South Carolina PT, OT and SLP guide

For OT, PT and SLP clinics in South Carolina: three state boards license the disciplines; a patient may start PT without a referral, within the statute’s thirty-day rule on referring the patient to a medical doctor or dentist; Healthy Connections Medicaid covers children’s therapy under EPSDT and adults within its own rules; and telehealth follows the patient’s location.⁠^1,2,3

Who licenses OTs, PTs and SLPs in South Carolina?

Three state boards license the three disciplines in South Carolina, and each publishes its own licensing law, rules, renewal cycle and continuing-education requirement.⁠^1,4,5 A clinic that employs more than one discipline keeps three registers, not one.

Physical therapists and physical therapist assistants answer to the South Carolina Board of Physical Therapy Examiners.⁠^{1,29,30,31,32,33,34,35} Occupational therapists and occupational therapy assistants answer to the South Carolina Board of Occupational Therapy.⁠^{4,36,37,38,39,40,41,42} Speech-language pathologists answer to the South Carolina Board of Examiners in Speech-Language Pathology and Audiology.⁠^{5,43,44,45,46,47,48,49,50,51} The State Board of Physical Therapy Examiners licenses physical therapists and physical therapist assistants under the administration of the Department of Labor, Licensing and Regulation.⁠^{1,29,30,31,32,33,34,35} The South Carolina Board of Occupational Therapy, under the administration of the Department of Labor, Licensing and Regulation, licenses occupational therapists and occupational therapy assistants.⁠^{4,36,37,38,39,40,41,42} One board, the Board of Examiners in Speech-Language Pathology and Audiology, regulates both professions; its five members are two speech-language pathologists, two audiologists and one lay member.⁠^{5,43,44,45,46,47,48,49,50,51} The licensure act does not apply to an educator certified by the State Board of Education, including one certified as a speech-language therapist who is not a licensed speech-language pathologist and does not hold ASHA’s Certificate of Clinical Competence in speech-language pathology.⁠^{5,43,44,45,46,47,48,49,50,51} A license is a state authorization; a national certification (NBCOT for occupational therapy, the ASHA certificate for speech-language pathology, the NPTE for physical therapy) is a different thing and does not replace it. Compact privileges for practitioners licensed elsewhere are covered under telehealth below.

What does a South Carolina 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.⁠^1,4,5 A renewal missed is a lapse, and the board’s own rules say what a lapsed licensee may and may not do; the clinic reads those rules before a clinician’s renewal date passes, not after.

Can a patient see a South Carolina PT, OT or SLP without a referral?

State law answers this discipline by discipline, and a payer may still require a referral the law does not. For physical therapy, a patient may start physical therapy without a referral from a licensed medical doctor or dentist, but providing physical therapy beyond thirty days after the initial evaluation or treatment date without referring the patient to a licensed medical doctor or dentist is a ground for discipline, and the board’s rule defines that referral as a writing communicating to the patient the importance of seeing the medical doctor or dentist, with a copy placed in the patient’s treatment records; failing to refer a patient whose condition should have been found beyond the scope of physical therapy is also a ground for discipline.⁠^2,6,7,8 The board’s FAQ says no referral is needed to start physical therapy, and names the two cases in which the therapist must refer the patient to a medical provider. Healthy Connections Medicaid, as a payer, covers physical therapy prescribed by a physician, physician assistant or advanced nurse practitioner.⁠^2,6,7,8 For occupational therapy, the board’s FAQ states that South Carolina law does not require a physician referral to start or continue occupational therapy, though payers, employers, accreditation agencies and malpractice insurers may have their own referral requirements; the occupational therapist performs the initial evaluation and establishes the treatment plan for each client.⁠^52,53,54,55 Healthy Connections Medicaid, as a payer, covers occupational therapy prescribed by a physician, physician assistant or advanced nurse practitioner.⁠^52,53,54,55 For speech-language pathology, the licensure act requires a license to practice speech-language pathology, which it defines to include screening, assessing, diagnosing and rehabilitating disorders of speech, language, voice, oral-pharyngeal function and cognitive and communication skills.⁠^56,57,58 Healthy Connections Medicaid, as a payer, requires that a member be referred for speech-language pathology by a physician, physician assistant or advanced nurse practitioner.⁠^56,57,58

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.⁠²⁰ Healthy Connections Medicaid’s referral and prior-authorization rules are in the next section. A commercial plan’s rule is in its member contract and provider manual, and the clinic keeps a copy of each.

How does Healthy Connections pay for pediatric and adult therapy?

Healthy Connections Medicaid is South Carolina’s Medicaid program, run by the South Carolina Department of Health and Human Services (SCDHHS), and a clinic enrolls through its provider enrollment route before it bills.⁠⁵⁹ 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.⁠⁶⁰ Children with full Medicaid benefits through age 20, until the last day of the month of their 21st birthday, are eligible for medically necessary rehabilitative therapy, which covers speech-language pathology, PT and OT, under Healthy Connections Medicaid’s EPSDT benefit.⁠³

Adults 21 and older with full Medicaid benefits are also eligible for PT, OT and speech-language pathology under the State Plan benefit, with the limits in the therapy manual’s section 8.⁠⁹ Healthy Connections Medicaid requires prior authorization for rehabilitative therapy treatment for members 21 and older, and for members under 21 or in a waiver once combined speech-language pathology, PT and OT treatment passes 420 units of 15 minutes per patient in a state fiscal year. Requests go to SCDHHS’s Quality Improvement Organization.⁠^61,62,63 Most Healthy Connections Medicaid members are enrolled in one of the five managed care organizations SCDHHS partners with, and for an MCO member the therapist follows that plan’s policies and requirements.⁠^64,65,66,67 The fee schedule is published by the agency, and a clinic reads the current file rather than a remembered rate.⁠⁶⁸

How does Healthy Connections want OT, PT and SLP claims coded?

Therapists bill Healthy Connections Medicaid on the CMS 1500 with CPT and HCPCS codes, and a 15-minute unit needs at least eight minutes of direct contact with the patient.⁠^{69,70,71,72,73,74} The codes, modifiers and authorization forms are the manual’s and change with it, so the clinic reads the current therapy sections before its first claim and records the manual’s page-updated date in the payer register.

Does Healthy Connections pay for therapy in schools?

Healthy Connections Medicaid pays a local education agency for school-based speech-language pathology, audiology, PT and OT that is included in the child’s IEP or IFSP and referred by a physician or other licensed practitioner of the healing arts.⁠⁷⁵ 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 Healthy Connections cover therapy by telehealth?

