Tennessee PT, OT and SLP guide

For OT, PT and SLP clinics in Tennessee: three state boards license the disciplines; a physical therapist may treat without a referral once the patient’s physician has been notified, within the statute’s 30-day progress and 90-day consultation limits; TennCare covers children’s therapy under EPSDT and adults within its own rules; and telehealth follows the patient’s location.⁠^1,2,3,4,5

Who licenses OTs, PTs and SLPs in Tennessee?

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

Physical therapists and physical therapist assistants answer to the Tennessee Board of Physical Therapy.⁠^{1,29,30,31,32} Occupational therapists and occupational therapy assistants answer to the Tennessee Board of Occupational Therapy.⁠^{6,33,34,35,36,37,38,39} Speech-language pathologists answer to the Tennessee Board of Communications Disorders and Sciences.⁠^{7,40,41,42,43} 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 Tennessee license renewal require?

Each board sets its own cycle and hours, listed in the table above, and the register template at the end of this page tracks them per clinician.⁠^1,6,7 A renewal missed is a lapse, and the board’s own rules say what a lapsed licensee may and may not do; the clinic reads those rules before a clinician’s renewal date passes, not after.

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

State law answers this discipline by discipline, and a payer may still require a referral the law does not. For physical therapy, a physical therapist may conduct an initial patient visit without a referral, and may treat a patient without a referral, within the scope of practice, once the patient’s physician has been notified; the physical therapist stops treatment and refers the patient to a qualifying referring practitioner when there is no progress within 30 days of the initial visit, and does not continue beyond 90 days without consulting the patient’s appropriate healthcare practitioner, but neither limit applies when a physician previously diagnosed a chronic, neuromuscular or developmental condition and the treatment addresses it; otherwise physical therapy is under the written or oral referral of a doctor of medicine, chiropractic, dentistry, podiatry or osteopathy, a nurse practitioner or a physician assistant.⁠^2,8,9,10 The Board of Physical Therapy’s position statement, adopted May 12, 2023, says a physical therapist treating without a referral must discharge the patient and refer to an appropriate healthcare practitioner after the first 30 days when no progress has been made. For services in a school setting under a child’s IEP, a physical therapist may order or make a referral for physical therapy services.⁠^2,8,9,10 For occupational therapy, the licensing law defines the practice of occupational therapy as the therapeutic use of everyday life activities to enable participation at home, school, work and in the community, including screening, evaluation, assessment, planning, implementation and discharge planning to determine an occupational therapy treatment diagnosis, prognosis and plan of intervention.⁠^44,45 For services in a school setting under a child’s IEP, an occupational therapist may order or make a referral for occupational therapy services.⁠^44,45 For speech-language pathology, the licensure act defines the practice of speech language pathology as the nonmedical application of principles, methods and procedures for measuring, testing, assessing, predicting, counseling or instructing related to speech, voice, language and oral, pharyngeal and laryngeal sensorimotor competencies, and requires a license from the board to practice it.⁠^46,47,48 For services in a school setting under a child’s IEP, a speech-language pathologist may order or make a referral for speech-language pathology services.⁠^46,47,48

The payer’s rule is separate. Medicare pays for outpatient therapy under a plan of care certified by a physician or nonphysician practitioner, and the regulation’s 2025 text lets a signed order or referral on file, with the plan delivered within 30 days of the initial evaluation, stand in for that signature on an initial plan.⁠²¹ TennCare’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 TennCare pay for pediatric and adult therapy?

TennCare is Tennessee’s Medicaid program, run by the Division of TennCare, and a clinic enrolls through its provider enrollment route before it bills.⁠⁴⁹ For children, the federal EPSDT benefit requires the state to cover services that correct or ameliorate a condition found at a screening, whether or not the state plan covers them for adults.⁠⁵⁰ For members under 21, TennCare covers occupational, physical and speech therapy as medically necessary, by a licensed therapist, to restore, improve, stabilize or ameliorate impaired functions. TennCare Kids is its program of checkups and health care services for members from birth through age 20, and CoverKids limits physical therapy, occupational therapy and speech, hearing and language services to 52 visits per calendar year per type of therapy.⁠^3,4,5

For adults 21 and older, TennCare covers occupational and physical therapy as medically necessary to restore, improve or stabilize impaired functions, and speech therapy as medically necessary, as long as there is continued medical progress, to restore speech after a loss or impairment. Speech, language and hearing services for speech problems caused by mental, psychoneurotic or personality disorders are specifically excluded.⁠^11,12 TennCare’s rules let its managed care contractors require prior authorization or approval for any medically necessary service, except where prohibited by law; TennCare’s school-based services manual says a service that requires prior authorization is indicated in the MCOs’ provider manuals.⁠^51,52 TennCare services are offered through managed care: Wellpoint, BlueCare and UnitedHealthcare Community Plan are listed in each region of the state, along with TennCare Select, and each MCO creates its own provider contracts, maintains its own fee schedules, processes its own claims and has its own network, so a provider must be in network with a member’s MCO to bill it.⁠^53,54,55

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

For school-based therapy, TennCare’s manual bills a group session per student with each student’s minutes documented, lets an untimed session-based code such as 92507 be billed once per day, uses place of service 03, and bills services by certified or licensed therapy assistants under the therapist who directly supervises them.⁠^56,57,58 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 TennCare pay for therapy in schools?

TennCare reimburses medically necessary therapy in a child’s IEP when it is supported by an order from a physician or treating provider, or by a referral or order from the child’s licensed PT, OT, SLP or audiologist who has evaluated and assessed the child for IEP services. The IEP team decides frequency, duration and location.⁠^59,60 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 TennCare cover therapy by telehealth?

Tennessee’s telehealth coverage statute counts the managed care organizations in TennCare as health insurance entities and requires them to cover covered healthcare services delivered through telehealth. TennCare’s school-based services manual codes school telehealth with place of service 03 and a modifier, GT or 95 for synchronous audio and video.⁠^61,62 The telehealth section below covers the state’s own rules for the session itself.

What are Tennessee’s telehealth rules for therapy?

