaid (Ohio Administrative Code). Rule 5160-1-18 | Telehealth.. Checked October 30, 2026.
    Show the passageHide the passage

    “(D) Payment may be made only for the following medically necessary health care services identified in appendix A to this rule when delivered through the use of telehealth from the practitioner site: ... (9) Audiology, speech-language pathology, physical therapy, and occupational therapy services, including services provided in the home health setting.”
63. Ohio Department of Medicaid (Ohio Administrative Code). Rule 5160-1-18 | Telehealth.. Checked October 30, 2026.
    Show the passageHide the passage

    “(2) The following provider types are eligible to bill for services rendered through the use of telehealth. (a) Practitioners identified in paragraph (B)(1) of this rule, except for the following dependent practitioners: ... (ii) Occupational therapist assistants as defined in section 4755.04 of the Revised Code; (iii) Physical therapist assistants as defined in section 4755.40 of the Revised Code; (iv) Speech-language pathology aides, audiology aides, and individuals holding a conditional license as defined in Chapter 4753. of the Revised Code.”
64. Ohio Legislative Service Commission (Ohio Laws). Section 4743.09 | [Former R.C. 4731.2910, amended and renumbered by H.B. 122 of the 134th General Assembly, effective 3/23/2022] Standards for telehealth services.. Checked October 30, 2026.
    Show the passageHide the passage

    “(2)(a) Except as provided in division (B)(2)(b) of this section, the rules adopted by a health care professional licensing board under this section shall establish a standard of care for telehealth services that is equal to the standard of care for in-person services. ... (C) With respect to the provision of telehealth services, all of the following apply: (1) A health care professional may use synchronous or asynchronous technology to provide telehealth services to a patient during an initial visit if the appropriate standard of care for an initial visit is satisfied. (2) A health care professional may deny a patient telehealth services and, instead, require the patient to undergo an in-person visit. (3) When providing telehealth services in accordance with this section, a health care professional shall comply with all requirements under state and federal law regarding the protection of patient information.”
65. Ohio Legislative Service Commission (Ohio Laws). Section 4743.09 | [Former R.C. 4731.2910, amended and renumbered by H.B. 122 of the 134th General Assembly, effective 3/23/2022] Standards for telehealth services.. Checked October 30, 2026.
    Show the passageHide the passage

    “(h) An audiologist or speech-language pathologist licensed under Chapter 4753. of the Revised Code; (i) An occupational therapist or physical therapist licensed under Chapter 4755. of the Revised Code; (j) An occupational therapy assistant or physical therapist assistant licensed under Chapter 4755. of the Revised Code ...”
66. Ohio Legislative Service Commission (Ohio Laws). Section 4743.09 | [Former R.C. 4731.2910, amended and renumbered by H.B. 122 of the 134th General Assembly, effective 3/23/2022] Standards for telehealth services.. Checked October 30, 2026.
    Show the passageHide the passage

    “(3) A health care professional providing telehealth services shall obtain a patient’s consent before billing for the cost of providing the services, but the requirement to do so applies only once.”
67. Ohio Legislative Service Commission (Ohio Laws). Rule 4755:2-2-07 | Telehealth.. Checked October 30, 2026.
    Show the passageHide the passage

    “(C) The standard of care for a patient treated through telehealth is equal to the standard of care for in-person services. (D) The license holder shall verify the identity and physical location of the patient or client at the beginning of each telehealth visit. ... (F) In order to treat a patient or client located in Ohio, a physical therapist or physical therapist assistant shall have either an Ohio license or a privilege to practice in Ohio via the physical therapy compact.”
68. Ohio Legislative Service Commission (Ohio Laws). Section 3902.30 | Coverage for telehealth services.. Checked October 30, 2026.
    Show the passageHide the passage