Healthy Connections Medicaid lets enrolled physical, occupational and speech therapists deliver covered services by interactive audio and video telehealth, and the patient’s home is an allowed site.⁠^76,77,78 The telehealth section below covers the state’s own rules for the session itself.

What are South Carolina’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.⁠¹⁰ South Carolina’s physical therapy and occupational therapy boards have each issued an advisory opinion supporting telehealth as an effective and comparable method of service delivery, with the practitioner licensed in the state where the client receives the services, and the speech-language pathology board’s policy accepts telepractice once the licensee has judged the evaluation and treatment appropriate for it. The occupational therapy board requires informed consent from the client or a parent or guardian before an initial evaluation by telehealth, covering the risks and limits of the technology, possible unauthorized access to health information, possible disruption and the right to refuse or stop telehealth.⁠^79,80,81,82

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.⁠^11,12,13,14

Which business steps are specific to South Carolina?

The entity is registered with the South Carolina Secretary of State’s Office, through Business Entities Online.⁠²⁴ State tax registration is with the South Carolina Department of Revenue, through the MyDORWAY Business Tax Application.⁠⁸³ South Carolina’s five percent state sales tax is imposed on retail sales of tangible personal property. Its exemptions include medicine and prosthetic devices sold by prescription, and durable medical equipment paid for by Medicaid or Medicare and sold by a provider holding a South Carolina retail sales license.⁠^84,85 A South Carolina employer covered by the workers’ compensation law must insure its liability or show the Workers’ Compensation Commission it can pay compensation directly. The law does not apply to an employer that regularly employs fewer than four employees in the same business in the state, or had a total annual payroll of less than three thousand dollars in the previous calendar year.⁠^86,87,88 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 South Carolina?

As a Healthy Connections Medicaid requirement, a rehabilitative therapy provider keeps all health and fiscal records for Medicaid members on site for at least four years after the last payment for the services.⁠^21,22,23 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

The speech-language pathology board’s code of ethics requires licensees to keep the information and records of the people they serve confidential and not reveal them to unauthorized persons unless the law requires it, and the occupational therapy board’s code requires OT personnel to keep all communications confidential in compliance with privacy laws such as the Health Insurance Portability and Accountability Act.⁠^91,92 South Carolina’s breach law requires a person conducting business in the state that owns or licenses data with personal identifying information to tell an affected resident of a breach in the most expedient time possible and without unreasonable delay, and to notify the Department of Consumer Affairs’ Consumer Protection Division and the nationwide consumer reporting agencies when it notifies more than one thousand persons at one time.⁠^93,94 South Carolina’s child abuse and neglect law requires physicians, nurses and any other medical, emergency medical services, mental health or allied health professional, among others, to report when information received in their professional capacity gives them reason to believe a child has been or may be abused or neglected. A report may be made by telephone to the county department of social services or to law enforcement. The Adult Protection law likewise requires medical and allied health professionals who have reason to believe a vulnerable adult has been or is likely to be abused, neglected or exploited to report it.⁠^95,96,97

Which South Carolina rules shape a pediatric clinic?

BabyNet is South Carolina’s IDEA Part C early intervention program, part of the Department of Health and Human Services’ Healthy Connections program since July 1, 2017, providing screening, referral and therapy services to children up to their third birthday and their families. BabyNet serves infants and toddlers with a developmental delay, missed milestones or a condition likely to cause delays, free to any eligible child, and its services may include speech, physical and occupational therapy. A parent, the child’s doctor or another care provider can refer a child to BabyNet, and a doctor’s referral is not needed. A therapist or clinic that wants to serve BabyNet children enrolls through the BabyNet Provider Enrollment Portal, submitting the full set of required documents online.⁠^25,26,27,28 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. South Carolina requires group health insurance plans, including the State Health Plan, to cover treatment of autism spectrum disorder that the insured’s treating medical doctor prescribes under a treatment plan, for a person diagnosed at age eight or younger and under sixteen. Behavioral therapy is subject to a fifty thousand dollar maximum benefit per year. The mandate reaches group plans and the State Health Plan, not individual-market, individually underwritten or small-employer plans.⁠^98,99 The autism insurance mandates guide covers how such a mandate meets a plan’s own terms. The Department of Public Health’s Children’s Rehabilitative Services pays for medical services, supplies and equipment related to a covered condition for children under 18 in households at or below 250 percent of the federal poverty level, and lists a physical and occupational therapy fee schedule for providers.⁠¹⁰⁰

Which South Carolina rules shape an adult clinic?

Medicare claims from South Carolina go to Palmetto GBA, LLC, the Medicare Administrative Contractor for Jurisdiction M, Parts A and B (North Carolina, South Carolina, Virginia and West Virginia), whose local coverage articles for therapy are the ones a South Carolina clinic reads.⁠¹⁰¹ Healthy Connections Medicaid’s adult therapy rules are in the Medicaid section above. The Workers’ Compensation Commission’s Medical Services Provider Manual sets the billing and payment policy and the schedule of fees for physicians and other health care professionals. The 2026 edition, which adopts the 2026 CPT and HCPCS codes, took effect April 1, 2026. An employer or carrier may not pay, and a medical practitioner may not accept, more than the manual’s maximum allowable payment.⁠^102,103

Which associations and directory pages serve South Carolina?

The state chapters are APTA South Carolina for physical therapy, the South Carolina Occupational Therapy Association (SCOTA) for occupational therapy and the South Carolina Speech Language Hearing Association (SCSHA) for speech-language pathology.⁠^104,105,106 On DrSensory, families browse South Carolina 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.⁠¹⁰⁷

Which South Carolina cities have DrSensory city pages?

Beyond its three South Carolina pages, the directory publishes city pages for 3 South Carolina cities, 9 pages across the three disciplines, each listing the clinics whose address is in that city; a clinic appears on the city page of its address without any action of its own, and a city or discipline without a page is reached through the state page.⁠¹⁰⁷

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

DrSensory lists 64 PT, OT and SLP clinics in South Carolina, on its occupational therapy, physical therapy and speech therapy pages for the state.⁠¹⁰⁷

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

Which templates does a South Carolina launch need?

How might two South Carolina clinics plan a launch?

