Oregon PT, OT and SLP guide

For OT, PT and SLP clinics in Oregon: three state boards license the disciplines; the board’s rule lets a patient start physical therapy without a referral, with no 60-day limit since January 1, 2014; Oregon Health Plan covers children’s therapy under EPSDT and adults within its own rules; and telehealth follows the patient’s location.⁠^1,2,3,4,5,6

Who licenses OTs, PTs and SLPs in Oregon?

Three state boards license the three disciplines in Oregon, 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 Oregon Board of Physical Therapy.⁠^{1,31,32,33,34,35,36,37,38} Occupational therapists and occupational therapy assistants answer to the Oregon Occupational Therapy Licensing Board.⁠^{7,39,40,41,42,43,44,45,46} Speech-language pathologists answer to the Board of Examiners for Speech-Language Pathology and Audiology.⁠^{8,47,48,49,50,51,52,53,54,55} House Bill 3824 (2025) changes the physical therapy scope of practice when it takes effect on July 1, 2027; until then, the board says, physical therapists may not use any new function, such as ordering imaging or dry needling, and all current rules and statutes remain in effect.⁠^{1,31,32,33,34,35,36,37,38} The licensing law creates the Occupational Therapy Licensing Board, five members appointed by the Governor and confirmed by the Senate.⁠^{7,39,40,41,42,43,44,45,46} The board licenses speech-language pathologists and audiologists, and a person who qualifies for both may hold both licenses.⁠^{8,47,48,49,50,51,52,53,54,55} A teacher licensed by the Teacher Standards and Practices Commission with a communications disorders or speech impaired endorsement, licensed and endorsed before July 1, 2016, may keep practicing speech-language pathology without a board license, but only in the course of employment by an education service district, a school district or a charter school.⁠^{8,47,48,49,50,51,52,53,54,55} 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 Oregon 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 Oregon PT, OT or SLP without a referral?

State law answers this discipline by discipline, and a payer may still require a referral the law does not. For physical therapy, the board’s rule lets a physical therapist start and provide physical therapy for a self-referred patient, treating under the therapist’s own initial evaluation and treatment plan, and notes that since January 1, 2014 a physical therapist no longer has to limit treatment of a self-referred patient to 60 days before referring; the licensing law requires a physical therapist to refer a patient immediately to a provider of care when the patient’s symptoms require diagnosis or treatment by a provider of medical care, when physical therapy is contraindicated, when the therapist does not know how to treat them, or when treatment is outside the scope of physical therapy.⁠^2,9,10,11 The Oregon Health Plan, as a payer, requires a prescribing practitioner’s referral for PT and OT evaluations and therapy, with a therapy plan of care signed and dated by the prescribing practitioner. On a workers’ compensation claim, a physical therapist may provide compensable services to an injured worker only as a governing managed care organization contract allows or as the worker’s attending physician or nurse practitioner authorizes.⁠^2,9,10,11 For occupational therapy, the Occupational Therapy Licensing Board’s guidance says an occupational therapist does not need a physician’s prescription to evaluate and treat when using a modality defined in the licensing law’s definition of occupational therapy, and the board’s rule makes it unprofessional conduct to fail to obtain a physician’s referral when using a modality not specifically defined there; the board adds that payers may require a prescription for reimbursement.⁠^56,57,58 For speech-language pathology, the licensure law requires an Oregon license to practice speech-language pathology.⁠^59,60 The Oregon Health Plan, as a payer, requires a prescribing practitioner’s written order for the initial speech-language evaluation, and speech therapy supported by a written order and a therapy treatment plan signed by the prescribing practitioner.⁠^59,60

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

Oregon Health Plan is Oregon’s Medicaid program, run by the Oregon Health Authority (OHA), and a clinic enrolls through its provider enrollment route before it bills.⁠⁶¹ 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.⁠⁶² For members under 21, and young adults in the Young Adults with Special Health Care Needs program, OHA and the managed care entities must cover services that are medically necessary and medically appropriate even when they are not paired on, or fall below the funding line of, the Prioritized List of Health Services.⁠^3,4,5,6

For PT and OT, OHP includes 30 rehabilitative and 30 habilitative visits a year when medically appropriate, and up to 30 more of each may be authorized after a new acute injury, surgery or other significant change in functional status. OHP covers treatments ranked on a covered line of the Prioritized List for the member’s condition, lines 1 through 470 since February 1, 2026.⁠^12,13 Under OHA’s rules, PT and OT evaluations need no prior authorization (up to two initial evaluations and four re-evaluations in 12 months), while treatments are subject to prepayment review and need prior authorization after 30 visits in a calendar year, requested within five working days. Speech therapy needs prior authorization above one hour a day and after 30 habilitative and 30 rehabilitative visits a calendar year. A member’s managed care entity sets its own prior authorization requirements.⁠^63,64,65,66 Most OHP clients are enrolled in a managed care entity, and a therapist must follow that plan’s prior authorization requirements before treating its members. OHA’s contact page for Oregon’s local coordinated care organizations (CCOs) lists 15: Advanced Health, AllCare CCO, Cascade Health Alliance, Columbia Pacific Coordinated Care Organization, Eastern Oregon Coordinated Care Organization, Health Share of Oregon, InterCommunity Health Network Coordinated Care Organization, Jackson Care Connect, three PacificSource Community Solutions regions (Central Oregon, Columbia Gorge and Marion/Polk), two Trillium Community Health Plan regions (Southwest and Tri-County), Umpqua Health Alliance and Yamhill Community Care.⁠^67,68 The fee schedule is published by the agency, and a clinic reads the current file rather than a remembered rate.⁠⁶⁹

How does Oregon Health Plan want OT, PT and SLP claims coded?

For fee-for-service PT and OT, the provider sends the supporting documentation with the first claim of each plan of care, every claim subject to prepayment review or prior authorization includes the therapy plan of care, and the PA number goes on every claim that needs one. Treatment is limited to one hour a day each for PT and OT, and the therapy record holds a written referral with the diagnosis code and the type, amount and duration of services.⁠^{70,71,72,73,74,75} 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 Oregon Health Plan pay for therapy in schools?