A therapist treating a patient by video needs authority to practice where the patient is located at the time of the session, and the federal telehealth site says so plainly: licensure follows the patient’s location, and a compact privilege is one route to it.⁠¹³ Tennessee’s telehealth statute covers individuals acting within the scope of a valid license issued under Title 63 and holds a provider who delivers services through telehealth to the same standard of professional practice as a similar licensee in the same practice area. The Board of Physical Therapy’s telemedicine rule requires written, informed consent before services are provided through telemedicine and an active Tennessee license or current compact privileges, and the Board of Communications Disorders and Sciences names speech-language pathologists and assistants as healthcare providers authorized to engage in telecommunications, with the client’s consent first.⁠^63,64,65,66

A compact privilege is not a national license: it is a privilege to practice in the specific member state that issued it, under that state’s licensing law, and a state that has enacted the compact may not yet be issuing privileges, which is why the table names the commission’s current status.⁠^14,15 Section 56-7-1012 requires a health insurance entity to reimburse healthcare services provided during a telehealth encounter consistently with what the policy or contract provides for in-person encounters for the same service, regardless of where the patient is located. Section 56-7-1002 requires a health insurance entity to cover covered healthcare services delivered through telehealth.⁠^67,68

Which business steps are specific to Tennessee?

The entity is registered with the Tennessee Secretary of State’s Business Services, through its online filing system (TNCaB).⁠²⁴ State tax registration is with the Tennessee Department of Revenue, through the Tennessee Taxpayer Access Point (TNTAP).⁠⁶⁹ Tennessee employers outside the construction industry with five or more employees, counting minors, working family members and part-time employees, must secure workers’ compensation coverage by buying a policy from a licensed carrier or by qualifying as a self-insured employer. In a sole proprietorship, limited liability company or partnership, the owners are not counted.⁠⁷⁰ 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 Tennessee?

As a TennCare requirement, participation is limited to providers who agree to keep TennCare enrollee medical records, and give TennCare or its agent access to them, for five years from the date of service or until TennCare authorizes otherwise in writing after an audit, whichever is shorter. TennCare’s school-based services manual says the MCO provider agreements must keep records for ten years from the end of the provider agreement or until all evaluations, audits, reviews, investigations or prosecutions are completed.⁠^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.⁠^71,72

Section 63-2-101 requires a health care provider to give a patient, or the patient’s authorized representative, a copy of the patient’s medical records within 10 working days of receiving a written request. A summary may be given at the provider’s option but does not take the place of the full record.⁠⁷³ Tennessee’s breach notification statute requires an information holder to tell any Tennessee resident whose personal information was, or is reasonably believed to have been, acquired by an unauthorized person, no later than 45 days from discovery or notification unless law enforcement needs more time. The section does not apply to an information holder subject to the Health Insurance Portability and Accountability Act of 1996 or to Title V of the Gramm-Leach-Bliley Act.⁠⁷⁴ Tennessee’s child abuse law requires any person who has knowledge of, or is called upon to render aid to, a child with an injury or condition that reasonably indicates brutality, abuse or neglect to report it immediately. The adult protection law requires any person, including a physician, nurse or social worker, with reasonable cause to suspect that an adult has suffered abuse, neglect or exploitation to report it.⁠^75,76

Which Tennessee rules shape a pediatric clinic?

The Tennessee Early Intervention System (TEIS), run by the Tennessee Department of Disability and Aging, is a voluntary program that offers therapy and other services at no cost to families of infants and young children with developmental delays or disabilities, and, with its Extended Option, it now serves eligible children from birth until the start of the school year after the child’s fifth birthday. A referral is made with its online referral form or by calling (800) 852-7157, and a child’s evaluation must show a 25% delay in two developmental areas or a 40% delay in one, unless the child qualifies by diagnosis or prematurity. A clinic interested in becoming a TEIS therapy vendor finds the application information on the TEIS Community Resources webpage, under Information for Therapy Vendors.⁠^25,26,27,28 A private clinic’s services run beside the early intervention program rather than inside it. Tennessee’s autism statute requires an insurer’s contract or policy that provides benefits for neurological disorders, including individual and group health insurance and health maintenance organization contracts, to cover treatment of autism spectrum disorders at least as comprehensively as other neurological disorders for any person under 12, with deductibles, copayments and benefit limits no more stringent than for other neurological disorders.⁠⁷⁷ The autism insurance mandates guide covers how such a mandate meets a plan’s own terms. Children’s Special Services, the Tennessee Department of Health’s Title V program for children and youth with special health care needs, provides access to comprehensive medical care for children with physical disabilities from birth to 21. Its services include rehabilitation services, physical and occupational therapy, and speech and language, it is a payer of last resort, and diagnostic and financial eligibility criteria must be met.⁠⁷⁸

Which Tennessee rules shape an adult clinic?

Medicare claims from Tennessee go to Palmetto GBA, LLC, the Medicare Administrative Contractor for Jurisdiction J, Parts A and B (Alabama, Georgia and Tennessee), whose local coverage articles for therapy are the ones a Tennessee clinic reads.⁠^79,80 TennCare’s adult therapy rules are in the Medicaid section above. The Bureau of Workers’ Compensation’s Medical Fee Schedule pays physical, speech and occupational therapy at no more than the lesser of billed charges or the rate tables, based on 180% of Medicare, wherever performed except home health. It allows no fee for more than four units of modalities and therapeutic procedures per type of therapy per day, and after 12 visits the employer’s utilization review may review the treatment before more is certified for payment.⁠⁸¹

Which associations and directory pages serve Tennessee?

The state chapters are the American Physical Therapy Association of Tennessee (APTA Tennessee) for physical therapy, the Tennessee Occupational Therapy Association (TNOTA) for occupational therapy and the Tennessee Association of Audiologists and Speech Language Pathologists (TAASLP) for speech-language pathology.⁠^82,83,84 On DrSensory, families browse Tennessee 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.⁠⁸⁵

Which Tennessee cities have DrSensory city pages?

Beyond its three Tennessee pages, the directory publishes city pages for 4 Tennessee 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.⁠⁸⁵

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

DrSensory lists 83 PT, OT and SLP clinics in Tennessee, on its occupational therapy, physical therapy and speech therapy pages for the state.⁠⁸⁵

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

Which templates does a Tennessee launch need?

How might two Tennessee clinics plan a launch?