Sources

1. South Carolina Department of Labor, Licensing and Regulation. South Carolina Board of Physical Therapy Examiners. Checked October 30, 2026.
2. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Laws, s. 40-45-110, Refusal to grant licenses; suspensions, revocations, or other restrictions; grounds. Checked October 30, 2026.
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   “(A) In addition to other grounds provided for in Section 40-1-110, the board, after notice and hearing, may restrict or refuse to grant a license to an applicant and may refuse to renew the license of a licensed person, and may suspend, revoke, or otherwise restrict the license of a licensed person who: ... (2) has treated or undertaken to treat human ailments otherwise than by physical therapy or has practiced physical therapy and failed to refer to a licensed medical doctor or dentist any patient whose medical condition should have been determined at the time of evaluation or treatment to be beyond the scope of practice of a physical therapist; ... (4) in the absence of a referral from a licensed medical doctor or dentist, provides physical therapy services beyond thirty days after the initial evaluation and/or treatment date without the referral of the patient to a licensed medical doctor or dentist ...”
3. South Carolina Department of Health and Human Services. Rehabilitative Therapy & Audiological Services Provider Manual (January 1, 2026; change control record updated July 1, 2026). Checked October 30, 2026.
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   “For the purpose of this manual, rehabilitative therapy and audiological services are speech-language pathology, audiological, physical therapy (PT) and occupational therapy (OT) services furnished in a practice or clinic setting ... Only members eligible for full Medicaid benefits, in the following subgroups, may receive medically necessary rehabilitative therapy and audiological services: ... Children: members ages 0 through 20 years (through the last day of the month of the 21st birthday) ... Children under the age of 21 are eligible for medically necessary rehabilitative therapy and audiological services as part of the EPSDT benefit.”
4. South Carolina Department of Labor, Licensing and Regulation. South Carolina Board of Occupational Therapy. Checked October 30, 2026.
5. South Carolina Department of Labor, Licensing and Regulation. South Carolina Board of Examiners in Speech-Language Pathology and Audiology. Checked October 30, 2026.
6. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Regulations, Reg. 101-11, Referral (as amended effective May 24, 2024). Checked October 30, 2026.
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   “For purposes of S.C. Code Section 40–45–110(4), ‘‘referral’’ is defined as a writing communicating to the patient the importance of seeing the licensed medical doctor or dentist, a copy of which is placed in the patient’s treatment records.”
7. South Carolina Department of Labor, Licensing and Regulation. Board of Physical Therapy: Board FAQs. Checked October 30, 2026.
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   “No referral is necessary prior to initiation of physical therapy intervention. A patient can, without first seeing a medical practitioner, seek out the services of a physical therapist. However, the physical therapist may be required to refer the patient to a medical provider following initiation of services. ... There are two instances in which a physical therapist must refer a patient out to a medical provider. 1) A patient’s medical condition has been determined, or should have been determined, at the time of evaluation or treatment to be beyond the scope of practice of a physical therapist; or 2) The physical therapist provides physical therapy services to a patient who was not referred by a medical provider to the physical therapist beyond 30 days after the initial evaluation and/or treatment date.”
8. South Carolina Department of Health and Human Services. Rehabilitative Therapy & Audiological Services Provider Manual (January 1, 2026; change control record updated July 1, 2026). Checked October 30, 2026.
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   “In accordance with 42 CFR 440.110(a), physical therapy means services prescribed by a physician, physician assistant or advance nurse practitioner within the scope of his or her practice under state law and provided to a member by or under the direction of a qualified physical therapist.”
9. South Carolina Department of Health and Human Services. Rehabilitative Therapy & Audiological Services Provider Manual (January 1, 2026; change control record updated July 1, 2026). Checked October 30, 2026.
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   “Adults: members ages 21 years and older ... Children, adults and HASCI waiver members are eligible to receive speech-language pathology services under the State Plan benefit with limitations as defined in section 8 of this manual. ... Children, adults and HASCI waiver members are eligible to receive PT services under the State Plan benefit (authority) with limitations as defined in section 8 of this manual. ... Children, adults and HASCI waiver members are eligible to receive OT services under the State Plan benefit (authority) with limitations as defined in section 8 of this manual.”
10. 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”.
11. PT Compact Commission. PT Compact Map. “Member States (38) ... Pennsylvania South Carolina South Dakota ...” Checked October 30, 2026.
12. PT Compact Commission. PT Compact Map. “38 Member States Actively Issuing and Accepting Compact Privileges ...” Checked October 30, 2026.
13. South Carolina Department of Labor, Licensing and Regulation. SC Board of Physical Therapy Is Now an Active Member of the PT Compact (board alert). “The South Carolina Board of Physical Therapy Examiners is now an active member of the PT Compact.” Checked October 30, 2026.
14. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Laws, s. 40-45-510, Purpose of compact. “(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.” Checked October 30, 2026.
15. Occupational Therapy Compact Commission. Before You Apply for an OT Compact Privilege. “States not listed below are not a member of the Occupational Therapy Compact. ... State Accepting OTC Applications? ... South Carolina Not Yet Info Coming Soon SC OT Practice Act SC OT Rules ...” Checked October 30, 2026.
16. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Laws, s. 40-36-510, Purpose. “(A) The purpose of this compact is to facilitate interstate practice of occupational therapy with the goal of improving public access to occupational therapy services.” Checked October 30, 2026.
17. Audiology and Speech-Language Pathology Interstate Compact Commission. Delegate Information. “Member State Appointed Delegates ... South Carolina Audiology Jason Wigand South Carolina SLP Sarah Davis Emory ...” Checked October 30, 2026.
18. Audiology and Speech-Language Pathology Interstate Compact Commission. ASLP-IC Home. “Registration for compact privileges to practice is open for licensed practitioners in Louisiana, Ohio, Tennessee, and West Virginia.” Checked October 30, 2026.
19. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Laws, s. 40-67-510, Purpose. “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.” Checked October 30, 2026.
20. 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.”.
21. South Carolina Department of Health and Human Services. Rehabilitative Therapy & Audiological Services Provider Manual (January 1, 2026; change control record updated July 1, 2026), Health Records. Checked October 30, 2026.
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    “SCDHHS requires rehabilitative therapy and audiology providers to retain on site, all health and fiscal records pertaining to Medicaid members for a minimum period of four years after the last payment was made for services rendered, to facilitate audits and reviews of the member’s health record.”
22. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Laws, s. 40-45-280, Physical therapy records; responsibility for records; contents; discharge notes. Checked October 30, 2026.
