Oklahoma PT, OT and SLP guide

For OT, PT and SLP clinics in Oklahoma: two state boards license the disciplines; a physical therapist may evaluate and treat without a referral for up to 30 days, except in workers’ compensation claims; SoonerCare covers children’s therapy under EPSDT and adults within its own rules; and telehealth follows the patient’s location. Every rule here is quoted from its source.⁠^1,2,3,4,5,6

Who licenses OTs, PTs and SLPs in Oklahoma?

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

Physical therapists and physical therapist assistants answer to the Oklahoma State Board of Medical Licensure and Supervision, with its Physical Therapy Committee.⁠^{1,38,39,40,41,42,43,44,45,46,47} Occupational therapists and occupational therapy assistants answer to the Oklahoma State Board of Medical Licensure and Supervision, with its Occupational Therapy Advisory Committee.⁠^{7,48,49,50,51,52,53,54,55} Speech-language pathologists answer to the Oklahoma Board of Examiners for Speech-Language Pathology and Audiology (OBESPA).⁠^{8,56,57,58,59,60,61,62,63} Physical therapists and PTAs are licensed by the State Board of Medical Licensure and Supervision, which a five-member Physical Therapy Committee assists with examinations and advises on licensure, education and continuing education.⁠^{1,38,39,40,41,42,43,44,45,46,47} The board under the Occupational Therapy Practice Act is the State Board of Medical Licensure and Supervision, which has a five-member Oklahoma Occupational Therapy Advisory Committee appointed on the Oklahoma Occupational Therapy Association’s recommendation.⁠^{7,48,49,50,51,52,53,54,55} The Board of Examiners for Speech-Language Pathology and Audiology, five members appointed by the Governor with the Senate’s consent, administers the licensing act.⁠^{8,56,57,58,59,60,61,62,63} No one may practice speech-language pathology without a license under the act, except as the statute provides.⁠^{8,56,57,58,59,60,61,62,63} 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 Oklahoma license renewal require?

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

Can a patient see an Oklahoma 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, except for workers’ compensation claims, a physical therapist, including one working under a direct-to-employer contract, may evaluate and treat a patient without a referral from a licensed health care practitioner for up to 30 days, and a PTA may treat under the PT’s supervision; treatment beyond 30 days needs a referral from a physician or surgeon with an unlimited license or that physician’s physician assistant, a dentist, chiropractor or podiatrist, or an Advanced Practice Registered Nurse, each within their own training and practice.⁠^{2,9,10,11,12,13,14} A physical therapist may serve children receiving physical therapy under IDEA or Section 504 without a physician referral. Screening and education, and fitness, wellness or prevention services not related to treating an injury or ailment, need no physician referral. The section was last amended by SB 808 (Laws 2025, chapter 8), effective November 1, 2025. With a referral, a PT may extend or restart therapy for the patient named on it for up to 90 days after the referral began, unless the referring professional asks for longer, under the rule’s conditions. A PT who finds a condition outside physical therapy’s scope must refer the patient immediately; without appropriate improvement within 60 days of the referral date, the PT consults with or refers back to the referring professional. SoonerCare, as a payer, requires a signed and dated prescription or referral from the member’s physician or other licensed practitioner of the healing arts on file before a child’s initial evaluation.⁠^{2,9,10,11,12,13,14} For occupational therapy, the Occupational Therapy Practice Act requires a license to practice occupational therapy and treats a plan of care developed under the act as a prescription for services under IDEA and Section 504.⁠^64,65 SoonerCare, as a payer, requires a signed and dated prescription or referral from the member’s physician or other licensed practitioner of the healing arts on file before a child’s initial OT evaluation.⁠^64,65 For speech-language pathology, the licensing act requires a license to practice speech-language pathology and designates a licensed speech-language pathologist a practitioner of the healing art for making a referral for speech-language pathology services under IDEA and Section 504.⁠^66,67,68 SoonerCare, as a payer, requires prior authorization for every speech therapy service including the initial evaluation, and a signed and dated prescription or referral on file before the initial evaluation.⁠^66,67,68

The payer’s rule is separate. Medicare pays for outpatient therapy under a plan of care certified by a physician or nonphysician practitioner, and the regulation’s 2025 text lets a signed order or referral on file, with the plan delivered within 30 days of the initial evaluation, stand in for that signature on an initial plan.⁠²⁶ SoonerCare’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 SoonerCare pay for pediatric and adult therapy?

SoonerCare is Oklahoma’s Medicaid program, run by the Oklahoma Health Care Authority (OHCA), and a clinic enrolls through its provider enrollment route before it bills.⁠⁶⁹ For children, the federal EPSDT benefit requires the state to cover services that correct or ameliorate a condition found at a screening, whether or not the state plan covers them for adults.⁠⁷⁰ For children, SoonerCare pays for physical, occupational and speech therapy; a PT or OT initial evaluation by a fully licensed therapist needs no prior authorization, but every service after it does.⁠^3,4,5,6

SoonerCare does not cover adults’ therapy from individually contracted therapists. Adult coverage is in an outpatient hospital setting. In an outpatient hospital-based setting, physical, occupational and speech therapy is covered, limited by the rule to one evaluation or re-evaluation visit (unit) per discipline per calendar year and fifteen visits (units) per discipline per date of service per calendar year.⁠^15,16 For children, speech therapy needs prior authorization for every service including the initial evaluation, and PT and OT need it for every service after the initial evaluation. OHCA’s therapy prior authorization page lists the HCA-61 and the SC-15 parental consent form as required for all therapy.⁠^{71,72,73,74,75,76} Most SoonerCare members are covered through SoonerSelect health and dental plans, which provide the same health care services SoonerCare offers. A member in a SoonerSelect plan deals with the plan directly, prior authorizations included. The three SoonerSelect health plans are Aetna Better Health of Oklahoma, Humana Healthy Horizons of Oklahoma and Oklahoma Complete Health. A Children’s Specialty Program, served by Oklahoma Complete Health, covers SoonerSelect children and youth served by Oklahoma Human Services’ Child Welfare Services, including children in foster care.⁠^77,78,79 The fee schedule is published by the agency, and a clinic reads the current file rather than a remembered rate.⁠⁸⁰

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

SoonerCare pays physical, occupational and speech therapy by the methodology in the Oklahoma Medicaid State Plan, billed with CPT procedure codes.⁠^{81,82,83,84,85} The codes, modifiers and authorization forms are each plan’s and the program’s and change with them, so the clinic reads the current versions before its first claim and records the date read in the payer register.

Does SoonerCare pay for therapy in schools?

SoonerCare pays qualified school providers for medically necessary services to students under 21 under an IEP. For OT and speech, the IEP plan of care may serve as the prescription or referral, while school-based PT needs a physician’s signed and dated prescription before the initial evaluation, reauthorized at least annually.⁠^86,87 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 SoonerCare cover therapy by telehealth?

SoonerCare pays for telehealth that is real-time interactive audio, video or other electronic media with the member actively participating, billed with the appropriate modifier.⁠^88,89 The telehealth section below covers the state’s own rules for the session itself.