Sources

1. Tennessee Department of Health. Tennessee Board of Physical Therapy. Checked October 30, 2026.
2. Tennessee General Assembly (Tennessee Code Annotated, public access site maintained by LexisNexis). Tennessee Code Annotated § 63-13-303. Checked October 30, 2026.
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   “(a) (1) The practice of physical therapy must be under the written or oral referral of a referring practitioner as described in § 63-13-104(b)(1), except that a licensed physical therapist may: (A) Conduct an initial patient visit without referral; ... (D) Treat a patient without a referral, within the scope of practice of physical therapy, when the following are met: (i) The patient’s physician, as defined in § 63-6-204(f)(7), has been notified by the physical therapist; (ii) If the physical therapist determines, based on clinical evidence, that no progress has been made with respect to that patient’s condition within thirty (30) days, immediately following the date of the patient’s initial visit with the physical therapist, then the physical therapist does not provide additional physical therapy services and refers the patient to a healthcare practitioner who qualifies as a referring practitioner; (iii) The physical therapist does not continue physical therapy services for the patient beyond ninety (90) days without consulting with the patient’s appropriate healthcare practitioner; (iv) If the patient was previously diagnosed by a licensed physician with chronic, neuromuscular, or developmental conditions, and the evaluation, treatment, or services are being provided for problems or symptoms associated with one (1) or more of those previously diagnosed conditions, then subdivisions (a)(1)(D)(ii) and (iii) do not apply; and (v) A physical therapist refers patients under the physical therapist’s care to appropriate healthcare practitioners, if, at any time, the physical therapist has reasonable cause to believe symptoms or conditions are present that require services beyond the scope of practice of a physical therapist ...”
3. Tennessee Secretary of State, Division of Publications. Rules of the Tennessee Department of Finance and Administration, Division of TennCare, Chapter 1200-13-13, TennCare Medicaid (January 2026 revision). Checked October 30, 2026.
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   “SERVICE BENEFIT FOR PERSONS UNDER AGE 21 BENEFIT FOR PERSONS AGED 21 AND OLDER 22. Occupational Therapy [defined at 42 C.F.R. § 440.110(b)]. Covered as medically necessary, by a Licensed Occupational Therapist, to restore, improve, stabilize or ameliorate impaired functions. ... 27. Physical Therapy [defined at 42 C.F.R. § 440.110(a)]. Covered as medically necessary, by a Licensed Physical Therapist, to restore, improve, stabilize or ameliorate impaired functions. ... 41. Speech Therapy [defined at 42 C.F.R. § 440.110(c)]. Covered as medically necessary, by a Licensed Speech Therapist to restore, improve, stabilize or ameliorate impaired functions.”
4. Tennessee Division of TennCare. TennCare Kids. “TennCare Kids is a full program of checkups and health care services for children from birth through age 20 who have TennCare.” Checked October 30, 2026.
5. Tennessee Division of TennCare. MCO Statewide Contract (Amendment 25, July 1, 2026). “2.6.1.10 CoverKids Benefits (Effective January 1, 2021) ... Physical therapy, occupational therapy, and services for individuals with speech, hearing, and language disorders. Limited to 52 visits per calendar year per type of therapy.” Checked October 30, 2026.
6. Tennessee Department of Health. Tennessee Board of Occupational Therapy. Checked October 30, 2026.
7. Tennessee Department of Health. Tennessee Board of Communications Disorders and Sciences. Checked October 30, 2026.
8. Tennessee General Assembly (Tennessee Code Annotated, public access site maintained by LexisNexis). Tennessee Code Annotated § 63-13-104. Checked October 30, 2026.
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   “(b) (1) Except as provided in § 63-13-303, the scope of practice of physical therapy is under the written or oral referral of a licensed: (A) Doctor of medicine, chiropractic, dentistry, podiatry, or osteopathy; or (B) Nurse practitioner or physician assistant pursuant to § 63-6-204(b).”
9. Tennessee Department of Health. Board of Physical Therapy Position Statement: Referral Exceptions and Direct Access (May 12, 2023). Checked October 30, 2026.
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   “This statute was amended on April 4, 2023, to permit a physical therapist to treat a patient without a referral and within the scope of practice of physical therapy within certain parameters and when certain requirements are satisfied. ... It is the position of the Board of Physical Therapy that, pursuant to Tenn. Code Ann. ... a physical therapist who is treating a patient without a referral must discharge/discontinue physical therapy services and refer the patient to an appropriate healthcare practitioner after the initial thirty (30) days where no progress has been made with that patient.”
10. Tennessee General Assembly (Tennessee Code Annotated, public access site maintained by LexisNexis). Tennessee Code Annotated § 63-1-172. Checked October 30, 2026.
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    “(a) For the purposes of providing services in a school setting pursuant to a child’s individualized education program (IEP), the following healthcare providers licensed pursuant to this title may refer or order services within their scope of practice as part of a child’s IEP: (1) A physical therapist licensed under chapter 13 of this title may order or make a referral for physical therapy services for a child, and qualifies as a licensed practitioner of the healing arts for the purpose of 42 C.F.R. 440.110(a)(1) ...”
11. Tennessee Secretary of State, Division of Publications. Rules of the Tennessee Department of Finance and Administration, Division of TennCare, Chapter 1200-13-13, TennCare Medicaid (January 2026 revision). Checked October 30, 2026.
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    “BENEFIT FOR PERSONS AGED 21 AND OLDER 22. Occupational Therapy [defined at 42 C.F.R. § 440.110(b)]. ... Covered as medically necessary, by a Licensed Occupational Therapist, to restore, improve, or stabilize impaired functions. ... Covered as medically necessary, by a Licensed Physical Therapist, to restore, improve, or stabilize impaired functions. ... Covered as medically necessary, as long as there is continued medical progress, by a Licensed Speech Therapist to restore speech after a loss or impairment.”
12. Tennessee Secretary of State, Division of Publications. Rules of the Tennessee Department of Finance and Administration, Division of TennCare, Chapter 1200-13-13, TennCare Medicaid (January 2026 revision). Checked October 30, 2026.
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    “(3) Specific exclusions. The following services, products, and supplies are specifically excluded from coverage under the TennCare Section 1115 waiver program unless excepted by paragraph (2) herein. ... 22. Speech, language, and hearing services to address speech problems caused by mental, psychoneurotic, or personality disorders ...”
13. U.S. Department of Health and Human Services. Getting started with licensure (Telehealth.HHS.gov, last updated February 21, 2024). Checked October 26, 2026.
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    “Health professionals must meet the licensure requirements of the state where they are located and be licensed or legally permitted to practice in the state where the patient is located”. Its companion page, Licensing across state lines (last updated April 30, 2025): “The ability to deliver health care services across state lines varies based on state regulations”; “Prior to an appointment, providers should verify patient location and obtain consent”; “Compacts allow participating health care providers to practice in participating states”.
14. PT Compact Commission. PT Compact Map. “Member States (38) ... South Dakota Tennessee Texas ...” Checked October 30, 2026.