    “(B)(1) A health benefit plan shall provide coverage for telehealth services on the same basis and to the same extent that the plan provides coverage for the provision of in-person health care services. (2) A health benefit plan shall not exclude coverage for a service solely because it is provided as a telehealth service. ... (D)(1) A health benefit plan shall not impose a cost-sharing requirement for telehealth services that exceeds the cost-sharing requirement for comparable in-person health care services. ... (E) This section shall not be construed as doing any of the following: ... (2) Requiring a health plan issuer to reimburse a telehealth provider for telehealth services at the same rate as in-person services ...”
69. Ohio Department of Taxation. Business Registration. “All business taxpayers must be registered with the Ohio Department of Taxation (ODT). ODT offers three methods to accomplish this; OH|TAX eServices, Ohio Business Gateway, or by paper application.” Checked October 30, 2026.
70. Ohio Department of Taxation. Sales and Use Tax. “The Ohio Sales Tax applies to the retail sale, lease, and rental of tangible personal property. Tangible personal property means any physical items that you can touch, such as clothes, electronics, or furniture. The tax also applies to some selected services in Ohio.” Checked October 30, 2026.
71. Ohio Legislative Service Commission (Ohio Laws). Section 5739.02(B)(19) | Levy of sales tax - purpose - rate - exemptions.. “(19) Sales of prosthetic devices, durable medical equipment for home use, or mobility enhancing equipment, when made pursuant to a prescription and when such devices or equipment are for use by a human being.” Checked October 30, 2026.
72. Ohio Department of Taxation. Sales and Use Tax. “Ohio law requires any person or business making taxable sales or providing taxable services to first obtain a vendor license.” Checked October 30, 2026.
73. Ohio Bureau of Workers’ Compensation. Getting coverage. “As an Ohio employer with one or more employees, Ohio law requires you to have workers’ compensation coverage. For coverage to be effective for you and your employees, you must: Complete an Application for Ohio Workers’ Compensation Coverage (U-3).” Checked October 30, 2026.
74. Ohio Legislative Service Commission (Ohio Laws). Section 4123.35 | Payment of premiums by employers; self-insurance.. Checked October 30, 2026.
    Show the passageHide the passage

    “Except as otherwise provided in this section, for a policy year commencing on or after July 1, 2015, every private employer and every publicly owned utility shall pay annually in the month of June immediately preceding the policy year into the state insurance fund the amount of estimated annual premium the administrator fixes for the employment or occupation of the employer ...”
75. 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.
    Show the passageHide the passage

    “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.”.
76. 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.
    Show the passageHide the passage

    “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.”.
77. Ohio Legislative Service Commission (Ohio Laws). Section 3798.04 | Prohibited disclosures of protected health information.. Checked October 30, 2026.
    Show the passageHide the passage

    “A covered entity shall not do either of the following: (A) Use or disclose protected health information without an authorization that is valid under 45 C.F.R. 164.508 and, if applicable, 42 C.F.R. part 2, except when the use or disclosure is required or permitted without such authorization by Subchapter C of Subtitle A of Title 45 of the Code of Federal Regulations and, if applicable, 42 C.F.R. part 2; (B) Use or disclose protected health information in a manner that is not consistent with 45 C.F.R. 164.502.”
78. Ohio Legislative Service Commission (Ohio Laws). Section 3798.03 | Duty of covered entities.. Checked October 30, 2026.
    Show the passageHide the passage

    “(1) If an individual’s protected health information is maintained by the covered entity in a designated record set, provide the individual or the individual’s personal representative with access to that information in a manner consistent with 45 C.F.R. 164.524; (2) Implement and maintain appropriate administrative, technical, and physical safeguards to protect the privacy of protected health information in a manner consistent with 45 C.F.R. 164.530(c).”
79. Ohio Legislative Service Commission (Ohio Laws). Section 1349.19 | Private disclosure of security breach of computerized personal information data.. Checked October 30, 2026.
    Show the passageHide the passage