What are Oklahoma’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.⁠¹⁷ Each board has a telehealth rule: physical therapy to a patient located in Oklahoma needs an Oklahoma PT or PTA license and must be synchronous. Occupational therapy to a patient in Oklahoma needs an Oklahoma license, with the clinical reasoning for teletherapy documented at the start of treatment. Speech-language pathology telepractice must meet the same standards as in-person care. For SoonerCare, a provider needs a parent’s or legal guardian’s prior written consent, obtained annually or when its information changes, before serving a minor by telehealth. That consent rule does not apply to telehealth in a primary or secondary school setting.⁠^{90,91,92,93,94}

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.⁠^18,19 Oklahoma requires health benefit plans to cover health care services provided through telemedicine, not to exclude a service only because it is delivered that way (an insurer may limit telehealth coverage to what AMA or CMS coding and clinical standards recognize, unless insurer and provider agree otherwise), and to reimburse it on the same basis and at least at the in-person rate.⁠⁹⁵

Which business steps are specific to Oklahoma?

The entity is registered with the Oklahoma Secretary of State’s Business Filing Department, and the choice of entity is shaped by the state’s rule on who may own a therapy business.⁠²⁸ Oklahoma’s Professional Entity Act counts the personal service of a physical therapist, an occupational therapist, and a speech pathologist or speech therapist as professional service, which a professional corporation, limited partnership or limited liability company may be formed to render.⁠²⁹ State tax registration is with the Oklahoma Tax Commission.⁠⁹⁶ Oklahoma’s 4.5 percent state sales tax applies to sales of tangible personal property. Drugs, medical devices and medical equipment are exempt when administered, distributed or prescribed by a practitioner as the statute defines one, or bought under such a practitioner’s prescription and reimbursed by Medicare or Medicaid.⁠^97,98 Oklahoma’s Administrative Workers’ Compensation Act requires every employer to secure compensation for its employees’ compensable injuries without regard to fault.⁠⁹⁹ 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 Oklahoma?

As a SoonerCare requirement, a provider keeps the records needed to show the extent of services furnished to members for six years.⁠²⁷ 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.⁠^100,101

The PT and OT board rules list violating the confidentiality of information or knowledge concerning a patient among the grounds for discipline.⁠^102,103 Oklahoma’s Security Breach Notification Act requires an individual or entity that owns or licenses computerized personal information to notify affected Oklahoma residents of a breach that causes, or is reasonably believed to cause, identity theft or other fraud, without unreasonable delay, and to notify the Attorney General within 60 days after notifying residents unless fewer than 500 residents are affected, under the section as amended effective January 1, 2026. An entity that complies with HIPAA’s notification requirements is deemed to comply with the resident notice requirement if it also notifies the Attorney General as the act requires.⁠^104,105 Oklahoma requires every person who has reason to believe a child under 18 is a victim of abuse or neglect to report it immediately to the Department of Human Services, through its statewide hotline. Any person with reasonable cause to believe a vulnerable adult is suffering abuse, neglect or exploitation must report it, and the statute names other health care professionals among those required to report.⁠^106,107,108

Which Oklahoma rules shape a pediatric clinic?

SoonerStart, Oklahoma’s early intervention program for infants and toddlers from birth to 3 with developmental delays or disabilities, is a partnership of the State Department of Health and the State Department of Education, which state law designates the lead agency for Part C of IDEA. Any concerned individual can refer a child to SoonerStart, including online. SoonerStart has no direct cost to families, regardless of income. SoonerCare pays for early intervention services rendered by the State Department of Health and its contractors under the state’s Part C plan, including PT, OT and speech-language evaluations by fully licensed therapists.⁠^{30,31,32,33,34,35,36,37} 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. For plans issued or renewed on or after November 1, 2016, Oklahoma requires health benefit plans and the Oklahoma Employees Health Insurance Plan to cover screening, diagnosis and treatment of autism spectrum disorder, including therapeutic care by licensed or certified speech therapists, occupational therapists or physical therapists, with no limit on the number of visits. Dollar limits, deductibles and coinsurance may be no less favorable than for substantially all medical and surgical benefits. A plan whose premium costs rise more than 1 percent over its base period from providing applied behavior analysis may claim an exemption, under the statute’s conditions.⁠^109,110,111 The autism insurance mandates guide covers how such a mandate meets a plan’s own terms.

Which Oklahoma rules shape an adult clinic?

Medicare claims from Oklahoma go to Novitas Solutions, Inc., the Medicare Administrative Contractor for Jurisdiction H, Parts A and B (Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma and Texas), whose local coverage articles for therapy are the ones an Oklahoma clinic reads.⁠¹¹² CMS announced the Jurisdiction H award to Novitas on June 25, 2026.⁠¹¹² SoonerCare’s adult therapy rules are in the Medicaid section above.

Which associations and directory pages serve Oklahoma?

The state chapters are APTA Oklahoma for physical therapy, the Oklahoma Occupational Therapy Association (OKOTA) for occupational therapy and the Oklahoma Speech-Language-Hearing Association (OSHA) for speech-language pathology.⁠^113,114,115 On DrSensory, families browse Oklahoma 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.⁠¹¹⁶

Which Oklahoma cities have DrSensory city pages?

Beyond its three Oklahoma pages, the directory publishes city pages for 2 Oklahoma cities, 6 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.⁠¹¹⁶

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

DrSensory lists 43 PT, OT and SLP clinics in Oklahoma, on its occupational therapy, physical therapy and speech therapy pages for the state.⁠¹¹⁶

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

Which templates does an Oklahoma launch need?

How might two Oklahoma clinics plan a launch?