OHA’s School-Based Health Services program is a fee-for-service Medicaid program that reimburses publicly funded education agencies for health services they provide in education settings to Medicaid-enrolled children and young adults. School-based therapy does not count toward a child’s PT and OT visit limits.⁠^76,77 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 Oregon Health Plan cover therapy by telehealth?

OHA’s telehealth rule requires CCOs and fee-for-service providers to offer OHP members a choice of telehealth or in-person services, and CCOs and OHA pay for covered telehealth services at the same rate as in person. The provider must hold an unencumbered Oregon license and be enrolled as an OHP provider.⁠^78,79 The telehealth section below covers the state’s own rules for the session itself.

What are Oregon’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.⁠¹⁴ Each of Oregon’s three boards has its own telehealth rule: the PT board lets a licensee treat by telehealth a patient domiciled or present in Oregon, at least equal in quality to in-person care and never by an aide. The OT board requires an Oregon license to treat a patient in Oregon. The SLP board treats telepractice delivered from or to Oregon as practice requiring an Oregon license. All three require the patient’s consent, verbal, written or recorded, documented in the record.⁠^80,81,82,83

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.⁠^15,16,17,18 Oregon requires a health benefit plan to cover a medically necessary health service delivered by telemedicine when the plan covers it in person and it can be safely and effectively delivered that way, and to pay the same reimbursement whether the service is delivered in person or by telemedicine. A plan may not impose different annual dollar maximums or prior authorization requirements on telemedicine than on the same services in person.⁠^84,85

Which business steps are specific to Oregon?

The entity is registered with the Oregon Secretary of State, Corporation Division.⁠²⁶ State tax registration is with the Oregon Department of Revenue (registration with Oregon tax programs through Revenue Online).⁠⁸⁶ Oregon has no general sales or use tax.⁠⁸⁷ An Oregon employer subject to the workers’ compensation law must maintain assurance with the Department of Consumer and Business Services that its workers receive compensation for compensable injuries, by qualifying as a carrier-insured or a self-insured employer.⁠⁸⁸ 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 Oregon?

The PT board requires patient records kept at least seven years from the most recent entry, the SLP board requires clinical and billing records kept seven years, and OHA requires Oregon Health Plan providers to keep clinical records seven years and financial and other records at least five years from the date of service.⁠^23,24,25 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.⁠^89,90

Oregon law states a patient’s right to have protected health information safeguarded from unlawful use or disclosure and to access and review it. The PT licensing law makes the physical therapist-patient relationship confidential and requires physical therapists to follow ORS 192.553 to 192.581 on using and disclosing protected health information.⁠^91,92 Oregon’s breach law requires a covered entity to notify the affected consumers, and the Attorney General when more than 250 consumers must be notified, as quickly as possible and no later than 45 days after discovering the breach. A covered entity that complies with the HIPAA and HITECH regulations, for personal information those Acts also cover, is exempt from the section but must still send the Attorney General a copy of any notice it sends to consumers or its regulator.⁠^93,94 Oregon requires any public or private official, a term its law defines to include physical, speech and occupational therapists and speech-language pathologists, who has reasonable cause to believe that a child they come in contact with has suffered abuse, or that a person they come in contact with has abused a child, to report it immediately.⁠^95,96

Which Oregon rules shape a pediatric clinic?

Oregon’s Early Intervention (Part C) and Early Childhood Special Education system, EI/ECSE, is a partnership between the Oregon Department of Education and nine local service areas. It serves children from birth to five and their families, and the services are free. Anyone, including families, childcare providers, preschools and physicians, can refer a child to the local EI/ECSE referral and evaluation agency, whose number for each county is on the Department of Education’s brochure, and the family must give permission before the child is screened or evaluated.⁠^27,28,29,30 A private clinic’s services run beside the early intervention program rather than inside it. Oregon requires a health benefit plan to cover, for an enrolled child under 18 diagnosed with a pervasive developmental disorder (a term that includes autism spectrum disorder, developmental delay and developmental disability), all medically necessary medical services the plan otherwise covers, including physical, occupational and speech therapy to restore or improve function. The plan may apply its deductibles, copayments, prior authorization and visit limits.⁠^97,98 The autism insurance mandates guide covers how such a mandate meets a plan’s own terms.

Which Oregon rules shape an adult clinic?

Medicare claims from Oregon go to Noridian Healthcare Solutions, LLC, the Medicare Administrative Contractor for Jurisdiction F, Parts A and B (Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, Washington and Wyoming), whose local coverage articles for therapy are the ones an Oregon clinic reads.⁠⁹⁹ Oregon Health Plan’s adult therapy rules are in the Medicaid section above. The Workers’ Compensation Division’s medical fee schedule sets how insurers pay physical medicine and rehabilitation services: time-based CPT codes are billed and paid per code by its table, and payment for modalities and therapeutic procedures is limited to three separate CPT-coded services per day for each provider, the evaluation codes 97161 to 97168 excepted.⁠^100,101

Which associations and directory pages serve Oregon?

The state chapters are APTA Oregon for physical therapy, the Occupational Therapy Association of Oregon (OTAO) for occupational therapy and the Oregon Speech-Language & Hearing Association (OSHA) for speech-language pathology.⁠^102,103,104 On DrSensory, families browse Oregon 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.⁠¹⁰⁵

Which Oregon cities have DrSensory city pages?

Beyond its three Oregon pages, the directory publishes city pages for 4 Oregon 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.⁠¹⁰⁵

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

DrSensory lists 96 PT, OT and SLP clinics in Oregon, on its occupational therapy, physical therapy and speech therapy pages for the state.⁠¹⁰⁵

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

Which templates does an Oregon launch need?

How might two Oregon clinics plan a launch?