15. Tennessee General Assembly (Tennessee Code Annotated, public access site maintained by LexisNexis). Tennessee Code Annotated § 63-13-402. “The Physical Therapy Licensure Compact is enacted into law and entered into by this state with all states legally joining therein in the form substantially as follows ...” Checked October 30, 2026.
16. 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 OT Applications? ... Tennessee May 20, 2026 not required TN OT Practice Act ...” Checked October 30, 2026.
17. Tennessee General Assembly (Tennessee Code Annotated, public access site maintained by LexisNexis). Tennessee Code Annotated § 63-13-502. “The Occupational Therapy Licensure Compact is enacted into law and entered into by this state with all states legally joining therein in the form substantially as follows ...” Checked October 30, 2026.
18. Audiology and Speech-Language Pathology Interstate Compact Commission. Delegate Information. “Member State Appointed Delegates ... Tennessee Audiology Skye Jones Tennessee SLP Courtney Painter ...” Checked October 30, 2026.
19. 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. As more member states launch, the ASLP-IC Home Page and Compact Map will be updated.” Checked October 30, 2026.
20. Tennessee General Assembly (Tennessee Code Annotated, public access site maintained by LexisNexis). Tennessee Code Annotated § 63-17-302. “The Audiology and Speech-Language Pathology Interstate Compact is enacted into law and entered into by this state with all states legally joining therein in the form substantially as follows ...” Checked October 30, 2026.
21. 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.”.
22. Tennessee Secretary of State, Division of Publications. Rules of the Tennessee Department of Finance and Administration, Division of TennCare, Chapter 1200-13-13, TennCare Medicaid (January 2026 revision). Checked October 30, 2026.
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    “(3) Participation in the TennCare program will be limited to providers who: ... (d) Agree to maintain and provide access to TennCare and/or its agent all TennCare enrollee medical records for five (5) years from the date of service or upon written authorization from TennCare following an audit, whichever is shorter ...”
23. Tennessee Division of TennCare. TennCare School-Based Services Billing Manual (May 2026). Checked October 30, 2026.
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    “TennCare requires that the MCO provider agreements contain a record retention policy that includes an adequate record system where all records be maintained for ten years from the termination of the provider agreement or retained until all evaluations, audits, reviews, investigations, or prosecutions are completed ...”
24. Tennessee Secretary of State. Businesses. Checked October 30, 2026.
25. Tennessee Department of Disability and Aging. Tennessee Early Intervention System (TEIS). Checked October 30, 2026.
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    “Tennessee Early Intervention System (TEIS) is a voluntary program that offers therapy and other services to families of infants and young children with developmental delays or disabilities. Services are provided at no cost to families. ... Refer a child to TEIS You may make a referral to TEIS by completing our online referral form or by calling (800) 852-7157.”
26. Tennessee Department of Disability and Aging. TEIS Eligibility Information. Checked October 30, 2026.
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    “In Tennessee, a child with a diagnosis from the list below, who meets the prematurity guidelines outlined below, or children who meet the evaluation criteria may be eligible. A child’s evaluation must show a 25% delay in two developmental areas or a 40% delay in one area.”
27. Tennessee Department of Disability and Aging. TEIS Extended Option. “Tennessee Early Intervention System (TEIS) now serves eligible infants and toddlers with disabilities or developmental delays from birth until the start of the school year following the child’s 5th birthday.” Checked October 30, 2026.
28. Tennessee Department of Disability and Aging. Tennessee Early Intervention System (TEIS). “Interested in becoming a therapy vendor? The information to apply can be found on the TEIS Community Resources webpage under Information for Therapy Vendors ...” Checked October 30, 2026.
29. Tennessee Secretary of State, Division of Publications. Rules of the Tennessee Department of Health, Division of Health Related Boards, Chapter 1200-10-01, General Rules and Regulations (January 2013 revision). Checked October 30, 2026.
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    “1200-10-01-.10 LICENSEE RENEWAL APPLICATIONS. The Division, with the Commissioner of Health’s approval, establishes a system of license renewal at alternative intervals which will allow for the distribution of the license workload as uniformly as is practicable throughout the calendar year. Notwithstanding any law to the contrary, licenses issued under the alternative method are valid for twenty-four (24) months, and expire on the last day of the last month of the license period. All authorizations to practice must be renewed pursuant to the Division’s alternative renewal system.”
30. Tennessee Secretary of State, Division of Publications. Rules of the Tennessee Board of Physical Therapy, Chapter 1150-01, General Rules Governing the Practice of Physical Therapy (August 2026 revision). Checked October 30, 2026.
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    “(a) The due date for license renewal is the expiration date indicated on the licensee’s renewal certificate. ... (c) To be eligible for renewal, an individual must submit to the Division of Health Related Boards on or before the expiration date all of the following: 1. A completed and signed board renewal application form; and 2. The renewal and State regulatory fees as provided in Rule 1150-01-.06; and 3. A statement attesting to the completion of continuing competence requirements, as provided in Rule 1150-01-.12.”
31. Tennessee Secretary of State, Division of Publications. Rules of the Tennessee Board of Physical Therapy, Chapter 1150-01, General Rules Governing the Practice of Physical Therapy (August 2026 revision). Checked October 30, 2026.
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    “(a) Physical Therapist – Thirty (30) hours are required for the twenty-four (24) months that precede the licensure renewal month. 1. At least twenty (20) hours of the thirty (30) hour requirement must be from Class I activities as provided in paragraph (5); and. 2. Up to ten (10) of the thirty (30) hour requirement may be from Class II activities as provided in paragraph (6). (b) Physical Therapist Assistant – Thirty (30) hours are required for the twenty-four (24) months that precede the licensure renewal month. ... (4) Four (4) of the hours required in parts (3)(a)1. and (3)(b)1. must consist of ethics and jurisprudence education courses. These four (4) hours are required every renewal cycle. (a) Ethics and Jurisprudence – The APTATN is the sole approval entity for ethics and jurisprudence courses.”
32. Tennessee Secretary of State, Division of Publications. Rules of the Tennessee Board of Physical Therapy, Chapter 1150-01, General Rules Governing the Practice of Physical Therapy (August 2026 revision). Checked October 30, 2026.
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    “(a) Supervision of licensed physical therapist assistants – Supervision, as applied to the licensed physical therapist assistant, means that all services must be performed under the supervision of a physical therapist licensed and practicing in Tennessee. Guidance for the rendering of such services is as follows: 1. The licensed physical therapist shall perform the initial evaluation of the patient with the development of a written treatment plan, including therapeutic goals, frequency and time period of services. 2. The licensed physical therapist shall perform and document re-evaluations, assessments, and modifications in the treatment plan at least every thirty (30) days. For patients seen longer than sixty (60) days, the licensed physical therapist shall inspect the actual act of therapy services rendered at least every sixty (60) days. 3. The supervising licensed physical therapist must be available to communicate by telephone or other means whenever the physical therapist assistant is delivering services. 4. The discharge evaluation must be performed and the resulting discharge summary must be written by the licensed physical therapist. ... (c) A physical therapist may concurrently supervise no more than the equivalent of three (3) full-time physical therapist assistants.”