Sources

1. Oklahoma State Board of Medical Licensure and Supervision. Oklahoma State Board of Medical Licensure and Supervision, with its Physical Therapy Committee. Checked October 30, 2026.
2. Oklahoma State Courts Network (OSCN). Oklahoma Statutes, Title 59, 59 O.S. § 887.17, Referrals by Physicians and Surgeons - Agents - Exceptions. Checked October 30, 2026.
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   “A. 1. Except for workers compensation claims, any person licensed under the Physical Therapy Practice Act as a physical therapist including, but not limited to, a licensed physical therapist operating under a direct-to-employer contract, may evaluate and treat human ailments by physical therapy on a patient without a referral from a licensed health care practitioner for a period not to exceed thirty (30) days. Treatment may be provided by a physical therapist assistant under the supervision of a physical therapist. Any treatment provided beyond the thirty-day period shall be only under the referral of a person licensed as a physician or surgeon with unlimited license, or the physician assistant of the person so licensed, and doctors of dentistry, chiropractic, and podiatry and an Advanced Practice Registered Nurse, with those referrals being limited to their respective areas of training and practice.”
3. Oklahoma Health Care Authority. OHCA Policies and Rules, OAC 317:30-5-291, Coverage by category (physical therapists). “(1) Children. Initial therapy evaluations do not require prior authorization and must be provided by a fully licensed physical therapist. All therapy services following the initial evaluation must be prior authorized for continuation of service.” Checked October 30, 2026.
4. Oklahoma Health Care Authority. OHCA Policies and Rules, OAC 317:30-5-296, Coverage by category; payment rates and procedure codes (occupational therapy). “(1) Children. Initial therapy evaluations do not require prior authorization and must be provided by a fully licensed occupational therapist. All therapy services following the initial evaluation must be prior authorized for continuation of service.” Checked October 30, 2026.
5. Oklahoma Health Care Authority. OHCA Policies and Rules, OAC 317:30-5-676, Coverage by category; payment rates and procedure codes (speech and hearing). Checked October 30, 2026.
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   “(i) Speech-language pathology services may include speech-language evaluations, individual and group therapy services provided by a fully licensed and certified speech-language pathologist, a licensed speech-language pathology clinical fellow, and services within the scope of practice of a speech-language pathology assistant as directed by the supervising speech-language pathologist ...”
6. Oklahoma Health Care Authority. OHCA Guideline: Pediatric Physical Therapy (PT), effective October 1, 2026. “C. Physical Therapy services are covered with a prior authorization for the pediatric population from 0-20 years of age when medical necessity is met.” Checked October 30, 2026.
7. Oklahoma State Board of Medical Licensure and Supervision. Oklahoma State Board of Medical Licensure and Supervision, with its Occupational Therapy Advisory Committee. Checked October 30, 2026.
8. Oklahoma Board of Examiners for Speech-Language Pathology and Audiology. Oklahoma Board of Examiners for Speech-Language Pathology and Audiology (OBESPA). Checked October 30, 2026.
9. Oklahoma State Courts Network (OSCN). Oklahoma Statutes, Title 59, 59 O.S. § 887.17, Referrals by Physicians and Surgeons - Agents - Exceptions. Checked October 30, 2026.
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   “2. A physical therapist may provide services within the scope of physical therapy practice without a physician referral to children who receive physical therapy services pursuant to the Individuals with Disabilities Education Improvement Act of 2004, as may be amended, and Section 504 of the Rehabilitation Act of 1973, as may be amended.”
10. Oklahoma State Courts Network (OSCN). Oklahoma Statutes, Title 59, 59 O.S. § 887.17, Referrals by Physicians and Surgeons - Agents - Exceptions. Checked October 30, 2026.
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    “3. Nothing in the Physical Therapy Practice Act shall prevent a physical therapist from performing screening and educational procedures within the scope of physical therapy practice without a physician referral. 4. Nothing in the Physical Therapy Practice Act shall prevent a physical therapist from performing services that are provided for the purpose of fitness, wellness, or prevention that is not related to the treatment of an injury or ailment.”
11. Oklahoma State Courts Network (OSCN). Oklahoma Statutes, Title 59, 59 O.S. § 887.17, Referrals by Physicians and Surgeons - Agents - Exceptions. “Amended by Laws 2025, SB 808, c. 8, § 1, eff. November 1, 2025 ...” Checked October 30, 2026.
12. Oklahoma State Board of Medical Licensure and Supervision. Oklahoma Administrative Code, 435:20-5-10, Referrals (board’s compilation of OAC Title 435, Chapter 20, effective September 14, 2023). Checked October 30, 2026.
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    “(a) A licensed physical therapist who has received a referral from a person licensed as an allopathic physician, osteopathic physician, physician assistant, dentist, chiropractor, podiatrist, or advanced practice registered nurse, consistent with his or her respective areas of training and practice, may extend or reinstitute physical therapy for the patient named on the referral for a time period not to exceed ninety (90) days after the origination of the referral, unless a longer duration of physical therapy services is requested by the referring health care professional ...”
13. Oklahoma State Board of Medical Licensure and Supervision. Oklahoma Administrative Code, 435:20-5-10, Referrals (board’s compilation of OAC Title 435, Chapter 20, effective September 14, 2023). Checked October 30, 2026.
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    “(c) If the physical therapist determines, based on the physical therapy screening and evaluation, that the patient’s condition is outside the scope of the physical therapy practice, the physical therapist may not initiate, extend, or reinstitute treatment and must immediately refer the patient to a licensed health care professional. ... (d) If the physical therapist determines, based on reasonable evidence that appropriate improvement in symptoms or function has not been made within 60 days of the date on the referral, the physical therapist shall consult with or refer the patient back to the health care professional who originated the referral.”
14. Oklahoma Health Care Authority. OHCA Policies and Rules, OAC 317:30-5-291, Coverage by category (physical therapists). “Prior to the initial evaluation, the therapist must have on file a signed and dated prescription or referral for the therapy services from the member’s physician or other licensed practitioner of the healing arts.” Checked October 30, 2026.
15. Oklahoma Health Care Authority. OHCA Policies and Rules, OAC 317:30-5-291, Coverage by category (physical therapists). “(2) Adults. There is no coverage for adults for services rendered by individually contracted providers. Coverage for adults is permitted in an outpatient hospital setting as described in Oklahoma Administrative Code (OAC) 317:30-5-42.1.” Checked October 30, 2026.
16. Oklahoma Health Care Authority. OHCA Policies and Rules, OAC 317:30-5-42.1, Outpatient hospital services. Checked October 30, 2026.
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    “(f) Physical, occupational, and speech therapy services are covered when performed in an outpatient hospital-based setting. Coverage is limited to one (1) evaluation/re-evaluation visit (unit) per discipline per calendar year and fifteen (15) visits (units) per discipline per date of service per calendar year.”
17. 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”.
18. PT Compact Commission. PT Compact Map. Checked October 30, 2026.
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    “Member States (38) Alabama Alaska Arizona Arkansas Colorado Connecticut Delaware District of Columbia Georgia Indiana Iowa Kansas Kentucky Louisiana Maryland Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin ... Compact Privilege Availability 38 Member States Actively Issuing and Accepting Compact Privileges ...”
19. Oklahoma Legislature. Oklahoma Statutes, Title 59, 59 O.S. § 887.19, Physical Therapy Licensure Compact. Checked October 30, 2026.
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    “Physical Therapy Licensure Compact ARTICLE I Findings and Declaration of Purpose A. The purpose of this Compact is to facilitate interstate practice of physical therapy with the goal of improving public access to physical therapy services. ... Added by Laws 2018, c. 259, § 1, eff. Nov. 1, 2018.”
20. Occupational Therapy Compact Commission. Before You Apply for an OT Compact Privilege. “States not listed below are not a member of the Occupational Therapy Compact. ... Oklahoma Not Yet ...” Checked October 30, 2026.