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    “(A) A physical therapist is responsible for the physical therapy record of a patient. ... (C) A physical therapy record consists of: (1) the initial evaluation which is a written report signed and dated by the physical therapist performing the evaluation. An initial evaluation by a provisional licensed physical therapist must be reviewed, cosigned, and dated by the on-site supervising physical therapist; (2) a plan of care developed by a licensed physical therapist, including: (a) treatment to be rendered; (b) frequency and duration of treatment; (c) measurable goals.”
23. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Laws, s. 40-36-290, Responsibilities and duties of occupational therapists; records; discharge notes. Checked October 30, 2026.
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    “(B) An occupational therapist is responsible for the occupational therapy record of a client. The occupational therapy record shall consist of: ... (1) the initial evaluation including a written report signed and dated by the occupational therapist performing the evaluation ...”
24. South Carolina Secretary of State. Online Filings. “By using the Business Entities Online system, users may file online to create business entities and make changes to their existing entities, search existing entities and registered agent information, and obtain certified copies of corporate documents and certificates of existence.” Checked October 30, 2026.
25. South Carolina Department of Health and Human Services. BabyNet: For Families. Checked October 30, 2026.
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    “BabyNet is South Carolina’s Individuals with Disabilities Education Act (IDEA) Part C program, providing disability screening, referral and therapy services to children up to their third birthday and their families. Effective July 1, 2017, BabyNet is part of the South Carolina Department of Health and Human Services’ Healthy Connections program.”
26. South Carolina Department of Health and Human Services. BabyNet. Checked October 30, 2026.
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    “BabyNet is South Carolina’s early intervention program for children ages birth to 3 years old. If an infant or toddler is experiencing a developmental delay, missing milestones, or has a physical or mental condition that is likely to result in delays, they may qualify for BabyNet. ... This publicly funded program provides services for free for any child who is eligible. ... Services offered may include: Family training/special instruction Speech therapy, Physical therapy, Occupational therapy and Other services based on the needs of the child and family.”
27. South Carolina Department of Health and Human Services. BabyNet. “If you, your child’s doctor, or other care provider is concerned about your child’s development, you should contact BabyNet to see if your child qualifies for help. If a provider does not refer you, you can reach out yourself. A doctor’s referral is not needed.” Checked October 30, 2026.
28. South Carolina Department of Health and Human Services. BabyNet Provider Enrollment. “Beginning Jan. 1, 2022, all providers, including individuals and organizations, seeking to enroll in the BabyNet program must fully complete and submit the required documentation online through the Provider Enrollment Portal.” Checked October 30, 2026.
29. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Laws, s. 40-45-10, Board of Physical Therapy Examiners; creation and purpose; membership. “(A) There is created the State Board of Physical Therapy Examiners to license physical therapists and physical therapist assistants under the administration of the Department of Labor, Licensing and Regulation.” Checked October 30, 2026.
30. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Laws, s. 40-45-250, Time period licenses are valid; renewals, fees, and penalties; continuing education requirements; inactive status. Checked October 30, 2026.
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    “(A) A license is valid for up to two years and must be renewed biennially. ... (B) Before January first in every other year, a licensed physical therapist and physical therapist assistant shall renew the license and pay the renewal fee, whether or not a notice is received.”
31. South Carolina Department of Labor, Licensing and Regulation. Board of Physical Therapy: License Renewal Resource. Checked October 30, 2026.
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    “The biennial reporting period for the 2026 renewal is January 1, 2025 to December 31, 2026. ... PT-Physical Therapist October 1, 2026 December 31, 2026 December 31, 2028 PTA-Physical Therapist Assistant October 1, 2026 December 31, 2026 December 31, 2028 ...”
32. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Regulations, Reg. 101-07, Continuing Education and Competency. Checked October 30, 2026.
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    “(1) A licensed PT or PTA shall earn three (3.0) CEUs per biennium period (30 hours) and at least fifteen (15) contact hours of the thirty hours must be obtained through the completion of Certified Activities. PTs and PTAs licensed in South Carolina are not subject to this requirement for the first biennium renewal period in which they are initially licensed. ... (2) A PT or PTA must complete three (3) contact hours of study in ethics, professionalism, and/or South Carolina jurisprudence per biennium as part of his/her CEU requirements.”
33. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Laws, s. 40-45-250, Time period licenses are valid; renewals, fees, and penalties; continuing education requirements; inactive status. Checked October 30, 2026.
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    “(D) As a condition of license renewal, a licensee must satisfactorily complete 3.0 continuing education units each biennium as provided for in regulation and must submit proof of completion on a form approved by the board.”
34. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Laws, s. 40-45-300, Delegation and supervision of physical therapy tasks; responsibility for care. Checked October 30, 2026.
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    “(B) A physical therapist assistant shall function under the supervision of a licensed physical therapist. A person licensed under this chapter as a physical therapist assistant shall perform duties only after the initial evaluation of the patient is conducted by a licensed physical therapist. A patient plan of care may not be altered without the prior written, dated, and signed approval of a licensed physical therapist. A patient must be reevaluated and the plan of care must be reapproved by a physical therapist licensed in this State every eighth treatment day or every sixty calendar days, whichever comes first.”
35. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Regulations, Reg. 101-09, Supervision Guidelines. “It is recommended that a physical therapist should not concurrently supervise more than three (3) full-time equivalent physical therapist assistant positions.” Checked October 30, 2026.
36. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Laws, s. 40-36-10, Board of Occupational Therapy; creation and purpose; membership. “(A) There is created the South Carolina Board of Occupational Therapy under the administration of the Department of Labor, Licensing and Regulation.” Checked October 30, 2026.
37. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Laws, s. 40-36-260, Time period licenses are valid; renewals, fees, and penalties; continuing education requirements. Checked October 30, 2026.
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    “(A) All licenses are valid for a period of time not to exceed two years, and it is the licensee’s responsibility to renew the license on March fifteenth whether or not a notice is received. ... (B) A licensed occupational therapist and a licensed occupational therapy assistant before March sixteenth in every other year shall apply to the board for license renewal and pay the renewal fee provided for in regulation.”
38. South Carolina Department of Labor, Licensing and Regulation. Board of Occupational Therapy: License Renewal Resource. Checked October 30, 2026.
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    “The biennial reporting period for the 2027 renewal is March 16, 2025 to March 15, 2027. ... OT-Occupational Therapist January 13, 2027 March 15, 2027 March 15, 2029 OTA-Occupational Therapist Assistant January 13, 2027 March 15, 2027 March 15, 2029 ...”
39. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Laws, s. 40-36-260, Time period licenses are valid; renewals, fees, and penalties; continuing education requirements. Checked October 30, 2026.
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    “(C) As a condition of license renewal, a licensee must complete satisfactorily sixteen hours of continuing education per biennium as defined in regulation and must submit proof of completion on a form approved by the board and must be certified and in good standing with NBCOT or other board-approved certification program.”
40. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Regulations, Reg. 94-08, Continuing Education. “(1) A licensee must maintain continuing education requirements in compliance with NBCOT or other board-approved standards.” Checked October 30, 2026.
41. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Laws, s. 40-36-300, Responsibilities and duties of occupational therapy assistants and aides; restrictions. Checked October 30, 2026.
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    “(A) An occupational therapy assistant only shall assist in the practice of occupational therapy under the supervision of a licensed occupational therapist and shall: (1) only accept those duties and responsibilities for which the assistant has been specifically trained and is qualified to perform; (2) consult with the supervising occupational therapist every seven treatments or thirty days, whichever is first, for each client; ... (4) contribute to a client evaluation by gathering data, administering structured tests, and reporting observations but may not evaluate a client independently or initiate treatment before a licensed occupational therapist’s evaluation.”
42. South Carolina Department of Labor, Licensing and Regulation. Board of Occupational Therapy: Board FAQs. “The state does not dictate a maximum number of supervisees that a therapist can be responsible for.” Checked October 30, 2026.
43. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Laws, s. 40-67-10, Creation of Board of Examiners in Speech-Language Pathology and Audiology; purpose of board; membership. Checked October 30, 2026.
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    “(A) There is created the Board of Examiners in Speech-Language Pathology and Audiology under the administration of the Department of Labor, Licensing and Regulation. ... (B) The Board of Examiners in Speech-Language Pathology and Audiology consists of five members: two speech-language pathologists, two audiologists, and one lay member.”
44. South Carolina Department of Labor, Licensing and Regulation. South Carolina Board of Speech-Language Pathology & Audiology. “The SC Board of Examiners in Speech Language Pathology and Audiology licenses and regulates the practice of Speech Language Pathologists, Speech Language Pathologist Interns, Speech Language Pathologist Assistants, Audiologist and Audiologist Interns.” Checked October 30, 2026.
45. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Laws, s. 40-67-300, Limits on applicability of chapter. Checked October 30, 2026.
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    “This chapter does not apply to: ... (6) An educator certified by the State Board of Education, including an educator certified as a speech-language therapist who is not licensed as a speech-language pathologist and does not hold a certificate of clinical competence in speech-language pathology credential from the American Speech-Language-Hearing Association.”
46. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Laws, s. 40-67-270, Renewal periods; renewal fee; evidence of continuing education; reinstatement of license. “(A) A speech-language pathology or audiology license and a speech-language pathology assistant license must be renewed biennially and expire on March 31 of the second year.” Checked October 30, 2026.
47. South Carolina Department of Labor, Licensing and Regulation. Board of Speech-Language Pathology & Audiology: License Renewal Resource. Checked October 30, 2026.
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    “The biennial reporting period for the 2027 renewal is April 1, 2025 to March 31, 2027. ... SLP-Speech Language Pathology January 20, 2027 March 31, 2027 March 31, 2029 AUD-Audiology January 20, 2027 March 31, 2027 March 31, 2029 SPA-Speech Language Pathology Assistant January 20, 2027 March 31, 2027 March 31, 2029 ...”
48. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Laws, s. 40-67-260, License renewal; conditions; continuing education; records. Checked October 30, 2026.
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    “(A) As a condition of license renewal, a speech-language pathologist or audiologist shall satisfactorily complete sixteen hours of approved continuing education or 1.6 continuing education units (CEUs) during each license period. ... (C) As a condition of an assistant license renewal, a speech-language pathology assistant shall satisfactorily complete eight hours of approved continuing education or 0.8 CEUs during each license period.”
49. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Regulations, Reg. 115-6, Continuing Education. “(B) At least one-half of the continuing education requirement must pertain to clinical practice in the area of licensure.” Checked October 30, 2026.
50. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Regulations, Reg. 115-2, Speech-Language Pathology Assistants. Checked October 30, 2026.
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    “(2) Only a speech-language pathologist with an active license in good standing and a minimum of three years of work experience may supervise speech-language pathology assistants. ... (3) A speech-language pathologist shall supervise no more than two full-time or three part-time speech-language pathology assistants, not to exceed more than three speech-language pathology assistants whether part-time or full-time. Full time is defined as a minimum of 30 work hours per week. ... Following initial OJT, direct supervision of each speech-language pathology assistant must consist of a minimum of one of every seven therapy sessions per patient of direct, visual supervision of client contact to include a sampling of each assigned service or task.”
51. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Laws, s. 40-67-30, Licensure requirement for practice of speech-language pathology and audiology; supervision of interns and assistants. Checked October 30, 2026.
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    “A speech-language pathology intern and a speech-language pathology assistant only may practice under the direct supervision of a speech-language pathologist, and an audiology intern only may practice under the direct supervision of an audiologist as specified by the board.”
52. South Carolina Department of Labor, Licensing and Regulation. Board of Occupational Therapy: Board FAQs. “While a physician referral is not required by South Carolina law to initiate or to continue occupational therapy services, reimbursement sources, employers, accreditation agencies, malpractice insurance providers and other entities may have referral requirements.” Checked October 30, 2026.
53. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Laws, s. 40-36-20, Definitions. “(7) "Occupational therapy" means the functional evaluation and treatment of individuals whose ability to cope with the tasks of living are threatened or impaired by developmental deficits, the aging process, poverty and cultural differences, physical injury or illness, or psychological or social disability.” Checked October 30, 2026.
54. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Laws, s. 40-36-290, Responsibilities and duties of occupational therapists; records; discharge notes. “(7) shall perform the initial evaluation of and establish the treatment plan for each client ...” Checked October 30, 2026.
55. South Carolina Department of Health and Human Services. Rehabilitative Therapy & Audiological Services Provider Manual (January 1, 2026; change control record updated July 1, 2026). Checked October 30, 2026.
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    “In accordance with 42 CFR 440.110(b)(1), OT means services prescribed by a physician, physician assistant or advance nurse practitioner within the scope of his or her practice under state law and provided to a member by or under the direction of a qualified occupational therapist.”
56. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Laws, s. 40-67-30, Licensure requirement for practice of speech-language pathology and audiology. “No person may practice speech-language pathology or audiology without a license issued in accordance with this chapter.” Checked October 30, 2026.
57. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Laws, s. 40-67-20, Definitions. Checked October 30, 2026.
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    “(14) "Speech-language pathology" or "speech-language pathology service" means screening, identifying, assessing, interpreting, diagnosing, rehabilitating, researching, and preventing disorders of speech, language, voice, oral-pharyngeal function, and cognitive/communication skills; developing and dispensing augmentative and alternative communication systems and providing training in their use; providing aural rehabilitation and counseling services to hearing impaired individuals and their families; enhancing speech-language proficiency and communication effectiveness; screening of hearing, limited to a pass-fail determination; screening of other skills for the purpose of speech-language evaluation; and identifying individuals with other communication disorders.”
58. South Carolina Department of Health and Human Services. Rehabilitative Therapy & Audiological Services Provider Manual (January 1, 2026; change control record updated July 1, 2026). Checked October 30, 2026.
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    “In accordance with 42 CFR 440.110(c)(1), services for individuals with speech and language disorders include diagnostic, screening, preventive, or corrective services. These services are provided by or under the direction of a speech-language pathologist. Members must be referred by a physician, physician assistant or advance nurse practitioner.”
59. South Carolina Department of Health and Human Services. Become a Provider. Checked October 30, 2026.
60. 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.”.
61. South Carolina Department of Health and Human Services. Rehabilitative Therapy & Audiological Services Provider Manual (January 1, 2026; change control record updated July 1, 2026). Checked October 30, 2026.
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    “SCDHHS requires prior authorization for rehabilitative therapy treatment services delivered to members 21 years and older. Additionally, prior authorization is required when combined speech-language pathology, PT and OT treatment services, delivered to members under the age of 21 years or to waiver members, exceed the 420 of combined units (unit =15 minutes) per patient allowed per state fiscal year (SFY), as indicated in section 8 of this manual. ... Requests must be submitted to SCDHHS’s Quality Improvement Organization (QIO) for authorization.”
62. South Carolina Department of Health and Human Services. Rehabilitative Therapy & Audiological Services Provider Manual (January 1, 2026; change control record updated July 1, 2026). Checked October 30, 2026.
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    “School-based rehabilitative therapy services provided under the Individuals with Disabilities Education Act are exempt from frequency limits and excluded from the combined 420 units of speech-language pathology, PT and OT services per patient per SFY.”
63. South Carolina Department of Health and Human Services. Rehabilitative Therapy & Audiological Services Provider Manual (January 1, 2026; change control record updated July 1, 2026). “For members enrolled in an MCO, refer to the individual MCO plan regarding its services and authorization policies.” Checked October 30, 2026.
64. South Carolina Department of Health and Human Services. Healthy Connections Medicaid Managed Care. “A managed care organization (MCO) is a Medicaid health care company often called a "health plan." SCDHHS partners with five MCOs. They are listed below. Most Healthy Connections Medicaid members are enrolled in an MCO.” Checked October 30, 2026.
65. South Carolina Department of Health and Human Services. Healthy Connections Medicaid Managed Care. “SCDHHS currently partners with the following MCOs: Absolute Total Care BlueChoice (Healthy Blue) Humana Healthy Horizons Molina Select Health (First Choice)” Checked October 30, 2026.
66. South Carolina Department of Health and Human Services. Rehabilitative Therapy & Audiological Services Provider Manual (January 1, 2026; change control record updated July 1, 2026). “For services delivered to MCO members, providers must follow the members MCOs policies and requirements.” Checked October 30, 2026.
67. South Carolina Department of Health and Human Services. Managed Care Carve-in. Checked October 30, 2026.
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    “Effective Jan. 1, 2026, the South Carolina Department of Health and Human Services (SCDHHS) added some Healthy Connections Medicaid members to the managed care service delivery model. This included Medicaid members who are 18 years of age or older: ... Medicaid members who are dually enrolled in Medicare and Medicaid; Medicaid members enrolled in the HIV/AIDS Waiver; Medicaid members enrolled in the Mechanical Ventilator Dependent (Vent) Waiver; Medicaid members enrolled in the Community Choices Waiver; and Medicaid members who reside in a nursing facility ... Rehabilitative therapy services (physical, occupational, speech/language therapies)”
68. South Carolina Department of Health and Human Services. Fee Schedules. Checked October 30, 2026.
69. South Carolina Department of Health and Human Services. Rehabilitative Therapy & Audiological Services Provider Manual (January 1, 2026; change control record updated July 1, 2026). Checked October 30, 2026.
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    “SCDHHS requires rehabilitative therapy and audiology providers to submit all claims on a professional CMS 1500 claim form. ... When billing for services with units of 15 minutes, at least eight minutes of direct contact with the patient must be provided for a single unit of service to be appropriately reported and billed.”
70. South Carolina Department of Health and Human Services. Rehabilitative Therapy & Audiological Services Provider Manual (January 1, 2026; change control record updated July 1, 2026). Checked October 30, 2026.
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    “GP: PT services delivered under an outpatient PT plan of care. ... Licensed physical therapists must bill approved codes using the GP modifier. OT providers shall not bill the GP modifier.”
71. South Carolina Department of Health and Human Services. Rehabilitative Therapy & Audiological Services Provider Manual (January 1, 2026; change control record updated July 1, 2026). Checked October 30, 2026.
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    “GO: OT services delivered under an outpatient occupational therapy plan of care. ... Licensed occupational therapists must bill approved codes using the GO modifier. PT providers shall not bill the GO modifier.”
72. South Carolina Department of Health and Human Services. Rehabilitative Therapy & Audiological Services Provider Manual (January 1, 2026; change control record updated July 1, 2026). Checked October 30, 2026.
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    “GT: Telehealth services delivered via interactive audio and video telecommunication systems. ... When filing a claim for a service performed via telehealth, the GT modifier should be used in the secondary modifier position, with any other necessary modifier(s) recorded as the primary modifier.”
73. South Carolina Department of Health and Human Services. Rehabilitative Therapy & Audiological Services Provider Manual (January 1, 2026; change control record updated July 1, 2026). Checked October 30, 2026.
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    “The referral documentation must occur before the provision of services. ... An initial referral which must be updated annually (every 12 months) thereafter for speech-language therapy, OT and PT services. ... Provider self-referrals are prohibited.”
74. South Carolina Department of Health and Human Services. Rehabilitative Therapy & Audiological Services Provider Manual (January 1, 2026; change control record updated July 1, 2026). Checked October 30, 2026.