33. Tennessee Secretary of State, Division of Publications. Rules of the Tennessee Department of Health, Division of Health Related Boards, Chapter 1200-10-01, General Rules and Regulations (January 2013 revision). Checked October 30, 2026.
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    “1200-10-01-.10 LICENSEE RENEWAL APPLICATIONS. The Division, with the Commissioner of Health’s approval, establishes a system of license renewal at alternative intervals which will allow for the distribution of the license workload as uniformly as is practicable throughout the calendar year. Notwithstanding any law to the contrary, licenses issued under the alternative method are valid for twenty-four (24) months, and expire on the last day of the last month of the license period. All authorizations to practice must be renewed pursuant to the Division’s alternative renewal system.”
34. Tennessee Secretary of State, Division of Publications. Rules of the Tennessee Board of Occupational Therapy, Chapter 1150-02, General Rules Governing the Practice of Occupational Therapy (June 2026 revision). Checked October 30, 2026.
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    “Effective January 1, 2022, the Board shall require each licensed occupational therapist and occupational therapy assistant to participate in a minimum number of activities to promote continued competence during the twenty-four (24) months that precede the licensure renewal month. The renewal cycle will begin the first day of the licensee’s birthday month and continue to the last day of the month preceding the licensee’s birthday month.”
35. Tennessee Secretary of State, Division of Publications. Rules of the Tennessee Board of Occupational Therapy, Chapter 1150-02, General Rules Governing the Practice of Occupational Therapy (June 2026 revision). Checked October 30, 2026.
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    “(3) Occupational Therapists and Occupational Therapy Assistants are required to complete twenty-four (24) continued competence credits during the twenty-four (24) months that precede the licensure renewal month. (a) A maximum of four (4) continued competence credits during the twenty-four (24) months that precede the licensure renewal month that are in excess of the twenty-four (24) credit requirement may be used to partially complete the requirement for the subsequent renewal period. ... (4) Twelve (12) of the required twenty-four (24) continued competence credits must be directly related to the delivery of occupational therapy services. (5) One (1) hour of the required twenty-four (24) continued competence credits shall pertain to the AOTA Code of Ethics or other ethics related continued competence activities which have implications for the practice of occupational therapy. (6) One (1) hour of the required twenty-four (24) continued competence credits shall pertain to the occupational therapy portions of T.C.A. §§ 63-13-101, et seq., the Tennessee Occupational and Physical Therapy Practice Act, and shall pertain to Chapter 1150-02, General Rules Governing the Practice of Occupational Therapy.”
36. Tennessee Secretary of State, Division of Publications. Rules of the Tennessee Board of Occupational Therapy, Chapter 1150-02, General Rules Governing the Practice of Occupational Therapy (June 2026 revision). Checked October 30, 2026.
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    “(a) Current Tennessee Licensees - Beginning January 1, 2020, all persons who hold an active license as an occupational therapist must complete a minimum two (2) hour training program by a Board-approved provider relative to suicide prevention at least once every four (4) years.”
37. Tennessee General Assembly (Tennessee Code Annotated, public access site maintained by LexisNexis). Tennessee Code Annotated § 63-13-206. Checked October 30, 2026.
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    “(a) A licensed occupational therapy assistant shall practice under the supervision of an occupational therapist who is licensed in Tennessee. (b) The supervising occupational therapist is responsible for all services provided by the occupational therapy assistant, including, but not limited to, the formulation and implementation of a plan of occupational therapy services for each client, and has a continuing responsibility to follow the progress of each client and to ensure the effective and appropriate supervision of the occupational therapy assistant according to the needs of the client.”
38. Tennessee Secretary of State, Division of Publications. Rules of the Tennessee Board of Occupational Therapy, Chapter 1150-02, General Rules Governing the Practice of Occupational Therapy (June 2026 revision). Checked October 30, 2026.
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    “(3) Supervision of an Occupational Therapy Assistant with permanent licensure means initial direction and inspection of the service delivery and provision of relevant in-service training, according to the level of supervision the occupational therapy assistant requires. ... (a) The frequency of the face to face collaboration between the Occupational Therapy Assistant and the supervising Occupational Therapist should exceed direct contact of once a month if the condition of the patient/client, complexity of treatment, evaluation procedures, and proficiencies of the person practicing warrants it. (b) The Occupational Therapist shall be responsible for the evaluation of the patient and the development of the patient/client treatment plan.”
39. Tennessee Secretary of State, Division of Publications. Rules of the Tennessee Board of Occupational Therapy, Chapter 1150-02, General Rules Governing the Practice of Occupational Therapy (June 2026 revision). Checked October 30, 2026.
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    “(d) General: At least monthly direct contact with supervision available as needed by other methods. (e) Minimal: 1. For supervision of occupational therapists, minimal supervision may be provided on an as-needed basis and may be less than monthly. 2. For supervision of occupational therapy assistants, minimal supervision is not appropriate.”
40. Tennessee Secretary of State, Division of Publications. Rules of the Tennessee Department of Health, Division of Health Related Boards, Chapter 1200-10-01, General Rules and Regulations (January 2013 revision). Checked October 30, 2026.
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    “1200-10-01-.10 LICENSEE RENEWAL APPLICATIONS. The Division, with the Commissioner of Health’s approval, establishes a system of license renewal at alternative intervals which will allow for the distribution of the license workload as uniformly as is practicable throughout the calendar year. Notwithstanding any law to the contrary, licenses issued under the alternative method are valid for twenty-four (24) months, and expire on the last day of the last month of the license period. All authorizations to practice must be renewed pursuant to the Division’s alternative renewal system.”
41. Tennessee Secretary of State, Division of Publications. Rules of the Tennessee Board of Communications Disorders and Sciences, Chapter 1370-01, Rules for Speech Pathology and Audiology (June 2026 revision). “(f) Licensure Renewal Fee - To be paid biennially by all licensees except retired licensees and inactive volunteers.” Checked October 30, 2026.
