Utah therapy practice guide: PT, OT and SLP

For OT, PT and SLP clinics in Utah: the Division of Professional Licensing licenses all three disciplines, a patient may start physical therapy without a referral, Utah Medicaid covers children’s therapy under EPSDT and adults within its own rules, and telehealth follows the patient’s location. Every rule here is quoted from its source.⁠^1,2,3,4,5

Who licenses OTs, PTs and SLPs in Utah?

The Utah Division of Professional Licensing licenses all three disciplines, and each profession has its own statute and continuing-education requirement.⁠^1,6,7 A clinic that employs more than one discipline still keeps three registers, not one.

Physical therapists, occupational therapists and speech-language pathologists all answer to the Utah Division of Professional Licensing, each profession under its own statute and continuing-education rule.⁠^1,6,7 Since May 6, 2026, a school speech-language pathologist holding a State Board of Education credential issued on or after July 1, 2020 applies to the Division for a license; the existing credential stays in effect until its expiration date.⁠^{7,36,37,38,39,40,41,42} 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 Utah license renewal require?

The division sets the cycle and hours for each profession, 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 division’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 Utah 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 evaluate, initiate and provide physical therapy treatment without a referral from another health service provider.⁠² For occupational therapy, an occupational therapist may evaluate, initiate and provide occupational therapy treatment without a referral from another health service provider.⁠⁴³ For speech-language pathology, the licensing act defines the practice of speech-language pathology and requires a license to practice it, and carries no provision that conditions an evaluation or treatment on a physician’s referral; Utah Medicaid, as a payer, requires a physician’s or other qualified healthcare professional’s referral for the speech-language services it covers.⁠^44,45

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 Utah 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 Utah Medicaid pay for pediatric and adult therapy?

Utah Medicaid is run by the Utah Department of Health and Human Services, Division of Integrated Healthcare, and a clinic enrolls through its provider enrollment route before it bills.⁠⁴⁶ 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.⁠⁴⁷ Physical and occupational therapy are mandatory for members under the EPSDT program, which covers medically necessary treatment to correct or ameliorate a condition, even a service the Medicaid benefit does not typically cover. Maintenance therapy, excluded for other members, stays available to EPSDT members, and speech therapy for children 2 through 5 is covered when a standardized test places the deficit at least one and a half standard deviations below the mean (a standard score of 78).⁠^3,4,5

For Traditional Medicaid members, physical and occupational therapy are each limited to 20 sessions a calendar year, the evaluation not counted, with prior authorization for more. Occupational therapy is limited to conditions from traumatic brain, spinal cord or hand injury, congenital anomalies or developmental disabilities causing neurodevelopmental deficits, or a stroke with treatment beginning within 90 days, and maintenance therapy is not covered for non-pregnant adults. The speech manual names speech-language services a mandated benefit for pregnant women and EPSDT members and refers other members to the State Plan.⁠^8,9,10 Physical and occupational therapy need prior authorization only when a limit is exceeded, such as more than 20 sessions in a calendar year or a second evaluation in the year, requested in PRISM with a written plan of treatment, each date of service counting as one visit. Some speech therapy sessions need prior authorization, granted for at most a six-month treatment period.⁠^48,49,50,51 Utah Medicaid contracts with four accountable care organizations (Health Choice Utah, Healthy U, Molina Healthcare and Select Health Community Care), two to four in each county. Most members in 13 counties, Salt Lake and Utah among them, must enroll in one, and the ACOs cover most Medicaid services except behavioral health and dental, so a clinic in those counties deals with the ACOs as well as with the state.⁠⁵² The fee schedule is published by the agency, and a clinic reads the current file rather than a remembered rate.⁠⁵³

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

Utah Medicaid’s therapy manual leaves procedure codes, coverage and rates to the PRISM Coverage and Reimbursement Code Lookup and requires modifier GP on physical therapy and GO on occupational therapy. A member receives at most one physical therapy and one occupational therapy session a day, the evaluation and first treatment may be billed on the same date, and every claim stays subject to national correct coding and MUE limits whatever the units authorized.⁠^{54,55,56,57,58} 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 Utah Medicaid pay for therapy in schools?

Through School-Based Skills Development, an enrolled local education agency (a school district, the Utah Schools for the Deaf and Blind or a public charter school) bills Medicaid for covered services, occupational, physical and speech therapy among them, that are stated in the student’s Document of Medical Necessity, for Medicaid-eligible students aged 3 to 21.⁠⁵⁹ 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 Utah Medicaid cover therapy by telehealth?

Utah Medicaid covers telehealth delivered synchronously by live video or by audio alone, with no geographic restriction; audio-only care is limited to a list of services that includes speech and hearing, and asynchronous email, text or messaging is not covered.⁠⁶⁰ The telehealth section below covers the state’s own rules for the session itself.