Sources

1. Oregon Board of Physical Therapy. Oregon Board of Physical Therapy. Checked October 30, 2026.
2. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 848-040-0117, Standards For Authorization To Provide Physical Therapy Services. Checked October 30, 2026.
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   “As a result of legislative changes effective January 1, 2014, a physical therapist is no longer required to limit treatment of a self-referred patient to 60 days before having to refer the patient to a provider identified in ORS 688.132(1). (1) A physical therapist may initiate and provide physical therapy to a patient who is either self-referred or referred by a “provider of care”, defined in ORS 688.132 as a medical doctor, osteopathic physician, chiropractic physician, podiatric physician and surgeon, naturopathic physician, dentist, physician assistant or nurse practitioner, as follows: (a) The therapist shall treat a self-referred patient in accordance with an initial evaluation and treatment plan prepared by a physical therapist and shall treat a patient who is referred by a provider of care pursuant to the written or oral referral or authorization received from the provider.”
3. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 410-151-0002, Coverage Requirements. Checked October 30, 2026.
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   “(2) The Oregon Health Authority (the Authority) and Managed Care Entities (MCEs) must cover services that are EPSDT Medically Necessary and EPSDT Medically Appropriate (or EPSDT Dentally Appropriate) for EPSDT Beneficiaries, even if: (a) The services are not included or paired on the Prioritized List of Health Services (defined in OAR 410-120-0000); or (b) The service is below the funding line on the Prioritized List of Health Services.”
4. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 410-151-0001, Definitions. “(2) “EPSDT Beneficiary” means an individual under the age of 21 who is covered by the Oregon Health Plan (OHP) or an individual in the Young Adults with Special Health Care Needs (YSHCN) program as defined in OAR 410-200-0455 ...” Checked October 30, 2026.
5. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 410-131-0040, Physical and Occupational Therapy. “Children under age 21 may have additional visits authorized beyond these limits if medically appropriate, as per guideline note 6 of the Prioritized List of Health Services.” Checked October 30, 2026.
6. Oregon Health Authority. Prioritized List of Health Services. “Effective Jan. 1, 2023, OHP covers all medically necessary and medically appropriate services for members under age 21. This is true even if the services are below line 470.” Checked October 30, 2026.
7. Oregon Occupational Therapy Licensing Board. Oregon Occupational Therapy Licensing Board. Checked October 30, 2026.
8. Board of Examiners for Speech-Language Pathology & Audiology. Board of Examiners for Speech-Language Pathology and Audiology. Checked October 30, 2026.
9. Oregon State Legislature. Oregon Revised Statutes (2025 Edition), ORS 688.132, Duty to refer person. Checked October 30, 2026.
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   “(1) As used in this section, “provider of care” means a physician, chiropractic physician, podiatric physician and surgeon, naturopathic physician, dentist, physician associate or nurse practitioner. (2) A licensed physical therapist shall immediately refer a person being treated by the licensed physical therapist to a provider of care if the person exhibits symptoms: (a) That require treatment or diagnosis by a provider of medical care; (b) For which physical therapy is contraindicated; (c) That the physical therapist does not know how to treat; or (d) For which treatment is outside the scope of practice of physical therapy.”
10. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 410-131-0120, Limitations of Coverage and Payment. Checked October 30, 2026.
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    “(1) The provision of PT/OT evaluations and therapy services require a prescribing practitioner referral, and services shall be supported by a therapy plan of care signed and dated by the prescribing practitioner as specified in 42 CFR 440.110.”
11. Oregon State Legislature. Oregon Revised Statutes (2025 Edition), ORS 656.250, Limitation on compensability of physical therapist services. Checked October 30, 2026.
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    “A physical therapist shall not provide compensable services to injured workers governed by this chapter except as allowed by a governing managed care organization contract or as authorized by the worker’s attending physician or nurse practitioner authorized to provide compensable medical services under ORS 656.245.”
12. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 410-131-0040, Physical and Occupational Therapy. Checked October 30, 2026.
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    “(2) A total of 30 visits per year of rehabilitative therapy and a total of 30 visits per year of habilitative therapy (physical and occupational therapy) are included on these lines when medically appropriate. Additional visits, not to exceed 30 visits per year of rehabilitative therapy and 30 visits per year of habilitative therapy, may be authorized in cases of a new acute injury, surgery, or other significant change in functional status.”
13. Oregon Health Authority. Prioritized List of Health Services. “OHP covers treatments that are ranked on a covered Prioritized List line for the client’s reported medical condition. ... Effective Feb. 1, 2026, OHP covers Prioritized List lines 1 through 470.” Checked October 30, 2026.
14. 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”.
15. PT Compact Commission. PT Compact Map. “Member States (38) ... Oklahoma Oregon Pennsylvania ...” Checked October 30, 2026.
16. PT Compact Commission. PT Compact Map. “38 Member States Actively Issuing and Accepting Compact Privileges ...” Checked October 30, 2026.
17. Oregon Board of Physical Therapy. Physical Therapy Compact and Compact Privileges. “In 2016, Oregon became the first state to enact Compact legislation, and as additional states joined, the Compact began issuing compact privileges in the summer of 2018. ... To purchase an Oregon Compact Privilege, you must take and pass the OR-JAM.” Checked October 30, 2026.
18. Oregon State Legislature. Oregon Revised Statutes (2025 Edition), ORS 688.240, Physical Therapy Licensure Compact. “The purpose of this Compact is to facilitate interstate practice of physical therapy with the goal of improving public access to physical therapy services.” Checked October 30, 2026.
19. Occupational Therapy Compact Commission. Before You Apply for an OT Compact Privilege. “States not listed below are not a member of the Occupational Therapy Compact.” Checked October 30, 2026.
20. Oregon Occupational Therapy Licensing Board. OT Licensure Compact Information. “The Oregon OT Licensing Board is not part of the OT Licensure Compact. You must have an Oregon License to practice occupational therapy in Oregon. ... The 2025 legislation (HB 2357) to enact OT Licensure Compact in Oregon did not pass.” Checked October 30, 2026.
21. Audiology and Speech-Language Pathology Interstate Compact Commission. ASLPCompact. “Registration for compact privileges to practice is open for licensed practitioners in Louisiana, Ohio, Tennessee, and West Virginia.” Checked October 30, 2026.
22. Code of Federal Regulations. 42 CFR 424.24, Requirements for medical and other health services furnished by providers under Medicare Part B (eCFR, up to date as of October 22, 2026; paragraph (c), outpatient physical therapy, occupational therapy and speech-language pathology services). Checked October 26, 2026.