42. Tennessee Secretary of State, Division of Publications. Rules of the Tennessee Board of Communications Disorders and Sciences, Chapter 1370-01, Rules for Speech Pathology and Audiology (June 2026 revision). Checked October 30, 2026.
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    “(a) All Speech Language Pathologists and Audiologists must complete twenty (20) hours of continuing education during the two calendar years (January 1– December 31) that precede the licensure renewal year. 1. Ten (10) hours of the twenty (20) hour requirement must have been obtained in the licensee’s area of practice (Speech Language Pathology or Audiology); and ... 2. Ten (10) hours of the twenty (20) hour requirement may regard either Speech Language Pathology or Audiology. ... (b) All Speech Language Pathology Assistants must complete a minimum of ten (10) hours of continuing education during the two (2) calendar years (January 1– December 31) that precede the licensure renewal year cycle.”
43. Tennessee Secretary of State, Division of Publications. Rules of the Tennessee Board of Communications Disorders and Sciences, Chapter 1370-01, Rules for Speech Pathology and Audiology (June 2026 revision). Checked October 30, 2026.
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    “1. Speech Language Pathology Assistants must work under the supervision of a licensed Speech Language Pathologist (“Supervising Licensee”). ... (a) A Speech Language Pathology Assistant shall not perform the following: 1. Interpret test results or perform diagnostic evaluations; ... 4. Write, develop, or modify a client’s individualized treatment plan; ... (a) Prior to the commencement of training and/or employment, individuals seeking to be Speech Language Pathology Assistants must be registered by the Supervising Licensee with the Board on a registration form provided at the request of the Supervising Licensee. ... (ii) Provide direct supervision of at least ten percent (10%) of a Speech Language Pathology Assistant’s time each week; (iii) Provide indirect supervision of at least twenty percent (20%) of a Speech Language Pathology Assistant’s time each week ...”
44. Tennessee General Assembly (Tennessee Code Annotated, public access site maintained by LexisNexis). Tennessee Code Annotated § 63-13-103. Checked October 30, 2026.
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    “(10) (A) “Occupational therapy practice” means the therapeutic use of everyday life activities (occupations) for the purpose of enabling individuals or groups to participate in roles and situations in home, school, workplace, community and other settings. ... “Occupational therapy practice” includes, but is not limited to: (i) Screening, evaluation, assessment, planning, implementation, or discharge planning in order to determine an occupational therapy treatment diagnosis, prognosis, plan of therapeutic intervention, or discharge plan ...”
45. Tennessee General Assembly (Tennessee Code Annotated, public access site maintained by LexisNexis). Tennessee Code Annotated § 63-1-172. “(2) An occupational therapist licensed under chapter 13 of this title may order or make a referral for occupational therapy services for a child, and qualifies as a licensed practitioner of the healing arts ...” Checked October 30, 2026.
46. Tennessee General Assembly (Tennessee Code Annotated, public access site maintained by LexisNexis). Tennessee Code Annotated § 63-17-103. Checked October 30, 2026.
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    “(5) (A) “Practice of speech language pathology” means the nonmedical application of principles, methods and procedures for the measurement, testing, assessment, prediction, counseling or instruction related to the development and disorders of speech, voice, language or oral, pharyngeal and laryngeal sensorimotor competencies for the purpose of assessing, preventing, ...”
47. Tennessee General Assembly (Tennessee Code Annotated, public access site maintained by LexisNexis). Tennessee Code Annotated § 63-17-110. Checked October 30, 2026.
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    “(a) (1) Any person wishing to practice or represent such person as a speech language pathologist or audiologist in this state shall obtain a license from the board. Unless such person obtains a license, it is unlawful for such person to practice or represent such person as a speech language pathologist or audiologist as defined in § 63-17-103 ...”
48. Tennessee General Assembly (Tennessee Code Annotated, public access site maintained by LexisNexis). Tennessee Code Annotated § 63-1-172. “... speech-language pathologist licensed under chapter 17 of this title may order or make a referral for speech-language pathology services for a child, and qualifies as a licensed practitioner of the healing ...” Checked October 30, 2026.
49. Tennessee Division of TennCare. Provider Registration. Checked October 30, 2026.
50. Medicaid.gov (Centers for Medicare & Medicaid Services). Early and Periodic Screening, Diagnostic, and Treatment (Medicaid benefit page). Checked October 26, 2026.
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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.”.
51. Tennessee Secretary of State, Division of Publications. Rules of the Tennessee Department of Finance and Administration, Division of TennCare, Chapter 1200-13-13, TennCare Medicaid (January 2026 revision). Checked October 30, 2026.
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    “(a) TennCare MCCs shall cover the following services and benefits subject to any applicable limitations described in this Chapter. ... 1. Any and all medically necessary services may require prior authorization or approval by the MCC, except where prohibited by law.”
52. Tennessee Division of TennCare. TennCare School-Based Services Billing Manual (May 2026). “TennCare MCOs reserve the right to require prior authorization for any medically necessary, covered service. ... If a service requires prior authorization, it will be indicated in the MCOs’ provider manuals.” Checked October 30, 2026.
53. Tennessee Division of TennCare. Managed Care Contractors (MCCs). Checked October 30, 2026.
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    “TennCare services are offered through managed care entities. Medical, behavioral and long-term care services are covered by "at risk" Managed Care Organizations (MCOs) in each region of the state, and each participating MCO creates their own contracts with providers, maintains their own fee schedules, processes their own claims, and has their own in-network specialists and providers.”
54. Tennessee Division of TennCare. Managed Care Organizations. “All 3 Managed Care Organizations for TennCare have passed the NCQA (National Committee for Quality Assurance) accreditation process. ... West Tennessee Health Plans Health Plan Member Services Wellpoint (formerly known as Amerigroup) ... BlueCare ... UnitedHealthcare Community Plan ... TennCare Select ...” Checked October 30, 2026.
55. Tennessee Division of TennCare. TennCare School-Based Services Billing Manual (May 2026). “The school or school district and any individual healthcare provider treating the student must be an “in-network” provider with a TennCare enrolled student’s MCO to be eligible to bill the MCO for health care services delivered to that student.” Checked October 30, 2026.
56. Tennessee Division of TennCare. TennCare School-Based Services Billing Manual (May 2026). Checked October 30, 2026.
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    “When serving multiple students in a group, providers must bill individually for each student, documenting the minutes each student received. Claims should indicate that the service was delivered in a group format. Billing for individual therapy services is permitted such as using an untimed, session-based code that is allowed to be billed once per day, regardless of the length or frequency of treatment sessions per week (e.g. SLP 92507).”
57. Tennessee Division of TennCare. TennCare School-Based Services Billing Manual (May 2026). “Providers must use the correct place of service code (POS), which is 03 for school-based sessions.” Checked October 30, 2026.