What are Utah’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.⁠¹¹ Utah Code section 26B-4-704 requires a provider offering telehealth to act at all times within the scope of the provider’s license under Title 58, Utah’s licensing title, to meet the standards of practice of traditional health care settings, and not to offer telehealth when that license is not active and in good standing. The Division’s rule R156-1-602 requires informed consent before each initial patient encounter, by clear disclosure of any added fees, who may receive the patient’s health information and the other items the rule lists.⁠^61,62

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.⁠^12,13 Utah Code section 31A-22-649.5 requires health benefit plans in the individual, small group and large group markets to cover telemedicine services that Medicare covers, and mental health treatment by telemedicine on the conditions it sets, to reimburse network providers for them at a negotiated commercially reasonable rate, and bars originating site, geographic and distance-based restrictions on that coverage.⁠⁶³

Which business steps are specific to Utah?

The entity is registered with the Utah Division of Corporations and Commercial Code, and the choice of entity is shaped by the state’s rule on who may own a therapy business.⁠²² Physical therapy is a listed professional service under both the Professional Corporation Act and the professional services company part of the Limited Liability Company Act, which Utah moved into Title 16 effective October 1, 2026. A physical therapy professional corporation’s officers, directors and shareholders must be licensed in the same profession, except that a nonlicensed person may serve as secretary or treasurer, and a professional LLC (PLLC) provides its one profession only through licensed individuals. Neither list names occupational therapy or speech-language pathology.⁠^23,24 State tax registration is with the Utah State Tax Commission, through its TC-69 business tax account application.⁠⁶⁴ Utah’s sales tax applies to retail sales and leases of tangible goods, products transferred electronically and the services the Tax Commission lists as taxable, and therapy is not on that list. Durable medical equipment, mobility-enhancing equipment and prosthetic devices sold to patients are exempt only on a prescription, and a seller with an established presence in Utah must hold a Utah sales tax license.⁠^65,66,67 A Utah employer must secure workers’ compensation benefits for its employees, by insuring with an insurer authorized to write workers’ compensation in Utah or by approval to pay compensation directly as a self-insured employer.⁠⁶⁸ 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 Utah?

Utah Medicaid requires every provider to keep the records documenting services billed to the program for at least five years.⁠²¹ 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.⁠^69,70

Section 78B-5-618 lets a patient or the patient’s personal representative inspect or receive a copy of the patient’s records from a health care provider, a term the Health Care Malpractice Act defines to include physical therapists, physical therapist assistants and speech-language pathologists, within HIPAA’s deadlines and for a reasonable cost-based fee.⁠^71,72 Utah Code section 13-44-202 requires a person who owns or licenses computerized personal information about a Utah resident to investigate a breach promptly and in good faith and, if misuse for identity theft or fraud has occurred or is reasonably likely, to notify each affected Utah resident in the most expedient time possible without unreasonable delay, adding the Attorney General and the Utah Cyber Center when 500 or more residents are affected.⁠⁷³ Utah Code section 80-2-602 makes every person a reporter: anyone who has reason to believe a child is or has been abused or neglected must report immediately to the state’s child welfare division or the nearest peace officer or law enforcement agency, with narrow exceptions for clergy confessions and attorneys.⁠⁷⁴

Which Utah rules shape a pediatric clinic?

The Baby Watch Early Intervention Program serves infants and toddlers with developmental delays or disabilities through a family coaching model, with every service in the child’s natural environment, such as home or child care. Any parent, guardian or professional concerned about an infant’s or toddler’s development may make a referral by contacting the local program for a free evaluation.⁠^25,26 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. Utah Code section 31A-22-642 requires health benefit plans in the individual and large group markets to cover the diagnosis and treatment of autism spectrum disorder, and treatment includes therapeutic care by licensed or certified speech therapists, occupational therapists and physical therapists. Plans entered into or renewed on or after January 1, 2016 and before January 1, 2020 covered children at least 2 and younger than 10, plans entered into or renewed on or after January 1, 2020 must provide the coverage under the section’s requirements and behavioral health treatment hours may not be capped.⁠⁷⁵ The autism insurance mandates guide covers how such a mandate meets a plan’s own terms.

Which Utah rules shape an adult clinic?

Medicare claims from Utah go to Noridian Healthcare Solutions, LLC, the Medicare Administrative Contractor for Jurisdiction F, Parts A and B (Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, Washington and Wyoming), whose local coverage articles for therapy are the ones a Utah clinic reads.⁠⁷⁶ Utah Medicaid’s adult therapy rules are in the Medicaid section above. The Labor Commission’s 2026 Medical Fee Standard pays for restorative services only when the treating physician prescribes them and the provider is in constant attendance, and limits CPT codes 97010 to 97150, 97161 to 97168 and 97530 to 97610 to three procedures or units a visit, six when more than one site is treated.⁠⁷⁷

Which associations and directory pages serve Utah?