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    “The following providers are eligible to enroll with SCDHHS to bill for rehabilitative therapy and audiology services to eligible members: ... Speech-language pathologists (SLP), an independent or group practice ... Speech and hearing clinics ... Physical therapists, an independent or group practice ... Occupational therapists, an independent or group practice ... Multi-therapy groups ... Ambulatory rehabilitation centers ...”
75. South Carolina Department of Health and Human Services. Local Education Agencies (LEA) Services Provider Manual (January 1, 2026). Checked October 30, 2026.
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    “Medicaid-reimbursed school-based rehabilitative therapy services must be included in the IEP or IFSP. ... Medicaid reimbursement is available for school-based rehabilitative therapy services (e.g., speech-language pathology, audiology, physical therapy, occupational therapy and O&M services) when provided by or under the direction of the qualified rehabilitative therapy provider for which the beneficiary has been referred. Referrals must be made by a physician or other licensed practitioner of the healing arts (LPHA) within the scope of his or her practice under state law.”
76. South Carolina Department of Health and Human Services. Rehabilitative Therapy & Audiological Services Provider Manual (January 1, 2026; change control record updated July 1, 2026). Checked October 30, 2026.
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    “Note: A patient’s residence is an allowed referring site. ... Practitioners at the distant site qualified to furnish telehealth services are: ... Physical, occupational, and speech therapists ... Interactive audio and video telecommunication must be used, permitting encrypted communication between the distant site physician or practitioner and the Medicaid member.”
77. South Carolina Department of Health and Human Services. Rehabilitative Therapy & Audiological Services Provider Manual (January 1, 2026; change control record updated July 1, 2026). “If the member is a minor (under 18 years old), a parent and/or guardian must present the minor for telehealth service unless otherwise exempted by state or federal law.” Checked October 30, 2026.
78. South Carolina Department of Health and Human Services. Rehabilitative Therapy & Audiological Services Provider Manual (January 1, 2026; change control record updated July 1, 2026). “Office visits that are conducted via telehealth are counted towards the applicable benefit limits for these services.” Checked October 30, 2026.
79. South Carolina Department of Labor, Licensing and Regulation. Board of Physical Therapy Examiners: Advisory Opinion on the Use of Telehealth. Checked October 30, 2026.
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    “The South Carolina Board of Physical Therapy Examiners (“Board”) supports the use of telehealth as an effective and comparable method of service delivery that is authorized by the South Carolina Physical Therapy Practice Act, as set forth in S.C. Code Ann. § 40-45-5, et seq. ... As with traditional practice, all physical therapy practitioners utilizing telehealth must be licensed in the state in which the client receives the services.”
80. South Carolina Department of Labor, Licensing and Regulation. Board of Occupational Therapy: Board FAQs. Checked October 30, 2026.
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    “Prior to the initial evaluation, the licensee must obtain informed consent from the client or parent or guardian to the following: (1) the risks and limitations of the use of technology to provide services; (2) the potential for unauthorized access to protected health information; (3) the potential for disruption of technology during a telehealth visit; and (4) the right to refuse or discontinue telehealth services.”
81. South Carolina Department of Labor, Licensing and Regulation. Board of Occupational Therapy: Advisory Opinion on the Use of Telehealth. Checked October 30, 2026.
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    “The South Carolina Board of Occupational Therapy (“Board”) supports the use of telehealth as an effective and comparable method of service delivery that is authorized by the South Carolina Occupational Therapy Practice Act ... As with traditional practice, all occupational therapy practitioners utilizing telehealth must be licensed in the state in which the client receives the services.”
82. South Carolina Department of Labor, Licensing and Regulation. Board of Examiners in Speech-Language Pathology and Audiology: Policy Regarding Telepractice (updated July 21, 2022). Checked October 30, 2026.
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    “First, the Board does not believe it is unprofessional conduct for a licensee to utilize telepractice so long as the licensee has determined that the initial evaluation for a client and subsequent treatment is appropriate for telepractice.”
83. South Carolina Department of Revenue. Apply for a Business Tax Account. “Use the MyDORWAY Business Tax Application to apply online for a Retail License and tax accounts for your business.” Checked October 30, 2026.
84. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Laws, s. 12-36-910, Five percent tax on tangible personal property. “(A) A sales tax, equal to five percent of the gross proceeds of sales, is imposed upon every person engaged or continuing within this State in the business of selling tangible personal property at retail.” Checked October 30, 2026.
85. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Laws, s. 12-36-2120, Exemptions from sales tax. Checked October 30, 2026.
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    “Exempted from the taxes imposed by this chapter are the gross proceeds of sales, or sales price of: ... (28)(a) medicine and prosthetic devices sold by prescription, ... (74) durable medical equipment and related supplies: (a) as defined under federal and state Medicaid or Medicare laws; (b) which is paid directly by funds of this State or the United States under the Medicaid or Medicare programs, where state or federal law or regulation authorizing the payment prohibits the payment of the sales or use tax; and (c) sold by a provider who holds a South Carolina retail sales license ...”
86. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Laws, Title 42, Chapter 5, s. 42-5-20, Insurance or proof of financial ability to pay required. Checked October 30, 2026.
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    “(A)(1) Every employer who accepts the provisions of this title relative to the payment of compensation shall insure and keep insured his liability thereunder in any authorized corporation, association, organization, or mutual insurance association formed by a group of employers so authorized or shall furnish to the commission satisfactory proof of his financial ability to pay directly the compensation in the amount and manner and when due as provided for in this title.”
87. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Laws, s. 42-1-310, Presumption of acceptance of provisions of title. Checked October 30, 2026.
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    “Every employer and employee, except as stated in this chapter, shall be presumed to have accepted the provisions of this title respectively to pay and accept compensation for personal injury or death by accident arising out of and in the course of the employment and shall be bound thereby.”
88. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Laws, s. 42-1-360, Exemption of casual employees and certain other employments. Checked October 30, 2026.
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    “This title does not apply to: ... (2) any person who has regularly employed in service less than four employees in the same business within the State or who had a total annual payroll during the previous calendar year of less than three thousand dollars regardless of the number of persons employed during that period ...”
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. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Regulations, Reg. 115-7, Code of Ethics (Board of Examiners in Speech-Language Pathology and Audiology). Checked October 30, 2026.