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    “The individual needs, or needed, physical therapy, occupational therapy, or speech-language pathology services.”; “The services were furnished while the individual was under the care of a physician, nurse practitioner, clinical nurse specialist, or physician assistant.”; “The initial certification must be obtained as soon as possible after the plan is established.”; “Recertification is required at least every 90 days.”; “When it is recertified, the plan or other documentation in the patient’s record must indicate the continuing need for physical therapy, occupational therapy or speech-language pathology services.”; “the therapist has documented evidence that the plan of treatment has been delivered to the physician, NP, PA, or CNS within 30 days of completion of the initial evaluation, the certification does not need to be signed by a physician, NP, CNS, or PA who has knowledge of the case.”; “No references to an order or referral in this subsection shall be construed to require an order or referral for outpatient physical therapy, occupational therapy, or speech-language pathology services.”.
23. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 848-040-0110, General Standards for Record Keeping. “(15) For purposes of the Board’s enforcement of these rules, patient records shall be kept for a minimum of seven years measured from the date of the most recent entry.” Checked October 30, 2026.
24. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 335-010-0080, Storage, Maintenance, and Retention of Records. “(1) Clinical and billing records must be maintained for seven (7) years.” Checked October 30, 2026.
25. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 410-120-1360, Requirements for Financial, Clinical and Other Records. “(e) Retain clinical records for seven years and financial and other records described in paragraphs (a) and (b) of this rule for at least five years from the date(s) of service.” Checked October 30, 2026.
26. Oregon Secretary of State. Business Registration Forms. “A business name must be registered with the Corporation Division as an assumed business name if the "real and true" name of each person who is carrying on the business is not disclosed in the business name.” Checked October 30, 2026.
27. Oregon Department of Education. Early Intervention / Early Childhood Special Education. “Oregon’s Early Intervention (Part C) and Early Childhood Special Education System (Part B 619) is a partnership between the state education agency and nine local service areas across the state.” Checked October 30, 2026.
28. Oregon Department of Education. Early Intervention/Early Childhood Special Education (EI/ECSE) Services in Oregon (brochure). “EI/ECSE programs serve children ages birth to five and their families. The services are free.” Checked October 30, 2026.
29. Oregon Department of Education. Early Intervention/Early Childhood Special Education (EI/ECSE) Services in Oregon (brochure). “Anyone can refer a child to EI/ECSE. This includes families, childcare providers, preschools, physicians, and other community agencies. However, the family must provide permission before the child is screened or evaluated.” Checked October 30, 2026.
30. Oregon Department of Education. Early Intervention/Early Childhood Special Education (EI/ECSE) Services in Oregon (brochure). “Call the EI/ECSE referral and evaluation agency in your area. The phone number for your local agency is on the back of this brochure.” Checked October 30, 2026.
31. Oregon State Legislature. Oregon Revised Statutes (2025 Edition), ORS 688.160, Oregon Board of Physical Therapy; qualifications; terms; vacancies; duties; rules; fees; meetings; executive director. “The Oregon Board of Physical Therapy operates as a semi-independent state agency subject to ORS 182.456 to 182.472, for purposes of carrying out the provisions of ORS 688.010 to 688.201 ...” Checked October 30, 2026.
32. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 848-010-0033, Renewal Of License Required. Checked October 30, 2026.
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    “(1) All physical therapist and physical therapist assistant licenses lapse on March 31 of each even numbered year, regardless of the initial issue date. Physical therapists and physical therapist assistants must renew their licenses to practice effective April 1 of each even numbered year.”
33. Oregon Board of Physical Therapy. License Renewals. “Licenses are valid for up to two years, and expire on March 31st of even years.” Checked October 30, 2026.
34. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 848-010-0033, Renewal Of License Required. “(6) Each currently licensed physical therapist and physical therapist assistant must complete the continuing competence requirements as provided in Division 35 of these rules before they may renew.” Checked October 30, 2026.
35. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 848-035-0020, Required Hours and Period for Completion. “(1) All licensed physical therapists and physical therapist assistants are required within each certification period to complete 24 hours of continuing competence consistent with the requirements, minimums and maximums as defined in OAR 848-035-0030.” Checked October 30, 2026.
36. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 848-035-0020, Required Hours and Period for Completion. “(3) Notwithstanding the provisions of part (2) of this rule, a licensee must complete and document pursuant to OAR 848-035-0040, all 24 hours of continuing competence hours prior to renewal of license.” Checked October 30, 2026.
37. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 848-015-0020, Scope of Practice. Checked October 30, 2026.
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    “(1) For purposes of the provision of physical therapy services, a physical therapist assistant shall work solely under the clinical supervision and direction of a physical therapist. (2) A physical therapist assistant may provide physical therapy treatment only when a supervising physical therapist is available. As used in this rule “available” means that at all times a supervising physical therapist is readily accessible for consultation with the assistant, either in person or by means of telecommunications. (3) A physical therapist assistant may provide physical therapy treatment only after a physical therapist has performed an initial evaluation and prepared a plan of care.”
38. Oregon Board of Physical Therapy. House Bill 3824 (page last updated October 30, 2026). Checked October 30, 2026.
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    “HB 3824 was passed by the Oregon Legislature in 2025. When it goes into effect on July 1, 2027, it changes physical therapy scope of practice and what physical therapists are allowed to do under Oregon law. ... IMPORTANT: Until July 1st, 2027, when HB3824 goes into effect, Physical Therapists may not implement any of the new scope of practice areas, such as ordering imaging (Section 19 of HB3824), performing dry needling (Section 5 of HB3824), or any other new function. Until July 1st, 2027, all current rules and statutes remain in effect.”
39. Oregon State Legislature. Oregon Revised Statutes (2025 Edition), ORS 675.310, Occupational Therapy Licensing Board. “(1) There is created the Occupational Therapy Licensing Board. The board is composed of five members appointed by the Governor and subject to confirmation by the Senate in the manner provided in ORS 171.562 and 171.565.” Checked October 30, 2026.
40. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 339-010-0023, License Renewals. “Each applicant for license renewal shall submit to the Board on or before May 31 of each even numbered year, a completed license renewal application and appropriate renewal fee.” Checked October 30, 2026.
41. Oregon Occupational Therapy Licensing Board. License Renewals. “The License Portal allows you to print off your new license. However, please note your renewed license, good through May 31, 2028, will not be available to print until you have completed all steps of your renewal and it has been approved by Board staff.” Checked October 30, 2026.
42. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 339-020-0010, CE Requirements for Current Licensees. Checked October 30, 2026.
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    “(1) All current licensees shall obtain a minimum of 30 points of CE from Board approved categories during the two years immediately preceding the date of the license renewal; (2) Maintenance of current NBCOT Certification (National Board of Certification in Occupational Therapy) may be used to satisfy the requirements for CE under subsection (1) of this rule but may not be used to satisfy the cultural competency CE requirements of OAR 339-020-0025 or the pain management CE requirements of OAR 339-020-0015.”
43. Oregon Occupational Therapy Licensing Board. Continuing Education. “Unless stated otherwise, one point equals one contact hour.” Checked October 30, 2026.
44. Oregon Occupational Therapy Licensing Board. Continuing Education. “You are required to complete 1 hour on cultural competency (you choose the course) during every renewal. ... You are required to complete the OHA pain management module during every renewal period.” Checked October 30, 2026.
45. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 339-010-0035, Supervision of an Occupational Therapy Assistant. Checked October 30, 2026.
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    “(1) Any person who is licensed as an occupational therapy assistant may assist in the practice of occupational therapy only under the supervision of a licensed occupational therapist. ... (3) An occupational therapy assistant always requires at least general supervision. (4) The supervising occupational therapist shall provide closer supervision where professionally appropriate.”
46. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 339-010-0035, Supervision of an Occupational Therapy Assistant. Checked October 30, 2026.
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    “(2) Before an occupational therapy assistant assists in the practice of occupational therapy: (a) The occupational therapy assistant must log into their online license portal with the board and record the name of the licensed occupational therapist who will supervise them, the site where supervision will take place and the supervision start date. (b) The licensed occupational therapist whose name is recorded in the online license portal with the board must log into their online license portal and confirm their supervision of the occupational therapy assistant by updating the approval status to “approved”.”
47. Oregon State Legislature. Oregon Revised Statutes (2025 Edition), ORS 681.400, State Board of Examiners for Speech-Language Pathology and Audiology. Checked October 30, 2026.
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    “(1) There is established a State Board of Examiners for Speech-Language Pathology and Audiology. The board consists of eight members appointed by the Governor and subject to confirmation by the Senate in the manner provided in ORS 171.562 and 171.565.”
48. Oregon State Legislature. Oregon Revised Statutes (2025 Edition), ORS 681.250, Requirement for license in speech-language pathology or audiology. Checked October 30, 2026.
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    “(1) A license shall be issued to qualified persons either in speech-language pathology or audiology. A person may be licensed in both areas if the person meets the respective qualifications and in such instances the license fee shall be as though for one license.”
49. Oregon State Legislature. Oregon Revised Statutes (2025 Edition), ORS 681.230 (note: 2015 c.271 §3), Practice of speech-language pathology by licensed teacher. Checked October 30, 2026.
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    “... a teacher who is licensed by the Teacher Standards and Practices Commission and who holds a communications disorders or speech impaired endorsement issued by the commission may continue to practice speech-language pathology on and after July 1, 2016, without obtaining a license under ORS chapter 681 if the person: (1) Was licensed and endorsed by the commission before July 1, 2016; (2) Practices speech-language pathology solely in the course and scope of the person’s duties as an employee of an education service district, a school district or a charter school ...”
50. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 335-060-0030, Biennial Licensure and Renewal. “(1) All regular and inactive status speech-language pathologists, audiologists and speech-language pathology assistants shall renew their licenses on a biennial basis, by December 31st of each odd-numbered year.” Checked October 30, 2026.
51. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 335-070-0050, Responsibilities and Professional Development Reporting Requirements of Licensees. Checked October 30, 2026.
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    “(2) As a requirement for license renewal, active licensees must report professional development hours for the professional development period ending on the deadline for license renewal according to their license type: (a) Speech-Language Pathology or Audiology: Twenty (20) professional development hours completed during the professional development period; ... (c) Speech-Language Pathology Assistant: Ten (10) professional development hours completed during the professional development period; ... (3) All licenses renewed per OAR 335-070-0050(2)(a),(b), or (c) must report: (a) 1 hour of professional development related to cultural competency or equivalent course content ...”
52. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 335-070-0050, Responsibilities and Professional Development Reporting Requirements of Licensees. “(1) Licensees must maintain, for a period of four (4) years, all documentation verifying professional development hours.” Checked October 30, 2026.
53. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 335-095-0050, Requirements for Supervising Licensed Speech-Language Pathology Assistants. Checked October 30, 2026.
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    “(a) A minimum of one hour per month of consultative supervision time must be documented per each speech-language pathology assistant. (b) Every 60 days the speech-language pathologist must treat, or co-treat with the SLPA, every patient/client/student on the SLP’s caseload. (c) The supervising speech-language pathologist must be able to be reached throughout the work day. A temporary supervisor may be designated as necessary.”
54. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 335-095-0050, Requirements for Supervising Licensed Speech-Language Pathology Assistants. “(2) The supervising speech-language pathologist may not supervise more than the equivalent of two full-time speech-language pathology assistants.” Checked October 30, 2026.
55. Oregon State Legislature. Oregon Revised Statutes (2025 Edition), ORS 681.370, Duties of speech-language pathologist using services of speech-language pathology assistant. “A speech-language pathologist who employs or otherwise uses the services of a speech-language pathology assistant shall: ... (3) Verify that the speech-language pathology assistant is certified under ORS 681.360.” Checked October 30, 2026.