The state chapters are APTA Utah for physical therapy and the Utah Speech-Language Hearing Association for speech-language pathology.⁠^78,79 On DrSensory, families browse Utah 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.⁠⁸⁰

Which Utah cities have DrSensory city pages?

Beyond its three Utah pages, the directory publishes city pages for one Utah city, Salt Lake City, three 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.⁠⁸⁰

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

DrSensory lists 30 PT, OT and SLP clinics in Utah, on its occupational therapy, physical therapy and speech therapy pages for the state.⁠⁸⁰

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

Which templates does a Utah launch need?

How might two Utah clinics plan a launch?

Sources

1. Utah. Utah Division of Professional Licensing, Physical Therapy. Checked October 30, 2026.
2. Utah State Legislature. Utah Code section 58-24b-307, No referral required for physical therapy (enacted 2025 General Session). “A physical therapist may evaluate, initiate, and provide physical therapy treatment for a client without a referral from another health service provider.” Checked October 30, 2026.
3. Utah Department of Health and Human Services, Division of Integrated Healthcare. Utah Medicaid Provider Manual, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services (updated July 2026), 1-1.4 and 1-2. Checked October 30, 2026.
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   “Under the EPSDT benefit, medically necessary healthcare services are covered for treatment of physical and mental illnesses or other conditions discovered through clinical decision making and diagnostic procedures. Treatment should be based on the need to correct or ameliorate the member’s physical or mental condition. ... When an EPSDT member requires medically necessary services, those services may be covered by Medicaid, even if the requested service is not typically covered under the Medicaid benefit.”
4. Utah Department of Health and Human Services, Division of Integrated Healthcare. Utah Medicaid Provider Manual, Physical Therapy and Occupational Therapy Services (updated January 2026), 1-2 and 9-2. Checked October 30, 2026.
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   “Physical therapy and occupational therapy services are mandatory for individuals under the Early Periodic Screening, Diagnosis, and Treatment (EPSDT) program. ... Physical therapy and occupational therapy services for maintenance are limited to EPSDT program eligible members and to one PT and one OT maintenance visit per month for care-giver training, to provide routine, repetitive or reinforced procedures of routine care in the residence.”
5. Utah Department of Health and Human Services, Division of Integrated Healthcare. Utah Medicaid Provider Manual, EPSDT Services (updated July 2026), 1-17.2 Covered SLP Services. Checked October 30, 2026.
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   “Services for children ages 2 years through 5 years are covered, if the child’s speech or language deficit is at, or greater than one and one-half standard deviations below the mean as measured by an age -appropriate standardized test for articulation, phonology, fluency or language OR if using percentile score is at or below the 7 th percentile. One and one-half standard deviations below the mean equals a standard score of 78.”
6. Utah. Utah Division of Professional Licensing, Occupational Therapy. Checked October 30, 2026.
7. Utah. Utah Division of Professional Licensing, Speech-Language Pathology and Audiology. Checked October 30, 2026.
8. Utah Department of Health and Human Services, Division of Integrated Healthcare. Utah Medicaid Provider Manual, Physical Therapy and Occupational Therapy Services (updated January 2026), 9-2.2 Occupational Therapy Limitations. Checked October 30, 2026.
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   “Occupational therapy services for Traditional Medicaid members are limited to twenty (20) therapy sessions, per member, per calendar year, when criteria are met. (The evaluation is NOT counted as one of the 20 sessions.) Prior authorization is required for more than 20 sessions per calendar year. ... Occupational therapy is limited to conditions resulting from traumatic brain injury, spinal cord injury, hand injury, congenital anomalies or developmental ... disabilities causing neurodevelopmental deficits, or CVA (treatment must begin within 90 days of the incident).”
9. Utah Department of Health and Human Services, Division of Integrated Healthcare. Utah Medicaid Provider Manual, Physical Therapy and Occupational Therapy Services (updated January 2026), 9-1 and 9-2.1. Checked October 30, 2026.
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   “Non-diagnostic, non-therapeutic, routine, repetitive, or reinforced procedures; or maintenance therapy for non-pregnant adults ... Physical therapy services for Traditional Medicaid members are limited to twenty (20) therapy sessions, per member, per calendar year, when criteria are met. (The evaluation is NOT counted as one of the 20 sessions.) Prior authorization is required for more than 20 sessions per calendar year.”
10. Utah Department of Health and Human Services, Division of Integrated Healthcare. Utah Medicaid Provider Manual, Speech-Language Pathology and Audiology Services (updated September 2025), 1-1 General policy. Checked October 30, 2026.
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    “Speech-language pathology and audiology services are federally mandated covered benefits for pregnant women and members eligible under the Early and Periodic Screening, Diagnosis and Treatment Program (EPSDT). Speech-language and audiology services for eligible Medicaid members, who do not qualify for the pregnant women or EPSDT programs, see the Utah State Medicaid Plan.”
11. 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”.