    “(B)(1) Any person that owns or licenses computerized data that includes personal information shall disclose any breach of the security of the system, following its discovery or notification of the breach of the security of the system, to any resident of this state whose personal information was, or reasonably is believed to have been, accessed and acquired by an unauthorized person if the access and acquisition by the unauthorized person causes or reasonably is believed will cause a material risk of identity theft or other fraud to the resident. ... (2) The person shall make the disclosure described in division (B)(1) of this section in the most expedient time possible but not later than forty-five days following its discovery or notification of the breach in the security of the system ...”
80. Ohio Legislative Service Commission (Ohio Laws). Section 2151.421 | Reporting child abuse or neglect.. Checked October 30, 2026.
    Show the passageHide the passage

    “(A)(1)(a) No person described in division (A)(1)(b) of this section who is acting in an official or professional capacity and knows, or has reasonable cause to suspect based on facts that would cause a reasonable person in a similar position to suspect, that a child under eighteen years of age, or a person under twenty-one years of age with a developmental disability or physical impairment, has suffered or faces a threat of suffering any physical or mental wound, injury, disability, or condition of a nature that reasonably indicates abuse or neglect of the child shall fail to immediately report that knowledge or reasonable cause to suspect to the entity or persons specified in this division. Except as otherwise provided in this division or section 5120.173 of the Revised Code, the person making the report shall make it to the public children services agency or a peace officer in the county in which the child resides or in which the abuse or neglect is occurring or has occurred. ... (b) Division (A)(1)(a) of this section applies to any person who is an attorney; health care professional; ... (2) "Health care professional" means an individual who provides health-related services. "Health care professional" includes all of the following: a physician, including a hospital intern or resident; a dentist; a podiatrist; a registered nurse, including such a nurse who is an advanced practice registered nurse; a licensed practical nurse; a home care nurse; a licensed psychologist; a speech-language pathologist; an audiologist ...”
81. Ohio Legislative Service Commission (Ohio Laws). Section 5101.63 | Reporting abuse, neglect or exploitation of adult.. Checked October 30, 2026.
    Show the passageHide the passage

    “(A)(1) No person listed in division (A)(2) of this section having reasonable cause to believe that an adult is being abused, neglected, or exploited, or is in a condition which is the result of abuse, neglect, or exploitation shall knowingly fail to immediately report such belief to the county department of job and family services. ... (j) An employee of a home health agency, as defined in section 3701.881 of the Revised Code; (k) An employee of an outpatient health facility; (l) An employee of a hospital, as defined in section 3727.01 of the Revised Code; ... (B) Any person having reasonable cause to believe that an adult has suffered abuse, neglect, or exploitation may report, or cause a report to be made of such belief to the county department of job and family services.”
82. Ohio Legislative Service Commission (Ohio Laws). Section 1751.84 | Coverage for autism spectrum disorder.. Checked October 30, 2026.
    Show the passageHide the passage

    “(B) Benefits provided under this section shall cover, at minimum, all of the following: (1) For speech and language therapy or occupational therapy for an enrollee under the age of fourteen that is performed by a licensed therapist, twenty visits per year for each service; ... (2) A policy, contract, or agreement shall stipulate that coverage provided under this section be contingent upon both of the following: (a) The covered individual receiving prior authorization for the services in question; (b) The services in question being prescribed or ordered by a psychologist trained in autism, a developmental pediatrician, or a clinical nurse specialist or certified nurse practitioner specializing in pediatric health.”
83. Ohio Legislative Service Commission (Ohio Laws). Section 1751.84 | Coverage for autism spectrum disorder.. Checked October 30, 2026.
    Show the passageHide the passage