21. Oklahoma State Courts Network (OSCN). Oklahoma Statutes Citationized, Title 59. Professions and Occupations (index). “888.31. Governor to Enter into Compact 888.32. Occupational Therapy Licensure Compact ...” Checked October 30, 2026.
22. Audiology and Speech-Language Pathology Interstate Compact Commission. Delegate Information. “Member State Appointed Delegates ... Oklahoma Audiology ... Oklahoma SLP ...” Checked October 30, 2026.
23. 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.
24. Oklahoma Board of Examiners for Speech-Language Pathology and Audiology. Oklahoma Administrative Code, 690:10-3-10, Interstate Compact (board’s Licensure Rules 2026 compilation of OAC Title 690). “(b) Membership. The state of Oklahoma is a current member of the ASLP-IC. ... [Source: Added at 43 Ok Reg, Number 20, effective 7-11-26]” Checked October 30, 2026.
25. Oklahoma Legislature. Oklahoma Statutes, Title 59, 59 O.S. § 1575, Purpose of Compact (Audiology and Speech-Language Pathology Interstate Compact). Checked October 30, 2026.
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    “The purpose of this Compact is to facilitate interstate practice of audiology and speech-language pathology with the goal of improving public access to audiology and speech-language pathology services. ... Added by Laws 2020, c. 42, § 1, eff. Nov. 1, 2020.”
26. 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.”.
27. Oklahoma Health Care Authority. OHCA Policies and Rules, OAC 317:30-3-15, Record retention. Checked October 30, 2026.
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    “Federal regulations and rules promulgated by the Oklahoma Health Care Authority Board require that the provider retain, for a period of six years, any records necessary to disclose the extent of services the provider, wholly owned supplier, or subcontractor, furnishes to recipients and, upon request, furnish such records to the Secretary of the Department of Health and Human Services.”
28. Oklahoma Secretary of State. Business Filing Department. “The Business Filing Department processes corporation, limited partnership, limited liability company, limited liability partnership, certificate of partnership fictitious name for general partnership, trade name, and trademark registration filings.” Checked October 30, 2026.
29. Oklahoma Legislature. Oklahoma Statutes, Title 18, 18 O.S. § 803, Definitions (Professional Entity Act). Checked October 30, 2026.
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    “5. "Professional entity" means a domestic or qualified foreign corporation, limited partnership or limited liability company formed for the purpose of rendering professional service or formed for the purpose of owning a professional entity rendering professional service; ... 6. "Professional service" means the personal service rendered by: ... l. a physical therapist pursuant to a license under Sections 887.1 through 887.18 of Title 59 of the Oklahoma Statutes, and any subsequent laws regulating the practice of physical therapy, ... p. an occupational therapist pursuant to Sections 888.1 through 888.15 of Title 59 of the Oklahoma Statutes and any subsequent law regulating the practice of occupational therapy, ... q. a speech pathologist or speech therapist pursuant to Sections 1601 through 1622 of Title 59 of the Oklahoma Statutes, and any subsequent law regulating the practice of speech pathology ...”
30. Oklahoma State Department of Health. SoonerStart. “SoonerStart is Oklahoma’s early intervention program designed to meet the needs of families with infants or toddlers (ages birth to 3 years old) with developmental delays and/or disabilities in accordance with the Individuals with Disabilities Education Act (IDEA).” Checked October 30, 2026.
31. Oklahoma State Department of Health. SoonerStart. “A referral to the SoonerStart Early Intervention program can be made by any concerned individual.” Checked October 30, 2026.
32. Oklahoma State Department of Health. SoonerStart. “An online referral can be made by accessing the SoonerStart Referral link.” Checked October 30, 2026.
33. Oklahoma State Department of Health. SoonerStart. “SoonerStart is a partnership with the Oklahoma State Department of Education ...” Checked October 30, 2026.
34. Oklahoma Legislature. Oklahoma Statutes, Title 70, 70 O.S. § 13-124, General administration, supervision and monitoring of programs (Oklahoma Early Intervention Act). Checked October 30, 2026.
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    “A. The State Department of Education is hereby designated as the lead agency for general administration, supervision and monitoring of programs and activities receiving federal funds under Part C of the Individuals with Disabilities Education Act (IDEA)”
35. Oklahoma Health Care Authority. SoonerStart. “There is no direct cost to families for these services, regardless of their income.” Checked October 30, 2026.
36. Oklahoma Health Care Authority. OHCA Policies and Rules, OAC 317:30-5-641, Coverage by category (early intervention services). “(2) Children. Payment is made for compensable services rendered by the Oklahoma State Department of Health (OSDH) and its contractors, pursuant to the State’s plan for Early Intervention services required under Part C of the IDEA.” Checked October 30, 2026.
37. Oklahoma Health Care Authority. OHCA Policies and Rules, OAC 317:30-5-641, Coverage by category (early intervention services). Checked October 30, 2026.
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    “(F) Speech language evaluation. Speech language evaluation must be provided by a fully licensed speech-language pathologist. (G) Physical therapy evaluation. Physical therapy evaluation must be provided by a fully licensed physical therapist. (H) Occupational therapy evaluation. Occupational therapy evaluation must be provided by a fully licensed occupational therapist.”
38. Oklahoma State Courts Network (OSCN). Oklahoma Statutes, Title 59, 59 O.S. § 887.4, Physical Therapy Committee - Membership - Vacancies - Compensation. Checked October 30, 2026.
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    “A. There is hereby established a Physical Therapy Committee to assist the State Board of Medical Licensure and Supervision in conducting examinations for applicants and to advise the Board on all matters pertaining to the licensure, education, and continuing education of physical therapists and physical therapist assistants and the practice of physical therapy.”
39. Oklahoma State Courts Network (OSCN). Oklahoma Statutes, Title 59, 59 O.S. § 887.4, Physical Therapy Committee - Membership - Vacancies - Compensation. Checked October 30, 2026.
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    “B. 1. The Physical Therapy Committee shall consist of five (5) members who shall be appointed by the State Board of Medical Licensure and Supervision as follows: a. three members shall be licensed physical therapists, b. one member shall be a licensed physical therapist assistant, and c. one member shall be a lay person.”
40. Oklahoma State Courts Network (OSCN). Oklahoma Statutes, Title 59, 59 O.S. § 887.5, Powers and Duties of Board. Checked October 30, 2026.
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    “The State Board of Medical Licensure and Supervision shall have the power and duty to: ... 3. Issue a license to each applicant who passes the examination in accordance with standards promulgated by the Board pursuant to the Physical Therapy Practice Act ...”
41. Oklahoma State Courts Network (OSCN). Oklahoma Statutes, Title 59, 59 O.S. § 887.12, Renewal of Licenses. Checked October 30, 2026.
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    “A. 1. Except as otherwise provided by the Physical Therapy Practice Act, all licenses shall expire on January 31 of each year. A license may be renewed during the month of January of each year upon: a) application, b) evidence of satisfactory completion of a program of continuing education or of alternative requirements, as required by the State Board of Medical Licensure and Supervision pursuant to subsection B of this section, and c.) payment of fees.”
42. Oklahoma State Board of Medical Licensure and Supervision. Oklahoma Administrative Code, 435:20-3-6, Requirements for renewal and re-entry (board’s compilation of OAC Title 435, Chapter 20, effective September 14, 2023). Checked October 30, 2026.
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    “(a) Renewal of license. In order to renew the license, each Physical Therapist and Physical Therapist Assistant shall: (1) complete the renewal application; (2) pay the required fee as set out in OAC 435:1-1-7(a)(2); (3) complete a jurisprudence examination prepared by the Board focusing on the areas of the Oklahoma Physical Therapy Practice Act and related Oklahoma Administrative Code; (4) and meet requirements for continuing education as set out in Subchapter 9 of this Chapter.”
43. Oklahoma State Board of Medical Licensure and Supervision. Oklahoma Administrative Code, 435:20-9-2, Professional development requirements for renewal (board’s compilation of OAC Title 435, Chapter 20, effective September 14, 2023). Checked October 30, 2026.