58. Tennessee Division of TennCare. TennCare School-Based Services Billing Manual (May 2026). Checked October 30, 2026.
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    “TennCare allows professionally certified or licensed therapy assistants to participate in service delivery as long as they work under the direct supervision of a qualified, in-network, licensed therapist. ... All services are billed under the supervising therapist, who must be registered with TennCare and contracted and credentialed with the MCO of the TennCare member.”
59. Tennessee Division of TennCare. TennCare School-Based Services Billing Manual (May 2026). Checked October 30, 2026.
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    “Individual and Group Therapy Services Therapy services do not have to be delivered one on one to qualify for reimbursement. Services must be medically necessary, supported by a physician’s or treating provider’s order or by a referral or an order from the child’s licensed Physical Therapist (PT), Occupational Therapist (OT), Speech Language Pathologist (SLP), or Audiologist who has appropriately evaluated and assessed the child for IEP services. The IEP team determines the frequency, duration, and location of therapy, and those decisions must be followed regardless of whether a service is eligible for TennCare, CoverKids, or TennCare Select reimbursement.”
60. Tennessee Division of TennCare. MCO Statewide Contract (Amendment 25, July 1, 2026). Checked October 30, 2026.
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    “The CONTRACTOR shall allow LEAs to obtain a referral or order from the child’s Tennessee-licensed physical therapists, occupational therapists, speech-language pathologists, or audiologists who has appropriately evaluated and assessed the child for IEP services, or alternatively, the child’s Primary Care Provider (PCP) or treating provider for the provision of physical therapy, occupational therapy, speech therapy, or audiology services in the IEP.”
61. Tennessee General Assembly (Tennessee Code Annotated, public access site maintained by LexisNexis). Tennessee Code Annotated § 56-7-1002. Checked October 30, 2026.
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    “(a) As used in this section: (1) “Health insurance entity” has the same meaning as defined in § 56-7-109 and includes managed care organizations participating in the medical assistance program under title 71, chapter 5; ... (d) Subject to subsection (c), a health insurance entity: (1) Shall provide coverage under a health insurance policy or contract for covered healthcare services delivered through telehealth ...”
62. Tennessee Division of TennCare. TennCare School-Based Services Billing Manual (May 2026). Checked October 30, 2026.
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    “Telehealth coding for school-based services requires the use of POS 03 and the appropriate modifier or audio only CPT code: Modifiers • 93 (is exclusive to the list of CPT in Appendix T) or FQ (unspecified as to exclusive use for HCPCS or CPT): Service rendered via audio-only technology • GT (can be appended to any HCPCS code) or 95 (is exclusive to the list of CPT in Appendix P): Televisual indicative of synchronous, interactive audio/video ...”
63. Tennessee General Assembly (Tennessee Code Annotated, public access site maintained by LexisNexis). Tennessee Code Annotated § 63-1-155. Checked October 30, 2026.
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    “(a) For the purposes of this section: (1) “Healthcare provider” means: (A) An individual acting within the scope of a valid license issued pursuant to this title; ... (c) (1) (A) A healthcare provider who delivers services through the use of telehealth is held to the same standard of professional practice as a similar licensee of the same practice area or specialty that is providing ...”
64. Tennessee Secretary of State, Division of Publications. Rules of the Tennessee Board of Physical Therapy, Chapter 1150-01, General Rules Governing the Practice of Physical Therapy (August 2026 revision). Checked October 30, 2026.
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    “(4) Patient Identity and Communication. The physical therapist or physical therapist assistant using telemedicine to deliver physical therapy services or who practices telemedicine, upon an initial contact with the patient shall: ... (f) Obtain written, informed consent from the patient or other appropriate person with authority to make health care treatment decisions for the patient before services are provided through telemedicine. (5) Compliance with Laws and Regulations. A physical therapist or physical therapist assistant practicing telemedicine must: (a) Have an active Tennessee license or current compact privileges in Tennessee in good standing to practice telemedicine in the state of Tennessee.”
65. Tennessee Secretary of State, Division of Publications. Rules of the Tennessee Board of Communications Disorders and Sciences, Chapter 1370-01, Rules for Speech Pathology and Audiology (June 2026 revision). Checked October 30, 2026.
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    “(2) Pursuant to T.C.A. § 63-1-155, Audiologists, Speech Language Pathologists, Clinical Fellows, Speech Language Pathology Assistants, and Audiology Clinical Externs are considered healthcare providers authorized to engage in telecommunications. ... (9) The client and/or the client’s family members or caregivers shall be informed of the available service delivery options and shall give consent to the use of telecommunications before that method of service delivery is utilized.”
66. Tennessee Secretary of State, Division of Publications. Rules of the Tennessee Board of Occupational Therapy, Chapter 1150-02, General Rules Governing the Practice of Occupational Therapy (June 2026 revision). Checked October 30, 2026.
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    “(30) Telehealth, Telemedicine, or Provider-Based Telemedicine - As authorized by T.C.A. § 63-1-155, and notwithstanding any restriction imposed by T.C.A. §§ 56-7-1002 and 56-7-1003, “telehealth,” “telemedicine,” and “provider-based telemedicine” mean the use of real time audio, video, or other electronic media and telecommunication technology that enables interaction between a healthcare provider and a patient ...”
67. Tennessee General Assembly (Tennessee Code Annotated, public access site maintained by LexisNexis). Tennessee Code Annotated § 56-7-1012. Checked October 30, 2026.
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    “(a) Notwithstanding § 56-7-1002(e), a health insurance entity shall provide reimbursement for healthcare services provided during a telehealth encounter in a manner that is consistent with what the health insurance policy or contract provides for in-person encounters for the same service, and shall reimburse for healthcare services provided during a telehealth encounter without distinction or consideration of the geographic location, or any federal, state, or local designation or classification of the geographic area where the patient is located.”
68. Tennessee General Assembly (Tennessee Code Annotated, public access site maintained by LexisNexis). Tennessee Code Annotated § 56-7-1002. “(d) Subject to subsection (c), a health insurance entity: (1) Shall provide coverage under a health insurance policy or contract for covered healthcare services delivered through telehealth ...” Checked October 30, 2026.
69. Tennessee Department of Revenue. Sales and Use Tax Registration. Checked October 30, 2026.
70. Tennessee Department of Labor and Workforce Development, Bureau of Workers’ Compensation. Non-Construction: Workers’ Compensation Insurance Coverage Requirements. Checked October 30, 2026.