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    “PRINCIPLE 3: Individuals shall maintain the confidentiality of the information and records of those receiving services. Rule 3a: Individuals shall not reveal to unauthorized persons any professional or personal information obtained from the person served professionally, unless required by law.”
92. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Regulations, Reg. 94-10, Code of Ethics (Board of Occupational Therapy), Principle 3. Checked October 30, 2026.
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    “H. Maintain the confidentiality of all verbal, written, electronic, augmentative, and nonverbal communications, in compliance with applicable laws, including all aspects of privacy laws and exceptions thereto (e.g., Health Insurance Portability and Accountability Act [Pub. L. 104–191], Family Educational Rights and Privacy Act [Pub. L. 93–380]).”
93. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Laws, Title 39, Chapter 1, s. 39-1-90, Business data, breach of security. Checked October 30, 2026.
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    “(A) A person conducting business in this State, and owning or licensing computerized data or other data that includes personal identifying information, shall disclose a breach of the security of the system following discovery or notification of the breach in the security of the data to a resident of this State whose personal identifying information that was not rendered unusable through encryption, redaction, or other methods was, or is reasonably believed to have been, acquired by an unauthorized person when the illegal use of the information has occurred or is reasonably likely to occur or use of the information creates a material risk of harm to the resident. The disclosure must be made in the most expedient time possible and without unreasonable delay ...”
94. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Laws, Title 39, Chapter 1, s. 39-1-90, Business data, breach of security. Checked October 30, 2026.
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    “(K) If a business provides notice to more than one thousand persons at one time pursuant to this section, the business shall notify, without unreasonable delay, the Consumer Protection Division of the Department of Consumer Affairs and all consumer reporting agencies that compile and maintain files on a nationwide basis, as defined in 15 U.S.C. Section 1681a(p), of the timing, distribution, and content of the notice.”
95. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Laws, Title 63, Chapter 7, s. 63-7-310, Persons required to report. Checked October 30, 2026.
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    “(A) The following persons must report in accordance with this section when, in such person’s professional capacity, he has received information that gives him reason to believe that a child has been or may be abused or neglected as defined in Section 63-7-20: a physician, nurse, dentist, optometrist, medical examiner, or coroner, or an employee of a county medical examiner’s or coroner’s office, or any other medical, emergency medical services, mental health, or allied health professional ...”
96. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Laws, Title 63, Chapter 7, s. 63-7-310, Persons required to report. Checked October 30, 2026.
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    “(E) Reports of child abuse or neglect may be made orally by telephone or otherwise to the county department of social services or to a law enforcement agency in the county where the child resides or is found.”
97. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Laws, Title 43, Chapter 35, s. 43-35-25, Persons required to report abuse, neglect, or exploitation of adult. Checked October 30, 2026.
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    “(A) A physician, nurse, dentist, optometrist, medical examiner, coroner, other medical, mental health or allied health professional, Christian Science practitioner, religious healer, school teacher, counselor, psychologist, mental health or intellectual disability specialist, social or public assistance worker, caregiver, staff or volunteer of an adult day care center or of a facility, or law enforcement officer having reason to believe that a vulnerable adult has been or is likely to be abused, neglected, or exploited shall report the incident in accordance with this section.”
98. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Laws, Title 38, Chapter 71, s. 38-71-280, Autism spectrum disorder; coverage. Checked October 30, 2026.
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    “(B) A health insurance plan as defined in this section must provide coverage for the treatment of autism spectrum disorder. Coverage provided under this section is limited to treatment that is prescribed by the insured’s treating medical doctor in accordance with a treatment plan. ... (E) To be eligible for benefits and coverage under this section, an individual must be diagnosed with autistic spectrum disorder at age eight or younger. The benefits and coverage provided pursuant to this section must be provided to any eligible person under sixteen years of age. Coverage for behavioral therapy is subject to a fifty thousand dollar maximum benefit per year.”
99. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Laws, Title 38, Chapter 71, s. 38-71-280, Autism spectrum disorder; coverage. Checked October 30, 2026.
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    “(4) "Health insurance plan" means a group health insurance policy or group health benefit plan offered by an insurer. It includes the State Health Plan, but does not otherwise include any health insurance plan offered in the individual market as defined in Section 38-71-670(11), any health insurance plan that is individually underwritten, or any health insurance plan provided to a small employer, as defined by Section 38-71-1330(17).”
100. South Carolina Department of Public Health. Children’s Rehabilitative Services (CRS). Checked October 30, 2026.
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     “DPH’s Children’s Rehabilitative Services (CRS) provides financial assistance to families of children under age 18 with one or more of a wide array of chronic illnesses and disabling conditions. ... Household income at or below 250% of the federal poverty level ... Payment for medical services, supplies, equipment, and prescription medications when related to a covered condition ... Physical and Occupational Therapy Fee Schedule (pdf)”
101. Centers for Medicare & Medicaid Services. Who are the MACs: A/B MAC Jurisdiction M (JM). “Contract Awardee: Palmetto GBA, LLC, contract number 75FCMC22C0037 ... JM processes FFS Medicare Part A and Part B claims for North Carolina, South Carolina, Virginia, and West Virginia ...” Checked October 30, 2026.
102. South Carolina Workers’ Compensation Commission. Medical Fee Schedules. “The Medical Services Provider Manual (MSPM) outlines billing and payment policy for physicians and other health care professionals and provides the current schedule of fees. ... The changes also include adopting the 2026 CMS CPT/HCPS codes. The effective date of the updated MSPM is April 1, 2026.” Checked October 30, 2026.
103. South Carolina Legislature (scstatehouse.gov). South Carolina Code of Regulations, Chapter 67, Workers’ Compensation Commission, Reg. 67-1302. “C. An employer or insurance carrier may not pay, and a medical practitioner may not accept, more than the maximum allowable payment amounts listed in the provider manual.” Checked October 30, 2026.
104. APTA South Carolina. APTA South Carolina (the state association's site). Checked October 30, 2026.
105. the South Carolina Occupational Therapy Association (SCOTA). the South Carolina Occupational Therapy Association (SCOTA) (the state association's site). Checked October 30, 2026.
106. the South Carolina Speech Language Hearing Association (SCSHA). the South Carolina Speech Language Hearing Association (SCSHA) (the state association's site). Checked October 30, 2026.
107. DrSensory. Occupational therapy clinics in South Carolina, 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.
108. 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 South Carolina, not legal, compliance, billing or financial advice. Rules change; the clinic confirms each with its source before acting on it.