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    “(b) Effective February 1, 2022 and every two years thereafter, physical therapists will be required to show proof of forty (40) approved contact hours and/or PDU equivalent and Physical Therapist Assistants will be required to show proof of thirty (30) approved contact hours and/or PDU equivalent. (1) At least half of the required hours must be professional development coursework. (2) Three of the required hours must contain ethics education that includes the APTA Guide for Professional Conduct and the APTA Code of Ethics.”
44. Oklahoma State Board of Medical Licensure and Supervision. Physical Therapists and Assistants. “Continuing Education Requirements Cycle ends January 31 every even year If you are a Physical Therapist you must obtain forty (40) hours of approved continuing education every two (2) years (i.e. — from February 1, 2022 to January 31, 2024, etc.).” Checked October 30, 2026.
45. Oklahoma State Board of Medical Licensure and Supervision. Oklahoma Administrative Code, 435:20-7-1, Direction and supervision of Physical Therapist Assistants (board’s compilation of OAC Title 435, Chapter 20, effective September 14, 2023). Checked October 30, 2026.
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    “(2) A physical therapist will not supervise and utilize more than four (4) licensed personnel or applicants for licensure. Only three (3) may be physical therapist assistants or applicants for physical therapist assistant licensure. Any of the four (4) may be applicants for physical therapist licensure. This total is inclusive of all geographic locations or employing agencies.”
46. Oklahoma State Board of Medical Licensure and Supervision. Oklahoma Administrative Code, 435:20-7-1, Direction and supervision of Physical Therapist Assistants (board’s compilation of OAC Title 435, Chapter 20, effective September 14, 2023). “(A) A physical therapist assistant shall work under a physical therapist’s direct or general supervision.” Checked October 30, 2026.
47. Oklahoma State Board of Medical Licensure and Supervision. Request to Supervise More Than 3 PTAs (board form). “In accordance with Oklahoma Administrative Code Section 435:20-7-1(e), I am requesting permission to supervise additional Physical Therapist Assistants.” Checked October 30, 2026.
48. Oklahoma Legislature. Oklahoma Statutes, Title 59, 59 O.S. § 888.3, Definitions. “5. "Board" means the State Board of Medical Licensure and Supervision ...” Checked October 30, 2026.
49. Oklahoma Legislature. Oklahoma Statutes, Title 59, 59 O.S. § 888.12, Oklahoma Occupational Therapy Advisory Committee - Creation - Membership. Checked October 30, 2026.
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    “An Oklahoma Occupational Therapy Advisory Committee of the State Board of Medical Licensure and Supervision is hereby created. The Committee shall consist of five (5) members appointed by the Board, upon recommendation of the Oklahoma Occupational Therapy Association, for staggered terms of three (3) years, except for the first Committee appointed hereunder. Three members shall be occupational therapists with at least five (5) years’ experience, one member shall be an occupational therapy assistant with at least three (3) years’ experience, and one member shall be a consumer.”
50. Oklahoma State Board of Medical Licensure and Supervision. Oklahoma Administrative Code, 435:30-1-5, License renewal; late fees; continuing education; re-entry guidelines (board’s compilation of OAC Title 435, Chapter 30, effective September 11, 2020). Checked October 30, 2026.
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    “(a) Yearly license renewal. The occupational therapist and occupational therapy assistant license is required to be renewed yearly on October 31 upon forms provided by the Board and shall be accompanied by fees set by the Board. In addition, late fees shall be assessed as set by the Board.”
51. Oklahoma Legislature. Oklahoma Statutes, Title 59, 59 O.S. § 888.10, Renewal of license - Continuing education. Checked October 30, 2026.
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    “A. Licenses under this act shall be subject to annual renewal and shall expire unless renewed in the manner prescribed by the rules and regulations of the Board, upon payment of a renewal fee provided for in Section 11 of this act.”
52. Oklahoma State Board of Medical Licensure and Supervision. Occupational Therapists and Assistants. Checked October 30, 2026.
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    “Continuing education is due October 31 every even year. You must obtain twenty (20) hours of approved continuing education every two (2) years (i.e. from November 1, 2014 to October 31, 2016, etc.). No hours may be carried over from the previous reporting period.”
53. Oklahoma State Board of Medical Licensure and Supervision. Oklahoma Administrative Code, 435:30-1-5, License renewal; late fees; continuing education; re-entry guidelines (board’s compilation of OAC Title 435, Chapter 30, effective September 11, 2020). “Twenty contact hours every 2 years will be required.” Checked October 30, 2026.
54. Oklahoma State Board of Medical Licensure and Supervision. Oklahoma Administrative Code, 435:30-1-16, Responsible supervision (board’s compilation of OAC Title 435, Chapter 30, effective September 11, 2020). Checked October 30, 2026.
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    “(a) An occupational therapist will not sign the Form #5, Verification of Supervision, to be the direct clinical supervisor for more than a total of four occupational therapy assistants or applicants for licensure regardless of the type of professional licensure or level of training. ... (c) On a case-by-case basis, an occupational therapist may petition the Committee to receive permission to supervise additional occupational therapy assistants or applicants.”
55. Oklahoma Legislature. Oklahoma Statutes, Title 59, 59 O.S. § 888.3, Definitions. “3. "Occupational therapy assistant" means a person licensed to provide occupational therapy treatment under the general supervision of a licensed occupational therapist ...” Checked October 30, 2026.
56. Oklahoma Legislature. Oklahoma Statutes, Title 59, 59 O.S. § 1607, Board of Examiners for Speech-Language Pathology and Audiology - Members - Duties. Checked October 30, 2026.
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    “A. There is hereby re-created, to continue until July 1, 2027, in accordance with the provisions of the Oklahoma Sunset Law, the Board of Examiners for Speech-Language Pathology and Audiology whose duty it is to administer the provisions of the Speech-Language Pathology and Audiology Licensing Act. The members of the Board shall be residents of this state and shall be appointed by the Governor with the advice and consent of the Senate. The Board shall be composed of five (5) members ...”
57. Oklahoma Board of Examiners for Speech-Language Pathology and Audiology. About OBESPA. “The Oklahoma Board of Examiners for Speech-Language Pathology and Audiology is the only agency in the state regulating health care services in the area of communicative disorders of the speech, language and hearing mechanisms.” Checked October 30, 2026.
58. Oklahoma Legislature. Oklahoma Statutes, Title 59, 59 O.S. § 1604, License required - Exceptions and exemptions. “A. Except as otherwise provided by this section, no person shall practice speech-language pathology or audiology unless such person is licensed pursuant to the Speech-Language Pathology and Audiology Licensing Act.” Checked October 30, 2026.
59. Oklahoma Legislature. Oklahoma Statutes, Title 59, 59 O.S. § 1616, License certificates - Renewals - Inactive status. Checked October 30, 2026.
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    “B. Licenses for independent practitioners expire on the 31st day of December following their issuance or renewal, and are invalid thereafter unless renewed. ... Renewal may be made at any time during the months of November or December upon application therefore, and by payment of the renewal fee.”
60. Oklahoma Board of Examiners for Speech-Language Pathology and Audiology. Renewals. “Renewals - 2027 Renewal Season Opens November 1, 2026 - Your 20 CEU hours from 2025-2026 will be due when you renew ...” Checked October 30, 2026.
61. Oklahoma Board of Examiners for Speech-Language Pathology and Audiology. Oklahoma Administrative Code, 690:10-3-8, Continuing education (CE) for speech-language pathologists, audiologists, and speech-language pathology assistants (board’s Licensure Rules 2026 compilation of OAC Title 690). Checked October 30, 2026.
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    “(b) Clock hours required for license renewal. A licensee must obtain a minimum of twenty (20) clock hours of acceptable continuing education, including at least three clock hours of professional ethics in a two-year period. The continuing education period begins in January of every odd-numbered year.”
62. Oklahoma Board of Examiners for Speech-Language Pathology and Audiology. FAQs. “A minimum of twenty (20) clock hours of acceptable continuing education will be required for renewal of a license to practice Audiology, Speech-Language Pathology, or Speech-Language Pathology Assistants in a two year period.” Checked October 30, 2026.