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    “Employers working in Tennessee (that are not in the construction industry) with five or more employees must secure workers’ compensation insurance coverage for their employees either by purchasing a policy from a licensed workers’ compensation insurance carrier or by qualifying as a self-insured employer through the Department of Commerce and Insurance, Self-Insured Division. ... Minors, working family members, and part-time employees are included when determining the total number of employees for a business. ... Non-construction business entities that are classified as a sole proprietorship, limited liability company, or partnership, business owners are not included in the count to determine if a business has five or more employees.”
71. 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.”.
72. 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.”.
73. Tennessee General Assembly (Tennessee Code Annotated, public access site maintained by LexisNexis). Tennessee Code Annotated § 63-2-101. Checked October 30, 2026.
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    “(a) (1) Notwithstanding another law to the contrary, a health care provider shall provide to a patient or a patient’s authorized representative a copy of such patient’s medical records within ten (10) working days of receipt of a written request by the patient or the patient’s authorized representative. The health care provider may provide a summary of such patient’s medical records, at the option of the health care provider, but the provision of a summary does not satisfy the patient’s or representative’s right to receive, or serve as a substitute for, a full medical record under this subdivision (a)(1).”
74. Tennessee General Assembly (Tennessee Code Annotated, public access site maintained by LexisNexis). Tennessee Code Annotated § 47-18-2107. Checked October 30, 2026.
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    “(b) Following discovery or notification of a breach of system security by an information holder, the information holder shall disclose the breach of system security to any resident of this state whose personal information was, or is reasonably believed to have been, acquired by an unauthorized person. The disclosure must be made no later than forty-five (45) days from the discovery or notification of the breach of system security, unless a longer period of time is required due to the legitimate needs of law enforcement ... (i) This section does not apply to any information holder that is subject to: (1) Title V of the Gramm-Leach-Bliley Act of 1999 (Pub. L. No. 106-102); or (2) The Health Insurance Portability and Accountability Act of 1996 (42 U.S.C. § 1320d et seq.)”
75. Tennessee General Assembly (Tennessee Code Annotated, public access site maintained by LexisNexis). Tennessee Code Annotated § 37-1-403. Checked October 30, 2026.
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    “(a) (1) Any person who has knowledge of or is called upon to render aid to any child who is suffering from or has sustained any wound, injury, disability, or physical or mental condition shall report such harm immediately if the harm is of such a nature as to reasonably indicate that it has been caused by brutality, abuse or neglect or that, on the basis of available information, reasonably appears to have been caused by brutality, abuse or neglect.”
76. Tennessee General Assembly (Tennessee Code Annotated, public access site maintained by LexisNexis). Tennessee Code Annotated § 71-6-103. Checked October 30, 2026.
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    “(b) (1) Any person, including, but not limited to, a physician, nurse, social worker, department personnel, coroner, medical examiner, alternate care facility employee, or caretaker, having reasonable cause to suspect that an adult has suffered abuse, neglect, or exploitation, shall report or cause reports to be made in accordance with this part.”
77. Tennessee General Assembly (Tennessee Code Annotated, public access site maintained by LexisNexis). Tennessee Code Annotated § 56-7-2367. Checked October 30, 2026.
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    “(b) A contract or policy of an insurer that provides benefits for neurological disorders, whether under an individual or group health insurance policy providing coverage on an expense-incurred basis, an individual or group service contract issued by a health maintenance organization, a self-insured group arrangement to the extent not preempted by ... description shall provide benefits and coverage for treatment of autism spectrum disorders that are at least as comprehensive as those provided for other neurological disorders. These benefits and coverage for treatment shall be provided to any person less than twelve (12) years of age. (c) Benefits provided for treatment of autism spectrum disorders shall be subject to deductible and copayment requirements and benefit limits that are no more stringent than those established for the treatment of other neurological disorders.”
78. Tennessee Department of Health. Children’s Special Services. Checked October 30, 2026.
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    “Children’s Special Services is the State Title V Program for children and youth with special health care needs. Children’s Special Services provides access to comprehensive medical care for children with physical disabilities from birth to 21 years of age. Diagnostic and financial eligibility criteria must be met to participate in the program. The Children’s Special Services program is a payer of last resort. ... Services Available: Diagnostic Evaluation Medical and Surgical Treatment Hospitalization Care Coordination Rehabilitation Services Physical and Occupational Therapy Medications Braces and Artificial Limbs Speech and Language ...”
79. Centers for Medicare & Medicaid Services. Who are the MACs: A/B MAC Jurisdiction J (JJ). “Contract Awardee: Palmetto GBA, LLC, contract number 75FCMC24C0023 ... JJ processes FFS Medicare Part A and Part B claims for Alabama, Georgia, and Tennessee ...” Checked October 30, 2026.
80. Palmetto GBA. Palmetto GBA - Jurisdiction J Part B. “Jurisdiction J Part B MAC ... Part B Providers in Alabama, Georgia and Tennessee ...” Checked October 30, 2026.
81. Tennessee Secretary of State, Division of Publications. Rules of the Tennessee Department of Labor and Workforce Development, Bureau of Workers’ Compensation, Chapter 0800-02-18, Medical Fee Schedule (January 2026 revision). Checked October 30, 2026.
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    “(1) Reimbursement for all physical, speech, and occupational therapy services shall not exceed the lesser of billed charges or the fees listed in the rate tables (based on 180% of Medicare), no matter where the services are performed, except home health services. ... (3) For physical therapy, occupational therapy, or speech therapy, there shall be no fee allowable for any modalities or therapeutic procedures performed in excess of four (4) units of modalities, therapeutic procedures, or combination thereof per type of therapy per day per employee. ... (6) Whenever physical therapy, occupational therapy, or speech therapy services exceed twelve (12) visits, such treatment may be reviewed pursuant to the employer’s utilization review program in accordance with the procedures set forth in Chapter 0800-02-06 of the Bureau’s Utilization Review rules before further physical therapy and/or occupational therapy services may be certified for payment by the employer.”
82. the American Physical Therapy Association of Tennessee (APTA Tennessee). the American Physical Therapy Association of Tennessee (APTA Tennessee) (the state association's site). Checked October 30, 2026.
83. the Tennessee Occupational Therapy Association (TNOTA). the Tennessee Occupational Therapy Association (TNOTA) (the state association's site). Checked October 30, 2026.
84. the Tennessee Association of Audiologists and Speech Language Pathologists (TAASLP). the Tennessee Association of Audiologists and Speech Language Pathologists (TAASLP) (the state association's site). Checked October 30, 2026.
85. DrSensory. Occupational therapy clinics in Tennessee, 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.
86. 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 Tennessee, not legal, compliance, billing or financial advice. Rules change; the clinic confirms each with its source before acting on it.