12. PT Compact Commission. PT Compact Map. “Member States (38) ... Utah ... Member States ... Actively Issuing and Accepting Compact Privileges ...” Checked October 30, 2026.
13. Utah Department of Commerce, Division of Professional Licensing. Physical Therapy. “If you want to verify if a Physical Therapist or Physical Therapist Assistant has a privilege to practice in Utah under the compact, browse to: https://purchase.ptcompact.org/Verify ...” Checked October 30, 2026.
14. Occupational Therapy Compact Commission. Before You Apply for an OT Compact Privilege. “Accepting OTC Applications? ... Utah ... Not Yet ...” Checked October 30, 2026.
15. Occupational Therapy Compact Commission. State Commissioners. “Appointed Commissioner ... Appointment Date ... Utah ... Lisa Martin ... Feb. 11, 2025 ...” Checked October 30, 2026.
16. Utah State Legislature. Utah Code section 58-42b-101, Occupational Therapy Licensure Compact (enacted 2022 General Session). Checked October 30, 2026.
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    “The purpose of this Compact is to facilitate interstate practice of Occupational Therapy with the goal of improving public access to Occupational Therapy services. The Practice of Occupational Therapy occurs in the State where the patient/client is located at the time of the patient/client encounter.”
17. Audiology and Speech-Language Pathology Interstate Compact Commission. Delegate Information. “Member State Appointed Delegates ... Utah ... Audiology ... Lauren Snyder ... Utah ... SLP ... Lindsey Hardcastle ...” 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. As more member states launch, the ASLP-IC Home Page and Compact Map will be updated.” Checked October 30, 2026.
19. Utah Department of Commerce, Division of Professional Licensing. Speech-Language Pathology and Audiology. “As of October 2021, the ASLP-IC has been enacted into law in 15 states, including Utah, surpassing the threshold for activation of the compact.” 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. Utah Department of Health and Human Services, Division of Integrated Healthcare. Utah Medicaid Provider Manual, Section I: General Information (updated September 2026), 4-2 Record Keeping and Disclosure. Checked October 30, 2026.
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    “Every provider must comply with the following rules regarding records: ... Maintain for a minimum of five years all records necessary to document and disclose fully the extent of all services provided to Medicaid members and billed, charged, or reported to the State under Utah’s Medicaid Program ...”
22. Utah Department of Commerce, Division of Corporations and Commercial Code. CORP Home. Checked October 30, 2026.
23. Utah State Legislature. Utah Code sections 16-11-2(3) and 16-11-8 (Professional Corporation Act). Checked October 30, 2026.
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    “(r) a physical therapist holding a license under Title 58, Chapter 24b, Physical Therapy Practice Act, and any subsequent laws regulating the practice of physical therapy; ... (a) Except as provided in Subsection (1)(b), a person may not be an officer, director, or shareholder of a professional corporation unless that person is: (i) an individual licensed to render the same specific professional services as those for which the corporation is organized; ... (b) Notwithstanding Subsection (1)(a), a nonlicensed person may serve as secretary or treasurer of the professional corporation.”
24. Utah State Legislature. Utah Code sections 16-20-901(1), 16-20-905 and 16-20-906 (Utah Revised Uniform Limited Liability Company Act, effective October 1, 2026). Checked October 30, 2026.
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    “(n) a physical therapist holding a license under Title 58, Chapter 24b, Physical Therapy Practice Act, or a subsequent law regulating the practice of physical therapy; ... (1) Subject to Section 16-20-906, a professional services company may provide a professional service in this state only through an individual licensed or otherwise authorized in this state to provide the professional service. ... (1) A professional services company organized to provide a professional service under this part may provide only: (a) one specific type of professional service; and (b) services ancillary to the professional service described in Subsection (1)(a).”
25. Utah Department of Health and Human Services, Division of Family Health. Baby Watch Early Intervention Program. Checked October 30, 2026.
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    “The purpose of the Baby Watch Early Intervention Program (BWEIP) is to enhance early growth and development in infants and toddlers, who have developmental delays or disabilities, by providing individualized support and services to the child and their family. Early Intervention (EI) services are provided through a family coaching model that focuses on helping children meet goals in all areas of development. All services take place in the child’s natural environment (home, child care, etc.) and are tailored to meet the individual needs of the child and family. ... Any parent/guardian or professional who is concerned about an infant or toddler’s development can make a referral to early intervention. Contact your local EI program to request a FREE evaluation for early intervention services.”
26. Utah Department of Health and Human Services, Division of Integrated Healthcare. Utah Medicaid Provider Manual, EPSDT Services (updated July 2026), 1-17.2 Covered SLP Services. “State funds, other than Medicaid, support speech and language therapy through Early Intervention for ages 0 to 3 years.” Checked October 30, 2026.
27. Utah Department of Commerce, Division of Professional Licensing. Physical Therapy: Renew a License. “License expires on May 31 of odd years.” Checked October 30, 2026.