56. Oregon Occupational Therapy Licensing Board. More Topics: Evaluation or Practice by OT without Physicians Prescription?. “Occupational therapists are not required to have a physician’s prescription to evaluate and treat patients in Oregon when the OT is using a modality defined in the Oregon Statute. However, reimbursement agencies may require prescription for reimbursement.” Checked October 30, 2026.
57. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 339-010-0020, Unprofessional Conduct. “(2) Unprofessional conduct relating to professional competency includes: ... (d) Failing to obtain a physician’s referral in situations where an OT is using a modality not specifically defined in ORS 675.210(3) ...” Checked October 30, 2026.
58. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 410-131-0120, Limitations of Coverage and Payment. Checked October 30, 2026.
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    “(1) The provision of PT/OT evaluations and therapy services require a prescribing practitioner referral, and services shall be supported by a therapy plan of care signed and dated by the prescribing practitioner as specified in 42 CFR 440.110.”
59. Oregon State Legislature. Oregon Revised Statutes (2025 Edition), ORS 681.250, Requirement for license in speech-language pathology or audiology. “(2) No person shall practice speech-language pathology or audiology or purport to be a speech-language pathologist or audiologist in this state unless the person is licensed in accordance with the provisions of this chapter.” Checked October 30, 2026.
60. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 410-129-0060, Prescription Required. Checked October 30, 2026.
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    “(2) The provision of speech therapy services shall be supported by a written order and a therapy treatment plan signed by the prescribing practitioner. A practitioner means an individual licensed pursuant to state law to engage in the provision of health care services within the scope of the practitioner’s license or certification. (3) A written order: (a) Is required for the initial evaluation ...”
61. Oregon Health Authority. Oregon Health Plan (OHP) Provider Enrollment. Checked October 30, 2026.
62. 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.”.
63. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 410-131-0120, Limitations of Coverage and Payment. Checked October 30, 2026.
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    “(2) PT/OT initial evaluations and re-evaluations do not require PA and are not subject to prepayment review (PPR), but are limited to the following: (a) Up to two initial evaluations in any 12-month period; and (b) Up to four re-evaluation services in any 12-month period. ... (5) All other occupational and physical therapy treatments are subject to PPR and require PA following 30 visits in a calendar year.”
64. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 410-131-0160, Prepayment Review (PPR) and Prior Authorization (PA) for Payment. “(B) Request a PA within five working days following 30 rehabilitative or 30 habilitative visits within a calendar year if additional visits are necessary ...” Checked October 30, 2026.
65. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 410-129-0070, Limitations. Checked October 30, 2026.
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    “(b) Requirements for rehabilitative and habilitative therapy treatment: (A) Require Prior Authorization (PA) when it exceeds one hour per day each for a group or individual; (B) Shall be either group or individual and may not be combined in the authorization period; and (C) Require PA after thirty (30) habilitative and thirty (30) rehabilitative visits per calendar year.”
66. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 410-131-0160, Prepayment Review (PPR) and Prior Authorization (PA) for Payment. Checked October 30, 2026.
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    “(3) If a client is enrolled in an MCE, there may be PA requirements for some services that are provided through the MCE. Providers shall comply with the MCE’s PA requirements or other policies necessary for reimbursement from the MCE before providing services to any OHP client enrolled in an MCE.”
67. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 410-131-0160, Prepayment Review (PPR) and Prior Authorization (PA) for Payment. “(1) Most OHP clients have prepaid health services contracted for by the Authority through enrollment in a Managed Care Entity (MCE).” Checked October 30, 2026.
68. Oregon Health Authority. Coordinated Care Organizations (CCO). Checked October 30, 2026.
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    “Find websites, phone numbers and key contacts for Oregon’s local coordinated care organizations (CCOs), including Health-Related Social Needs (HRSN) benefit information. ... Advanced Health ... AllCare CCO ... Cascade Health Alliance ... Columbia Pacific Coordinated Care Organization ... Eastern Oregon Coordinated Care Organization ... Health Share of Oregon ... InterCommunity Health Network Coordinated Care Organization ... Jackson Care Connect ... PacificSource Community Solutions - Central Oregon Region ... PacificSource Community Solutions - Columbia Gorge Region ... PacificSource Community Solutions - Marion/Polk ... Trillium Community Health Plan - Southwest ... Trillium Community Health Plan - Tri-County ... Umpqua Health Alliance ... Yamhill Community Care ...”
69. Oregon Health Authority. OHP Fee-for-Service Fee Schedule. Checked October 30, 2026.
70. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 410-131-0160, Prepayment Review (PPR) and Prior Authorization (PA) for Payment. Checked October 30, 2026.
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    “(b) To ensure reimbursement of PT/OT services and procedures beyond the initial evaluation, the PT/OT provider must submit all required supporting documentation: (A) Upon submission of the first claim in a series of claims in each therapy plan of care as established by prescribing practitioner per OAR 410-131-0080 for claims subject to PPR; ... (c) All claims subject to PPR or that require PA must include a therapy plan of care; ...”
71. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 410-131-0160, Prepayment Review (PPR) and Prior Authorization (PA) for Payment. “(e) Includes the PA number on all claims for occupational and physical therapy services that require PA, or the Division shall deny the claim.” Checked October 30, 2026.
72. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 410-131-0120, Limitations of Coverage and Payment. “(a) Rehabilitative and habilitative therapy treatments may not exceed one hour per day each for occupational and physical therapy ...” Checked October 30, 2026.
73. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 410-131-0080, Therapy Plan of Care and Record Requirements. “(7) Therapy records shall include: (a) A written referral, including: (A) The client’s name; (B) The ICD-10-CM diagnosis code; and (C) Specification of the type of services, amount, and duration required.” Checked October 30, 2026.
74. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 410-129-0080, Prepayment Review (PPR) and Prior Authorization (PA) for payment. Checked October 30, 2026.
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    “(4) For services subject to PPR and to ensure reimbursement of SLP services, beyond the initial evaluation, the SLP provider must submit all required supporting documentation: (a) Upon submission of the first claim in a series of claims in each therapy plan of care as established by prescribing practitioner per OAR 410-129-0020 for claims subject to PPR ...”
75. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 410-129-0060, Prescription Required. Checked October 30, 2026.
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    “(4) Written orders shall be submitted with claims that are subject to PPR or that require PA request, and a copy shall be on file in the provider’s therapy record. The written order and the treatment plan shall be reviewed and signed by the prescribing practitioner every six months.”
76. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 410-133-0000, Purpose. “(1) School-Based Health Services (SBHS) rules: (a) Define Oregon’s fee-for-service Medicaid program administered by the Oregon Health Authority (Authority) to reimburse publicly funded education agencies for health services provided in education settings to Oregon’s Medicaid-enrolled children and young adults.” Checked October 30, 2026.
77. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 410-131-0120, Limitations of Coverage and Payment. “(4) School-sponsored therapy services are considered supplemental to other plan-covered therapy services that the student receives. School-based therapy services may not apply toward the client’s maximum therapy allowances.” Checked October 30, 2026.
78. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 410-120-1990, Telehealth. Checked October 30, 2026.
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    “(4) CCOs and FFS providers must ensure Oregon Health Plan (OHP) clients or members are offered a choice of how services are received, including services offered using telehealth modalities and in-person services, except where the Authority issues explicit guidance during a declared state of emergency or if a facility has implemented its facility disaster plan. ... (b) CCOs and the Authority must provide reimbursement for telehealth services at the same reimbursement rate as if the professional services were provided in person.”
79. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 410-120-1990, Telehealth. “(8) Providers who offer telehealth delivery of services must meet the following requirements: (a) Must hold an unencumbered Oregon license; (b) Must be enrolled with the Authority as an Oregon Health Plan (OHP) provider, per OAR 410-120-1260 ...” Checked October 30, 2026.
80. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 848-040-0180, Standards for Telehealth Services. Checked October 30, 2026.
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    “(1) A Licensee may provide telehealth services to a patient who is domiciled or physically present in the state of Oregon at the time the services are provided. An aide may not provide telehealth services. (2) Telehealth services provided must conform to the scope and standards of practice and documentation as provided in Oregon Revised Statutes 688.010 through 688.201 and these Division 40 rules. Telehealth services must be at least equivalent to the quality of services delivered in-person.”
81. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 848-040-0180, Standards for Telehealth Services. “(3) Prior to the initiation of telehealth services, a Licensee shall obtain the patient’s consent to receive the services via telehealth. The consent may be verbal, written, or recorded and must be documented in the patient’s permanent record.” Checked October 30, 2026.
82. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 339-010-0006, Standards of Practice for Telehealth. Checked October 30, 2026.
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    “(3) In order to provide occupational therapy services via telehealth to a patient/client in Oregon, the occupational therapy practitioner providing services to a patient/client must have a valid and current license issued by the Oregon OT Licensing Board. ... (4) Prior to initiation of occupational therapy services, an occupational therapy practitioner shall obtain informed consent of the delivery of service via telehealth from the patient/client. The consent may be verbal, written or recorded and must be documented in the patient or client’s permanent health or education record.”
83. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 335-005-0016, Tele-practice. Checked October 30, 2026.
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    “(1) Audiologists and speech-language pathologists who hold an Oregon license can provide telepractice services through telephonic, electronic, or other means, including diagnosis, consultation, treatment, transfer of health care information. Telepractice, whether the service is rendered from Oregon or delivered to Oregon, constitutes the practice of audiology or speech-language pathology and shall require state licensure. (2) Services delivered via telecommunication technology must be equivalent to the quality of services delivered face-to-face (i.e. in-person). ... (9) Prior to the initiation of telehealth services, a Licensee shall obtain the patient/client and if applicable, their parent or guardian’s consent to receive the services via telepractice. The consent may be verbal, written, or recorded and must be documented in the patient/client’s permanent record.”
84. Oregon State Legislature. Oregon Revised Statutes (2025 Edition), ORS 743A.058, Telemedicine services; rules. Checked October 30, 2026.
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    “(2) A health benefit plan and a dental-only plan must provide coverage of a health service that is provided using telemedicine if: (a) The plan provides coverage of the health service when provided in person by a health professional; (b) The health service is medically necessary; (c) The health service is determined to be safely and effectively provided using telemedicine according to generally accepted health care practices and standards; and (d) The application and technology used to provide the health service meet all standards required by state and federal laws governing the privacy and security of protected health information. ... (8)(a) A health benefit plan and dental-only plan must pay the same reimbursement for a health service regardless of whether the service is provided in person or using any permissible telemedicine application or technology.”
85. Oregon State Legislature. Oregon Revised Statutes (2025 Edition), ORS 743A.058, Telemedicine services; rules. “(g) Impose on telemedicine health services different annual dollar maximums or prior authorization requirements than the annual dollar maximums and prior authorization requirements imposed on the services if provided in person.” Checked October 30, 2026.
86. Oregon Department of Revenue. Registering your business with Oregon tax programs. Checked October 30, 2026.
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    “When registering your business with the Oregon Department of Revenue you will need to provide us with information about your business. The type of information you will need will depend on the type of business you have and the type of tax program for which you are registering.”
87. Oregon Department of Revenue. Sales Tax in Oregon. “Oregon doesn’t have a general sales or use/transaction tax.” Checked October 30, 2026.
88. Oregon State Legislature. Oregon Revised Statutes (2025 Edition), ORS 656.017, Employer required to pay compensation and perform other duties; state not authorized to be direct responsibility employer. Checked October 30, 2026.