63. Oklahoma Board of Examiners for Speech-Language Pathology and Audiology. Oklahoma Administrative Code, 690:10-7-3, Supervision required (board’s Licensure Rules 2026 compilation of OAC Title 690). Checked October 30, 2026.
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    “(a) The speech-language pathology assistant must be supervised by a speech- language pathologist who has been licensed for two years. Licensure as a clinical fellow does not count toward the two-year license requirement. Each supervisor shall accept no more than the equivalent of two FTE (full-time employee) assistants. ... (c) For the first 90 workdays following the first day of employment, a speech-language pathology assistant shall practice under a minimum of 20% direct supervision with a minimum of 8 indirect supervising activities per month.”
64. Oklahoma Legislature. Oklahoma Statutes, Title 59, 59 O.S. § 888.4, License required - Application of act - Plan of care. Checked October 30, 2026.
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    “A. No person shall practice occupational therapy or hold himself or herself out as an occupational therapist, or as being able to practice occupational therapy, or to render occupational therapy services in this state unless he or she is licensed in accordance with the provisions of this act. ... C. Notwithstanding any other provisions of this act, a plan of care developed by a person authorized to provide services within the scope of the Occupational Therapy Practice Act shall be deemed to be a prescription for purposes of providing services pursuant to the provisions of the Individuals with Disabilities Education Act, Amendment of 1997, Public Law 105-17, and Section 504 of the Rehabilitation Act of 1973.”
65. Oklahoma Health Care Authority. OHCA Policies and Rules, OAC 317:30-5-296, Coverage by category; payment rates and procedure codes (occupational therapy). “Prior to the initial evaluation, the therapist must have on file a signed and dated prescription or referral for the therapy services from the member’s physician or other licensed practitioner of the healing arts.” Checked October 30, 2026.
66. Oklahoma Legislature. Oklahoma Statutes, Title 59, 59 O.S. § 1604, License required - Exceptions and exemptions. Checked October 30, 2026.
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    “A. Except as otherwise provided by this section, no person shall practice speech-language pathology or audiology unless such person is licensed pursuant to the Speech-Language Pathology and Audiology Licensing Act. ... C. Notwithstanding any other provision of this section, a person licensed in this state to perform speech-language pathology or audiology services is hereby designated to be a practitioner of the healing art for purposes of making a referral for speech-language pathology or audiology services pursuant to the provisions of the Individuals with Disabilities Education Act, Public Law 105-17, as amended, and Section 504 of the Rehabilitation Act of 1973.”
67. Oklahoma Legislature. Oklahoma Statutes, Title 59, 59 O.S. § 1603, Definitions. Checked October 30, 2026.
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    “9. "Practice of speech-language pathology" means the rendering or offering to render to any person or the public any speech, voice, social communication, cognitive communication, feeding or swallowing or language evaluation, examination, counseling or habitation and rehabilitation of or for persons who have or are suspected of having a speech, voice, feeding or swallowing or language disorder ...”
68. Oklahoma Health Care Authority. OHCA Policies and Rules, OAC 317:30-5-676, Coverage by category; payment rates and procedure codes (speech and hearing). Checked October 30, 2026.
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    “(A) Preauthorization required. All therapy services, including the initial evaluation, must be prior authorized. Prior to the initial evaluation, the therapist must have on file a signed and dated prescription or referral for the therapy services from the member’s physician or other licensed practitioner of the healing arts.”
69. Oklahoma Health Care Authority. Provider Enrollment. Checked October 30, 2026.
70. Medicaid.gov (Centers for Medicare & Medicaid Services). Early and Periodic Screening, Diagnostic, and Treatment (Medicaid benefit page). Checked October 26, 2026.
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    “The Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit provides comprehensive and preventive health care services for children under age 21 who are enrolled in Medicaid.”; “It is the responsibility of states to determine medical necessity on a case-by-case basis.”.
71. Oklahoma Health Care Authority. OHCA Policies and Rules, OAC 317:30-5-676, Coverage by category; payment rates and procedure codes (speech and hearing). “(A) Preauthorization required. All therapy services, including the initial evaluation, must be prior authorized.” Checked October 30, 2026.
72. Oklahoma Health Care Authority. OHCA Policies and Rules, OAC 317:30-5-291, Coverage by category (physical therapists). “All therapy services following the initial evaluation must be prior authorized for continuation of service.” Checked October 30, 2026.
73. Oklahoma Health Care Authority. Prior Authorization: Therapy - Occupational/Physical/Speech. “Required Forms for All Therapy HCA-61 SC-15 English | Spanish - Parental Consent Form ...” Checked October 30, 2026.
74. Oklahoma Health Care Authority. OHCA Guideline: Pediatric Physical Therapy (PT), effective October 1, 2026. “1. A referral to "evaluate and treat" is valid for 12 months from the date of signature, unless specified otherwise with specific parameters (ex: 2x a week for 6 weeks).” Checked October 30, 2026.
75. Oklahoma Health Care Authority. OHCA Guideline: Pediatric Physical Therapy (PT), effective October 1, 2026. “While an annual/initial evaluation can be reimbursed no earlier than one year from the date of the previously performed evaluation, a re-evaluation can be requested no earlier than six months from the date of the previous evaluation when criteria are met.” Checked October 30, 2026.
76. Oklahoma Health Care Authority. Prior Authorization: Therapy - Occupational/Physical/Speech. “In an effort to expedite prior authorizations for initial post-operative and acute injuries, we allow the use of an SC modifier for Occupational and Physical Therapy requests.” Checked October 30, 2026.
77. Oklahoma Health Care Authority. About SoonerSelect. Checked October 30, 2026.
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    “Most SoonerCare members get their health care services covered through SoonerSelect health and dental plans. ... All health and dental plans provide the same health care services currently offered by SoonerCare, but some may provide extra benefits and services to help improve your health. ... Once a member has selected a SoonerSelect plan, the member will correspond directly with that plan for all questions and inquiries. This includes member ID cards, prior authorizations, SoonerRide or other plan-specific questions.”
78. Oklahoma Health Care Authority. About SoonerSelect. “You can choose between three health plans: Aetna Better Health of Oklahoma, Humana Healthy Horizons of Oklahoma and Oklahoma Complete Health.” Checked October 30, 2026.
79. Oklahoma Health Care Authority. About SoonerSelect. Checked October 30, 2026.
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    “There is also a Children’s Specialty Program that covers SoonerSelect children and youth served by Oklahoma Human Services’ Child Welfare Services. This includes children in foster care and former foster care children, those receiving adoption assistance, and those involved in the juvenile justice system. Oklahoma Complete Health serves these members.”
80. Oklahoma Health Care Authority. SoonerCare Fee Schedules. Checked October 30, 2026.
81. Oklahoma Health Care Authority. OHCA Policies and Rules, OAC 317:30-5-291, Coverage by category (physical therapists). Checked October 30, 2026.
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    “(b) Payment rates. All physical therapy services are reimbursed per the methodology described in the Oklahoma Medicaid State Plan. (c) Procedure codes. The appropriate procedure codes used for billing physical therapy services are found in the Physicians’ Current Procedural Terminology (CPT) Coding Manual.”
82. Oklahoma Health Care Authority. OHCA Guideline: Pediatric Physical Therapy (PT), effective October 1, 2026. Checked October 30, 2026.
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    “CPT Codes Covered Requiring Prior Authorization (PA) 97022 Whirlpool 97110 Therapeutic Exercise 97112 Neuromuscular Re-education 97113 Aquatic Therapy 97116 Gait Training 97124 Therapeutic Massage 97140 Manual Therapy 97150 Group Therapy 97164 PT Re-Evaluation 97530 Therapeutic Activity ... 7. If requesting a change in modifier – ’GP’ is the primary modifier used for approval of any of the applicable PT CPT codes listed in this guideline.”