28. Utah State Legislature. Utah Code section 58-24b-303(1). “A license issued under this chapter shall be issued in accordance with a two-year renewal cycle established by rule.” Checked October 30, 2026.
29. Utah Office of Administrative Rules. Utah Administrative Code R156-24b-303b, Continuing Education (rule effective December 23, 2025). Checked October 30, 2026.
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    “(3) During each two-year renewal cycle, a physical therapist shall complete at least 40 CEUs, of which at least two CEUs shall be in ethics or law. A physical therapist who completes more than the required number of CEUs during a two-year renewal cycle may carry over up to ten excess CEUs to the next two-year renewal cycle. (4) During each two- year renewal cycle, a physical therapist assistant shall complete at least 20 CEUs, of which at least two CEUs shall be in ethics or law. A physical therapist assistant who completes more than the required number of CEUs during a two-year renewal cycle may carry over up to five excess CEUs to the next two-year renewal cycle. ... (c) "Category I" CEU means: (i) a fellowship, residency, specialty certification, degree awarding education program, or in-person attendance at a live educational program event in which participants can interact with the presenter in real time; and (ii) one contact hour of Category I CEU equals two continuing education units. (d) "Category II" CEU means: (i) in-person attendance at live educational coursework or a live education program in a school setting, an electronic course with assessment, volunteer service, clinical instructor supervision, or teaching a physical therapy education course; and (ii) one contact hour of Category II CEU equals 1 and 1/2 continuing education units. (e) "Category III" CEU means: (i) electronic physical therapy educational coursework without assessment or examination, in-service presentations, self-study, journal clubs, or ethics or law coursework; and (ii) one contact hour of Category III CEU equals one continuing education unit.”
30. Utah Office of Administrative Rules. Utah Administrative Code R156-24b-404, Physical Therapist Supervisory Authority and Responsibility. Checked October 30, 2026.
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    “(2) A full-time physical therapist may supervise up to three full-time equivalent supportive personnel at one time unless otherwise approved by the Division in collaboration with the Board. (3) A supervising physical therapist shall: (a) meet each patient of the supervised physical therapist assistant at least every tenth visit or within 30 days from the last date the supervising physical therapist met with the patient, whichever is sooner; and (b) further assess the patient, evaluate treatment, and modify the patient’s treatment plan.”
31. Utah State Legislature. Utah Code sections 58-24b-102(4) and 58-24b-401(2). Checked October 30, 2026.
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    “(4) "General supervision" means supervision and oversight of an individual by a licensed physical therapist when the licensed physical therapist is immediately available in person, by telephone, or by electronic communication to assist the individual. ... (2) A licensed physical therapist assistant: (a) is authorized to practice physical therapy: (i) under the on-site supervision or general supervision of a licensed physical therapist ...”
32. Utah Department of Commerce, Division of Professional Licensing. Occupational Therapy: Renew a License. “License expires on May 31 of odd years.” Checked October 30, 2026.
33. Utah State Legislature. Utah Code section 58-42a-303(1). “The division shall issue each license under this chapter in accordance with a two-year renewal cycle established by division rule.” Checked October 30, 2026.
34. Utah Office of Administrative Rules. Utah Administrative Code R156-42a-304, Qualified Continuing Professional Education (rule effective December 23, 2025). Checked October 30, 2026.
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    “During each two-year renewal cycle or before reinstatement of licensure, a licensee shall: (i) complete at least two hours of qualified continuing professional education in legal and ethical principles; and (ii)(A) complete at least 24 hours of qualified continuing professional education; or (B) maintain current and active NBCOT certification.”
35. Utah State Legislature. Utah Code section 58-42a-306 (amended 2026 General Session). Checked October 30, 2026.
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    “An occupational therapist who is supervising an occupational therapy assistant shall: (1) write or contribute to an individual treatment plan before referring a client to the occupational therapy assistant for treatment; (2) approve and cosign on all modifications to the individual treatment plan; (3) meet face to face with the occupational therapy assistant as often as necessary but at least once every two weeks in person or by video conference, and at least one time every month in person, to adequately provide consultation, advice, training, and direction to the occupational therapy assistant; (4) meet with each client who has been referred to the occupational therapy assistant at least once each month, to further assess the patient, evaluate the treatment, and modify the individual’s treatment plan, except that if the interval of client care occurs one time per month or less, the occupational therapist shall meet with the client at least once every four visits; ... (6) remain responsible for client treatment provided by the occupational therapy assistant; and (7) fulfill any other supervisory responsibilities as determined by division rule.”
36. Utah Department of Commerce, Division of Professional Licensing. Speech-Language Pathology and Audiology: Renew a License. “Audiologist & Speech-Language Pathologist licenses expire on May 31 of odd years.” Checked October 30, 2026.