    “(A) Notwithstanding section 3901.71 of the Revised Code, each individual and group health insuring corporation policy, contract, or agreement providing basic health care services that is delivered, issued for delivery, or renewed in this state shall provide coverage for the screening, diagnosis, and treatment of autism spectrum disorder. ... Nothing in this section shall be applied to nongrandfathered plans in the individual and small group markets or to medicare supplement, accident-only, specified disease, hospital indemnity, disability income, long-term care, or other limited benefit hospital insurance policies.”
84. Ohio Legislative Service Commission (Ohio Laws). Section 3923.84 | Coverage for autism spectrum disorder.. “(1) For speech and language therapy or occupational therapy for an insured under the age of fourteen that is performed by a licensed therapist, twenty visits per year for each service ...” Checked October 30, 2026.
85. Ohio Legislative Service Commission (Ohio Laws). Section 1751.84 | Coverage for autism spectrum disorder.. “(9) "Therapeutic care" means services provided by a speech therapist, occupational therapist, or physical therapist licensed or certified in the state in which the person practices.” Checked October 30, 2026.
86. Ohio Department of Health. Complex Medical Help. Checked October 30, 2026.
    Show the passageHide the passage

    “The Complex Medical Help Program (CMH) provides assistance to individuals with special health care needs and their families who meet the medical and financial eligibility criteria. Assistance is provided to individuals under the age of 26 who have special health care needs and are residents of the State of Ohio.”
87. Ohio Department of Health (Ohio Administrative Code). Rule 3701-43-07 | Health professionals and other providers.. Checked October 30, 2026.
    Show the passageHide the passage

    “(6) Occupational therapists in accordance with Chapter 4755. of the Revised Code; ... (11) Physical therapists in accordance with Chapter 4755. of the Revised Code; ... (14) Speech language pathologists in accordance with Chapter 4753. of the Revised Code. ... (7) Physical therapy, occupational therapy, speech language and audiology services shall be prescribed by a physician approved under rule 3701-43-03 of the Administrative Code ...”
88. CGS Administrators, LLC. Jurisdiction 15 Part B. “Jurisdiction 15 A/B MAC for the states of KY & OH ...” Checked October 30, 2026.
89. Ohio Bureau of Workers’ Compensation. Fee schedules. “The below table contains information about the fee schedule managed care organizations (MCOs), BWC and self-insuring employers use when reimbursing for services under Ohio’s workers’ compensation program.” Checked October 30, 2026.
90. Ohio Bureau of Workers’ Compensation (Ohio Administrative Code). Rule 4123-6-08 | Bureau fee schedule.. Checked October 30, 2026.
    Show the passageHide the passage

    “(A) Pursuant to division (A)(1)(h) of section 4121.441 of the Revised Code, the administrator of workers’ compensation, with the advice and consent of the bureau of workers’ compensation board of directors, develops, maintains, and publishes a provider fee schedule for the various types of billing codes. The administrator hereby adopts the professional provider fee schedule indicated in the appendix to this rule.”
91. Ohio Bureau of Workers’ Compensation. BWC’s Provider Billing and Reimbursement Manual, Policy BRM-2021-01, Always and Sometimes Therapy Modifier Billing Requirements. Checked October 30, 2026.
    Show the passageHide the passage

    “Always therapy services are identified as an always therapy service on BWC’s professional provider and outpatient fee schedules. This policy will identify Ohio BWC specific billing requirements for the use of the most applicable discipline specific always therapy modifier: -GP, -GO and -GN, including when the use of the modifier is required for sometimes therapy services. ... Modifier GN: Always therapy modifier to identify discipline specific services delivered under an outpatient speech therapy plan of care. Modifier GP: Always therapy modifier to identify discipline specific services delivered under an outpatient physical therapy plan of care. Modifier GO: Always therapy modifier to identify discipline specific services delivered under an outpatient occupational therapy plan of care.”
92. the Ohio Physical Therapy Association. the Ohio Physical Therapy Association (the state association's site). Checked October 30, 2026.
93. the Ohio Occupational Therapy Association. the Ohio Occupational Therapy Association (the state association's site). Checked October 30, 2026.
94. the Ohio Speech-Language-Hearing Association. the Ohio Speech-Language-Hearing Association (the state association's site). Checked October 30, 2026.
95. DrSensory. Occupational therapy clinics in Ohio, 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.
96. 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 Ohio, not legal, compliance, billing or financial advice. Rules change; the clinic confirms each with its source before acting on it.