83. Oklahoma Health Care Authority. OHCA Guideline: Pediatric Occupational Therapy (OT), effective October 1, 2026. Checked October 30, 2026.
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    “CPT Codes Covered Requiring Prior Authorization (PA) 97022 Whirlpool Therapy 97110 Therapeutic Exercise 97112 Neuromuscular Re-Education 97113 Aquatic Therapy 97124 Massage Therapy 97140 Manual Therapy 97150 Group Therapy 97168 OT Re-Evaluation 97530 Therapeutic Activity 97532 Development of Cognitive Skills 97533 Sensory Integrative Techniques 97535 Self-care/Home Management Training ... 7. If requesting a change in modifier – ’GO’ is the primary modifier used for approval of any of the applicable OT CPT codes listed in this guideline.”
84. Oklahoma Health Care Authority. OHCA Guideline: Treatment of Speech, Language, Voice, Communication and/or Auditory Processing Disorder, effective June 2, 2025. “CPT Codes Covered Requiring Prior Authorization (PA) 92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual 92508 Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, two or more individuals ...” Checked October 30, 2026.
85. Oklahoma Health Care Authority. OHCA Guideline: Pediatric Physical Therapy (PT), effective October 1, 2026. “The ’GT’ modifier should be listed as a secondary modifier for claims submitted when services are delivered via telehealth (this modifier should not be listed as a secondary modifier on PAs, only on telehealth claims).” Checked October 30, 2026.
86. Oklahoma Health Care Authority. OHCA Policies and Rules, OAC 317:30-5-1020, General provisions (qualified schools as providers of health-related services). Checked October 30, 2026.
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    “(a) School-based services are medically necessary health-related and rehabilitative services that are provided by a qualified school provider to a student under the age of twenty-one (21) pursuant to an Individualized Education Program (IEP), in accordance with the Individuals with Disabilities Education Act (IDEA). ... (3) Physical therapy services, by contrast, shall require a signed and dated prescription from the student’s physician prior to that student’s initial evaluation, in accordance with OAC 317:30-5-291(1). Prescriptions for school-based physical therapy must be reauthorized at least annually ...”
87. Oklahoma Health Care Authority. OHCA Policies and Rules, OAC 317:30-5-1020, General provisions (qualified schools as providers of health-related services). Checked October 30, 2026.
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    “(2) For the purposes of occupational therapy services, and services for members with speech, hearing, and language disorders, a plan of care that meets the requirements of OAC 317:30-5-1020(b), above, may also, ... serve as a valid prescription or referral for an initial evaluation and any subsequent services ...”
88. Oklahoma Health Care Authority. OHCA Policies and Rules, OAC 317:30-3-27, Telehealth (revised March 13, 2026). “For purposes of SoonerCare reimbursement, telehealth is the use of interactive audio, video, or other electronic media for the purpose of diagnosis, consultation, or treatment that occurs in real-time and when the member is actively participating during the transmission.” Checked October 30, 2026.
89. Oklahoma Health Care Authority. OHCA Policies and Rules, OAC 317:30-3-27, Telehealth (revised March 13, 2026). “(2) Services provided by telehealth must be billed with the appropriate modifier.” Checked October 30, 2026.
90. Oklahoma State Board of Medical Licensure and Supervision. Oklahoma Administrative Code, 435:20-5-11, Telehealth regulations (board’s compilation of OAC Title 435, Chapter 20, effective September 14, 2023). Checked October 30, 2026.
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    “(a) In order to provide physical therapy via telehealth defined in 435:20-1-1.1 of the Code, a physical therapist or physical therapist assistant providing services to a patient or client, physically located in Oklahoma, must have a valid and current Oklahoma Physical Therapist or Physical Therapist Assistant license, issued by State of Oklahoma. (b) Provision of services via telehealth shall be synchronous.”
91. Oklahoma State Board of Medical Licensure and Supervision. Oklahoma Administrative Code, 435:20-5-11, Telehealth regulations (board’s compilation of OAC Title 435, Chapter 20, effective September 14, 2023). “(d) All legal, regulatory, and ethical rules applicable to the delivery of in-person physical therapy shall also apply to the delivery of physical therapy via telehealth technology.” Checked October 30, 2026.
92. Oklahoma State Board of Medical Licensure and Supervision. Oklahoma Administrative Code, 435:30-1-18, Telehealth regulations (board’s compilation of OAC Title 435, Chapter 30, effective September 11, 2020). Checked October 30, 2026.
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    “(a) In order to provide occupational therapy services via telehealth defined in 435:30-1-2 of the Code, an occupational therapist or occupational therapy assistant providing services to a patient or client in this State must have a valid and current Occupational Therapy or Occupational Therapy Assistant license issued by State of Oklahoma. ... Clinical reasoning for providing occupational therapy via teletherapy must be documented at the onset of treatment in the patient’s/client’s record.”
93. Oklahoma Board of Examiners for Speech-Language Pathology and Audiology. Oklahoma Administrative Code, 690:10-3-9, Telepractice (board’s Licensure Rules 2026 compilation of OAC Title 690). Checked October 30, 2026.
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    “(a) Licensees may provide speech-language pathology and audiology services to clients in Oklahoma by utilizing telepractice. ... (c) Telepractice must conform to the same standards of practice required when the client is present at the same site as the licensee when the service is provided.”
94. Oklahoma Health Care Authority. OHCA Policies and Rules, OAC 317:30-3-27, Telehealth (revised March 13, 2026). Checked October 30, 2026.
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    “(5) If the member is a minor, the provider must obtain the prior written consent of the member’s parent or legal guardian to provide services via telehealth, that includes, at a minimum, the name of the provider; the provider’s permanent business office address and telephone number; an explanation of the services to be provided, including the type, frequency, and duration of services. Written consent must be obtained annually, or whenever there is a change in the information in the written consent form, as set forth above. The parent or legal guardian need not attend the telehealth session unless attendance is therapeutically appropriate. The requirements of subsection OAC 317:30-3-27(c)(5), however, do not apply to telehealth services provided in a primary or secondary school setting.”
95. Oklahoma Legislature. Oklahoma Statutes, Title 36, 36 O.S. § 6803, Coverage of services - Requirements for insurers (Oklahoma Telemedicine Act). Checked October 30, 2026.
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    “C. Any health benefit plan that is offered, issued or renewed in this state by an insurer on or after the effective date of this act shall provide coverage of health care services provided through telemedicine, as provided in this section. ... D. An insurer shall not exclude a service for coverage solely because the service is provided through telemedicine and is not provided through in-person consultation or contact between a health care professional and a patient when such services are appropriately provided through telemedicine. An insurer may limit coverage of services provided by telehealth consistent with coding and clinical standards recognized by the American Medical Association or the Centers for Medicare and Medicaid Services as covered if delivered by telehealth or telemedicine, except as agreed to by the insurer and provider. ... E. An insurer shall reimburse the treating health care professional or the consulting health care professional for the diagnosis, consultation or treatment of the patient delivered through telemedicine services on the same basis and at least at the rate of reimbursement that the insurer is responsible for coverage for the provision of the same, or substantially similar, services through in-person consultation or contact.”
96. Oklahoma Tax Commission. New Business Center. “Starting a new business may require you to register with the Oklahoma Tax Commission or a different state, city or county agency. Complete the business registration application for the permits and/or accounts you need.” Checked October 30, 2026.
97. Oklahoma Tax Commission. Sales & Use Tax. Checked October 30, 2026.
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    “Under Oklahoma law, sales tax must be charged and collected on all transfers of title or possession of tangible personal property that occur within the state. Sales tax is also levied on certain services that are provided in the state. ... Oklahoma sales tax is levied at 4.5% of the gross receipts from the sale or rental of tangible personal property and from the furnishing of specific services.”