37. Utah State Legislature. Utah Code section 58-41-303(1)(a). “Each license issued under this chapter shall be issued in accordance with a two-year renewal cycle established by rule the division makes in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.” Checked October 30, 2026.
38. Utah State Legislature. Utah Code section 58-41-303(2) (amended 2026 General Session). Checked October 30, 2026.
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    “(a) completing 20 hours of continuing education that the division approves by rule made in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, within the preceding two-year renewal cycle, consistent with standards for maintaining professional competency in audiology or speech-language pathology; or (b) possessing an active certification in good standing from a nationally recognized professional organization that requires continuing education equivalent to or exceeding 20 hours per two-year cycle.”
39. Utah Office of Administrative Rules. Utah Administrative Code R156-41-601, Speech-Language Pathology and Audiology Aides. Checked October 30, 2026.
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    “(2) A licensee supervising an aide shall be responsible for the direct supervision of an aide. (3) A licensee supervising an aide must have a current written utilization plan outlining the specific manner in which the aide will be employed and the manner in which the aide will be supervised. (4) A licensee shall be permitted to supervise not more than three aides at any one time.”
40. Utah State Legislature. Utah Code section 58-41-101(20). Checked October 30, 2026.
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    “(20) "Speech-language pathology assistant" means an individual who: (a) meets the minimum qualifications the division makes by rule in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act; (b) does not act independently; and (c) works under the personal direction and direct supervision of a licensed speech-language pathologist who accepts the responsibility for the acts and performances of that speech-language pathology assistant while working under this chapter.”
41. Utah State Legislature. Utah Code section 58-41-301(3)(b). Checked October 30, 2026.
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    “Beginning on May 6, 2026, an individual who holds a credential issued by the State Board of Education on or after July 1, 2020, and before May 6, 2026, and performs the functions of a speech-language pathologist or audiologist, shall apply to the division for licensure as a speech-language pathologist or audiologist and renew the credential in accordance with Section 58-41-303.”
42. Utah Department of Commerce, Division of Professional Licensing. Speech-Language Pathology and Audiology (HB 374 Transition Notice). Checked October 30, 2026.
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    “Speech-language pathologists and audiologists transitioning from a State Board of Education credential to a DOPL license should use the standard application. While you must include a copy of your USBE credential, there is no requirement to submit transcripts or exam scores. Please note that any existing State Board of Education credentials will stay in effect until the expiration date indicated on the document.”
43. Utah State Legislature. Utah Code section 58-42a-308, No referral required for occupational therapy (enacted 2025 General Session). “An occupational therapist may evaluate, initiate, and provide occupational therapy treatment for a client without a referral from another health service provider.” Checked October 30, 2026.
44. Utah State Legislature. Utah Code sections 58-41-101(15) and 58-41-301(1). Checked October 30, 2026.
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    “(15) "Practice of speech-language pathology" means applying speech-language pathology to identify, prevent, ameliorate, or modify a disorder of speech, voice, language, cognitive communication, or swallowing. ... (1) An individual may not engage in the practice of audiology or the practice of speech-language pathology without being a licensed individual.”
45. Utah Department of Health and Human Services, Division of Integrated Healthcare. Utah Medicaid Provider Manual, Speech-Language Pathology and Audiology Services (updated September 2025), 1-1 General policy. “Speech-language therapy and/or audiology services must have a physician or other Qualified Healthcare Professional’s referral, be pre-authorized (if applicable), and be provided by a speech-language ...” Checked October 30, 2026.
46. Utah Department of Health and Human Services. Become a Medicaid Provider. Checked October 30, 2026.
47. 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.”.
48. Utah Department of Health and Human Services, Division of Integrated Healthcare. Utah Medicaid Provider Manual, Physical Therapy and Occupational Therapy Services (updated January 2026), 10 Prior Authorization. Checked October 30, 2026.
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    “Prior authorization (PA) is required for occupational and physical therapy services, if limitations are exceeded. Failure to obtain prior authorization will result in payment denial by Medicaid. ... For the purposes of determining when limitations have been met for occupational and physical therapy, Medicaid considers each date of service to be one (1) visit, regardless of how many modalities are provided on that date of service. ... To obtain PA the provider must complete the appropriate PA request in PRISM and submit it with required documentation as indicated: Written plan of treatment for the member or a document which includes ...”
49. Utah Department of Health and Human Services, Division of Integrated Healthcare. Utah Medicaid Provider Manual, Physical Therapy and Occupational Therapy Services (updated January 2026), 8-3.1 Evaluation. Checked October 30, 2026.