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    “(1) Every employer subject to this chapter shall maintain assurance with the Director of the Department of Consumer and Business Services that subject workers of the employer and their beneficiaries will receive compensation for compensable injuries as provided by this chapter and that the employer will perform all duties and pay other obligations required under this chapter, by qualifying: (a) As a carrier-insured employer; or (b) As a self-insured employer as provided by ORS 656.407.”
89. 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.”.
90. 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.”.
91. Oregon State Legislature. Oregon Revised Statutes (2025 Edition), ORS 192.553, Policy for protected health information. Checked October 30, 2026.
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    “(1) It is the policy of the State of Oregon that an individual has: (a) The right to have protected health information of the individual safeguarded from unlawful use or disclosure; and (b) The right to access and review protected health information of the individual.”
92. Oregon State Legislature. Oregon Revised Statutes (2025 Edition), ORS 688.135, Duties and responsibilities of physical therapist. “Information relating to the physical therapist-patient relationship is confidential and a physical therapist shall comply with the laws and rules governing the use and disclosure of a patient’s protected health information as provided in ORS 192.553 to 192.581.” Checked October 30, 2026.
93. Oregon State Legislature. Oregon Revised Statutes (2025 Edition), ORS 646A.604, Notice of breach of security; delay; methods of notification; contents of notice; application of notice requirement. Checked October 30, 2026.
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    “(1) If a covered entity is subject to a breach of security or receives notice of a breach of security from a vendor, the covered entity shall give notice of the breach of security to: (a) The consumer to whom the personal information pertains. (b) The Attorney General, either in writing or electronically, if the number of consumers to whom the covered entity must send the notice described in paragraph (a) of this subsection exceeds 250. ... (3)(a) A covered entity shall give notice of a breach of security in the most expeditious manner possible, without unreasonable delay, but not later than 45 days after discovering or receiving notification of the breach of security.”
94. Oregon State Legislature. Oregon Revised Statutes (2025 Edition), ORS 646A.604, Notice of breach of security; delay; methods of notification; contents of notice; application of notice requirement. Checked October 30, 2026.
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    “(9) This section does not apply to: ... (d) A covered entity or vendor that complies with regulations promulgated under the Health Insurance Portability and Accountability Act of 1996 (P.L. 104-191, 110 Stat. 1936) and the Health Information Technology for Economic and Clinical Health Act of 2009 (P.L. 111-5, Title XIII, 123 Stat. 226), as those Acts existed on January 1, 2020, if personal information that is subject to ORS 646A.600 to 646A.628 is also subject to those Acts. (10) Notwithstanding the exemptions set forth in subsection (9) of this section, a person, a covered entity or a vendor shall provide to the Attorney General within a reasonable time at least one copy of any notice the person, the covered entity or the vendor sends to consumers or to the person’s, the covered entity’s or the vendor’s primary or functional regulator ...”
95. Oregon State Legislature. Oregon Revised Statutes (2025 Edition), ORS 419B.010, Duty of officials to report child abuse; exceptions; penalty. Checked October 30, 2026.
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    “(1) Any public or private official having reasonable cause to believe that any child with whom the official comes in contact has suffered abuse or that any person with whom the official comes in contact has abused a child shall immediately report or cause a report to be made in the manner required in ORS 419B.015.”
96. Oregon State Legislature. Oregon Revised Statutes (2025 Edition), ORS 419B.005, Definitions. ““Public or private official” means: ... (t) Physical, speech or occupational therapist. (u) Audiologist. (v) Speech-language pathologist.” Checked October 30, 2026.
97. Oregon State Legislature. Oregon Revised Statutes (2025 Edition), ORS 743A.190, Children with pervasive developmental disorder. Checked October 30, 2026.
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    “(1) A health benefit plan, as defined in ORS 743B.005, must cover for a child enrolled in the plan who is under 18 years of age and who has been diagnosed with a pervasive developmental disorder all medical services, including rehabilitation services, that are medically necessary and are otherwise covered under the plan. ... (b) “Pervasive developmental disorder” means a neurological condition that includes autism spectrum disorder, developmental delay, developmental disability or mental retardation. (c) “Rehabilitation services” means physical therapy, occupational therapy or speech therapy services to restore or improve function.”
98. Oregon State Legislature. Oregon Revised Statutes (2025 Edition), ORS 743A.190, Children with pervasive developmental disorder. Checked October 30, 2026.
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    “(2) The coverage required under subsection (1) of this section, including rehabilitation services, may be made subject to other provisions of the health benefit plan that apply to covered services, including but not limited to: (a) Deductibles, copayments or coinsurance; (b) Prior authorization or utilization review requirements; or (c) Treatment limitations regarding the number of visits or the duration of treatment.”
99. Centers for Medicare & Medicaid Services. Who are the MACs: A/B MAC Jurisdiction F (JF). “Contract Awardee: Noridian Healthcare Solutions, LLC, Contract Number 75FCMC25CJ010 ... JF processes FFS Medicare Part A and Part B claims for Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, Washington, and Wyoming ...” Checked October 30, 2026.
100. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 436-009-0040, Fee Schedule (as amended effective October 1, 2026). Checked October 30, 2026.
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     “(6) Physical Medicine and Rehabilitation Services. (a) Time-based CPT® codes must be billed and paid per code according to this table: [See attached table.] (b) Except for CPT® codes 97161, 97162, 97163, 97164, 97165, 97166, 97167, or 97168, payment for modalities and therapeutic procedures is limited to a total of three separate CPT®-coded services per day for each provider, identified by their federal tax ID number.”
101. Oregon Secretary of State, Oregon Administrative Rules Database. Oregon Administrative Rules, OAR 436-009-0040, Fee Schedule (as amended effective October 1, 2026). “(a) Unless otherwise provided by contract or fee discount agreement allowed by these rules, insurers must pay according to the following table: [See attached table.]” Checked October 30, 2026.
102. APTA Oregon. APTA Oregon (the state association's site). Checked October 30, 2026.
103. the Occupational Therapy Association of Oregon (OTAO). the Occupational Therapy Association of Oregon (OTAO) (the state association's site). Checked October 30, 2026.
104. the Oregon Speech-Language & Hearing Association (OSHA). the Oregon Speech-Language & Hearing Association (OSHA) (the state association's site). Checked October 30, 2026.
105. DrSensory. Occupational therapy clinics in Oregon, 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.
106. 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 Oregon, not legal, compliance, billing or financial advice. Rules change; the clinic confirms each with its source before acting on it.