98. Oklahoma Legislature. Oklahoma Statutes, Title 68, 68 O.S. § 1357.6, Drugs and medical devices and equipment - Exemption. Checked October 30, 2026.
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    “A. Effective July 1, 1992, there are hereby exempted from the tax levied by Section 1350 et seq. of this title sales of drugs for the treatment of human beings, medical appliances, medical devices and other medical equipment including but not limited to corrective eyeglasses, contact lenses, and hearing aids when administered, distributed or prescribed by a practitioner, as defined in subsection C of this section, who is authorized by law to administer, distribute or prescribe such items or when purchased or leased by or on behalf of an individual for use by such individual under a prescription or work order of a practitioner who is authorized by law to prescribe such items and when the cost of such items will be reimbursed under the Medicare or Medicaid Program. ... C. The term "practitioner" means a physician, allopathic physician, osteopathic physician, surgeon, podiatrist, chiropractor, optometrist, pharmacist, psychologist, ophthalmologist, nurse practitioner, clinical nurse specialist, audiologist or hearing aid dealer or fitter who is licensed by the state as required by law.”
99. Oklahoma Legislature. Oklahoma Statutes, Title 85A, 85A O.S. § 35, Obligation to pay (Administrative Workers’ Compensation Act). “A. 1. Every employer shall secure compensation as provided under this act to its employees for compensable injuries without regard to fault.” Checked October 30, 2026.
100. 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.”.
101. 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.”.
102. Oklahoma State Board of Medical Licensure and Supervision. Oklahoma Administrative Code, 435:20-5-8, Unprofessional conduct - Grounds for disciplinary action (board’s compilation of OAC Title 435, Chapter 20, effective September 14, 2023). “(24) Violating the confidentiality of information or knowledge concerning a patient.” Checked October 30, 2026.
103. Oklahoma State Board of Medical Licensure and Supervision. Oklahoma Administrative Code, 435:30-1-10, Grounds for disciplinary action (board’s compilation of OAC Title 435, Chapter 30, effective September 11, 2020). “(17) Violating the confidentiality of information or knowledge concerning a patient.” Checked October 30, 2026.
104. Oklahoma Legislature. Oklahoma Statutes, Title 24, 24 O.S. § 163, Duty to provide notice of breach (Security Breach Notification Act). Checked October 30, 2026.
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     “A. An individual or entity that owns or licenses computerized data that includes personal information shall provide notice of any breach of the security of the system following determination or notification of the breach of the security of the system to any resident of this state whose unencrypted and unredacted personal information was or is reasonably believed to have been accessed and acquired by an unauthorized person and that causes, or the individual or entity reasonably believes has caused or will cause, identity theft or other fraud to any resident of this state. Except as provided in subsection D of this section or in order to take any measures necessary to determine the scope of the breach and to restore the reasonable integrity of the system, the disclosure shall be made without unreasonable delay. ... E. 1. An individual or entity required to provide notice in accordance with subsection A or B of this section shall also provide notice to the Attorney General of such breach without unreasonable delay but in no event more than sixty (60) days after providing notice to impacted residents of this state as required by this section. ... 2. A breach of a security system where fewer than five hundred (500) residents of this state are affected within a single breach shall be exempt from the notice requirements of paragraph 1 of this subsection. ... Amended by Laws 2025, c. 406, § 2, eff. Jan. 1, 2026.”
105. Oklahoma Legislature. Oklahoma Statutes, Title 24, 24 O.S. § 164, Notice procedures deemed in compliance. Checked October 30, 2026.
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     “B. The following entities shall be deemed to be in compliance with the notification requirements of subsection A or B of Section 163 of this title if such entities provide notice to the Attorney General as required by subsection E of Section 163 of this title: ... 2. An entity that complies with the notification requirements prescribed by the Oklahoma Hospital Cybersecurity Protection Act of 2023 or the Health Insurance Portability and Accountability Act of 1996 (HIPAA)”
106. Oklahoma Legislature. Oklahoma Statutes, Title 10A, 10A O.S. § 1-2-101, Statewide centralized hotline for reporting child abuse or neglect (each of the three 2025 versions, v1 to v3, carries this text; quoted from v3). Checked October 30, 2026.
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     “B. 1. Every person having reason to believe that a child under the age of eighteen (18) years is a victim of abuse or neglect shall report the matter immediately to the Department of Human Services.”
107. Oklahoma Legislature. Oklahoma Statutes, Title 10A, 10A O.S. § 1-2-101, Statewide centralized hotline for reporting child abuse or neglect (each of the three 2025 versions, v1 to v3, carries this text; quoted from v3). “Reports shall be made to the hotline provided for in subsection A of this section.” Checked October 30, 2026.
108. Oklahoma Legislature. Oklahoma Statutes, Title 43A, 43A O.S. § 10-104, Persons required to report abuse, neglect, or exploitation (version 2, Laws 2025, c. 215). Checked October 30, 2026.
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     “A. Any person having reasonable cause to believe that a vulnerable adult is suffering from abuse, neglect, or exploitation shall make a report ... B. Persons required to make reports pursuant to this section shall include, but not be limited to: ... 7. Other health care professionals ...”
109. Oklahoma Legislature. Oklahoma Statutes, Title 36, 36 O.S. § 6060.21, Screening, diagnosis and treatment of autism spectrum disorder. Checked October 30, 2026.
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     “A. For all plans issued or renewed on or after November 1, 2016, a health benefit plan and the Oklahoma Employees Health Insurance Plan shall provide coverage for the screening, diagnosis and treatment of autism spectrum disorder in individuals. ... provided, however, that coverage shall not be subject to any limits on the number of visits an individual may make for treatment of autism spectrum disorder. ... 10. "Therapeutic care" means services provided by licensed or certified speech therapists, occupational therapists or physical therapists ...”
110. Oklahoma Legislature. Oklahoma Statutes, Title 36, 36 O.S. § 6060.21, Screening, diagnosis and treatment of autism spectrum disorder. Checked October 30, 2026.
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     “C. Coverage under this section shall not be subject to dollar limits, deductibles or coinsurance provisions that are less favorable to an insured than the dollar limits, deductibles or coinsurance provisions that apply to substantially all medical and surgical benefits under the health benefit plan.”
111. Oklahoma Legislature. Oklahoma Statutes, Title 36, 36 O.S. § 6060.22, Exemption for health benefit plans from autism spectrum disorder coverage. Checked October 30, 2026.
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     “A. 1. A health benefit plan that, at the end of its base period, experiences a greater than one percent (1%) increase in premium costs pursuant to providing applied behavior analysis for treatment of autism spectrum disorders shall be exempt from the provisions of this act.”
112. Centers for Medicare & Medicaid Services. Who are the MACs: A/B MAC Jurisdiction H (JH). Checked October 30, 2026.
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     “Award Announcement: A/B MAC Jurisdiction H award on SAM, June 25, 2026 Contract Awardee: Novitas Solutions, Inc., contract number 75FCMC19C0018 ... JH processes FFS Medicare Part A and Part B claims for Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma, and Texas ...”
113. APTA Oklahoma. APTA Oklahoma (the state association's site). Checked October 30, 2026.
114. the Oklahoma Occupational Therapy Association (OKOTA). the Oklahoma Occupational Therapy Association (OKOTA) (the state association's site). Checked October 30, 2026.
115. the Oklahoma Speech-Language-Hearing Association (OSHA). the Oklahoma Speech-Language-Hearing Association (OSHA) (the state association's site). Checked October 30, 2026.
116. DrSensory. Occupational therapy clinics in Oklahoma, 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.
117. 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 Oklahoma, not legal, compliance, billing or financial advice. Rules change; the clinic confirms each with its source before acting on it.