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    “An initial physical therapy evaluation does not require prior authorization unless the evaluation is performed by a Home Health Agency. See the Home Health Services provider manual. Evaluations are limited to one per calendar year; a written prior authorization is required beyond this limit.”
50. Utah Department of Health and Human Services, Division of Integrated Healthcare. Utah Medicaid Provider Manual, Physical Therapy and Occupational Therapy Services (updated January 2026), 9-2.1 Physical Therapy Limitations and 9-2.2 Occupational Therapy Limitations. Checked October 30, 2026.
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    “Physical therapy services for Traditional Medicaid members are limited to twenty (20) therapy sessions, per member, per calendar year, when criteria are met. (The evaluation is NOT counted as one of the 20 sessions.) Prior authorization is required for more than 20 sessions per calendar year. ... Occupational therapy services for Traditional Medicaid members are limited to twenty (20) therapy sessions, per member, per calendar year, when criteria are met. (The evaluation is NOT counted as one of the 20 sessions.) Prior authorization is required for more than 20 sessions per calendar year.”
51. Utah Department of Health and Human Services, Division of Integrated Healthcare. Utah Medicaid Provider Manual, Speech-Language Pathology and Audiology Services (updated September 2025), 10-1 Speech-language pathology. Checked October 30, 2026.
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    “Some therapy sessions require prior authorization. Failure to obtain prior authorization can result in payment denial by Medicaid. Providers must determine if prior authorization is necessary and obtain authorization before providing services. ... A prior authorization will be given for a maximum of a 6-month treatment period.”
52. Utah Department of Health and Human Services, Division of Integrated Healthcare. Utah Medicaid Provider Manual, Section I: General Information (updated September 2026), 2-7 Accountable Care Organizations. Checked October 30, 2026.
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    “DIH contracts with four ACOs: Health Choice Utah, Healthy U, Molina Healthcare, and Select Health Community Care. Not all ACOs are available in every county. There are from two to four ACOs available in each county. Medicaid requires most Medicaid members living in the following counties to enroll with an ACO: Box Elder, Cache, Davis, Iron, Morgan, Rich, Salt Lake, Summit, Tooele, Utah, Wasatch, Washington, and Weber. ... ACOs cover most Medicaid-covered services with the exception of behavioral health and dental.”
53. Utah Department of Health and Human Services, Bureau of Coverage and Reimbursement Policy. Coverage and Reimbursement Code Lookup. Checked October 30, 2026.
54. Utah Department of Health and Human Services, Division of Integrated Healthcare. Utah Medicaid Provider Manual, Physical Therapy and Occupational Therapy Services (updated January 2026), 11-1 Billing Procedure. Checked October 30, 2026.
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    “For coverage and reimbursement information for specific procedure codes, see the PRISM Coverage and Reimbursement Code Lookup Tool. Billing Codes Report physical and occupational therapy services with the appropriate modifier: ... “GP” modifier for physical therapy ... “GO” modifier for occupational therapy ...”
55. Utah Department of Health and Human Services, Division of Integrated Healthcare. Utah Medicaid Provider Manual, Physical Therapy and Occupational Therapy Services (updated January 2026), 8-2.1. Checked October 30, 2026.
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    “Therapy sessions, subsequent to the initial evaluation, are limited to one physical therapy session per day and one occupational therapy session per day. The initial evaluation and the first treatment session may be billed on the same date of service.”
56. Utah Department of Health and Human Services, Division of Integrated Healthcare. Utah Medicaid Provider Manual, Physical Therapy and Occupational Therapy Services (updated January 2026), 10 Prior Authorization. “Note: All claims are subject to national correct coding requirements and MUE limitations, regardless of the number of units authorized.” Checked October 30, 2026.
57. Utah Department of Health and Human Services, Division of Integrated Healthcare. Utah Medicaid Provider Manual, Physical Therapy and Occupational Therapy Services (updated January 2026), 1-2 General Policy. Checked October 30, 2026.
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    “Physical therapy services must be provided by a licensed therapist or by a physical therapy assistant under the supervision of a physical therapist. Occupational therapy services must be provided by a licensed therapist or by an occupational therapy assistant under the supervision of an occupational therapist.”
58. Utah Department of Health and Human Services, Division of Integrated Healthcare. Utah Medicaid Provider Manual, Speech-Language Pathology and Audiology Services (updated September 2025), 8-2.1 Speech-language. Checked October 30, 2026.
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    “All eligible Medicaid members are allowed one speech evaluation per year. ... Speech therapy for cognitive purposes is limited to 15 visits per 12-month period. Speech therapy for the use of a speech generating device is limited to 8 visits per 12-month period. Treatment for swallowing dysfunction and/or oral function is limited to 10 per 180-day period.”
59. Utah Department of Health and Human Services, Division of Integrated Healthcare. Utah Medicaid Provider Manual, School-Based Skills Development Services (updated May 2026), 8-3 and 8-5. Checked October 30, 2026.
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    “LEAs may bill Medicaid for covered services rendered by qualified providers to students when the LEA is an enrolled provider with Utah Medicaid and has a current signed contract and provider agreement with the Department of Health and Human Services. The covered service must be stated in the student’s DMN. The student must be Medicaid eligible and be between the ages of 3 and 21. ... Examples of these services are occupational therapy and physical therapy. ... Examples of this service are speech language pathology or hearing screenings.”
60. Utah Department of Health and Human Services, Division of Integrated Healthcare. Utah Medicaid Provider Manual, Section I: General Information (updated September 2026), 8-4.2.1 Services. Checked October 30, 2026.
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    “There are no geographic restrictions surrounding the use of telehealth services. Medicaid covers telehealth services when performed via synchronous care. ... covered for a limited number of services. Medicaid limits these services to: ... Speech and hearing ... Medicaid does not cover telehealth services when performed by means of asynchronous communication.”
61. Utah State Legislature. Utah Code section 26B-4-704, Scope of telehealth practice. Checked October 30, 2026.
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    “(2) A provider offering telehealth services shall: (a) at all times: (i) act within the scope of the provider’s license under Title 58, Occupations and Professions, in accordance with the provisions of this section and all other applicable laws and rules; and (ii) be held to the same standards of practice as those applicable in traditional health care settings; ... (5) A provider may not offer telehealth services if: (a) the provider is not in compliance with applicable laws, rules, and regulations regarding the provider’s licensed practice; or (b) the provider’s license under Title 58, Occupations and Professions, is not active and in good standing.”
62. Utah Office of Administrative Rules. Utah Administrative Code R156-1-602, Telehealth (rule effective December 24, 2024). Checked October 30, 2026.
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    “(b) before each initial patient encounter, obtain informed consent to the use of telehealth services by clear disclosure of: (i) additional fees for telehealth services, if any, and how payment is to be made for those additional fees if they are charged separately; (ii) to whom patient health information may be disclosed and for what purpose ...”
63. Utah State Legislature. Utah Code section 31A-22-649.5, Insurance parity for telemedicine services. Checked October 30, 2026.
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    “(2) Notwithstanding the provisions of Section 31A-22-618.5, a health benefit plan offered in the individual market, the small group market, or the large group market shall: (a) provide coverage for: (i) telemedicine services that are covered by Medicare; ... (b) reimburse a network provider that provides the telemedicine services described in Subsection (2)(a) at a negotiated commercially reasonable rate. (3) (a) Notwithstanding Section 31A-45-303, a health benefit plan providing coverage under Subsection (2)(a) may not impose originating site restrictions, geographic restrictions, or distance-based restrictions.”
64. Utah State Tax Commission. Create & Manage a Tax Account. Checked October 30, 2026.
65. Utah State Tax Commission. Publication 25, Sales and Use Tax General Information (Rev. 9/26). Checked October 30, 2026.
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    “Sales tax is applied to retail sales and leases of tangible personal property, products transferred electronically, and certain services. ... Sales and leases of tangible personal property, products transferred electronically, and certain services are taxable to the final consumer. The following transactions are taxable unless an exemption applies ...”
66. Utah State Tax Commission. Publication 25, Sales and Use Tax General Information (Rev. 9/26). Checked October 30, 2026.
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    “Sales or rentals of durable medical equipment, including replacement and repair parts. Sales or rentals of durable medical equipment are exempt from sales and use tax only if the buyer presents a prescription for the equipment. ... Sales or rentals of mobility-enhancing equipment are exempt from sales and use tax only if the buyer presents a prescription for the equipment. ... Sales or rentals of prosthetic devices are exempt from sales and use tax only if a prescription is required for the device or it is purchased by a hospital or medical facility.”
67. Utah State Tax Commission. Publication 25, Sales and Use Tax General Information (Rev. 9/26). “Every seller with an established presence in Utah (see Nexus Filers, below) must have a Utah Sales Tax License.” Checked October 30, 2026.
68. Utah State Legislature. Utah Code section 34A-2-201. Checked October 30, 2026.
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    “An employer shall secure the payment of workers’ compensation benefits for its employees by: (1) insuring, and keeping insured, the payment of this compensation with an insurer authorized under Title 31A, Insurance Code, to transact the business of workers’ compensation insurance in this state; or (2) obtaining approval from the division in accordance with Section 34A-2-201.5 to pay direct compensation as a self-insured employer ...”
69. 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.”.
70. 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.”.
71. Utah State Legislature. Utah Code section 78B-5-618. Checked October 30, 2026.
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    “(2) Pursuant to Standards for Privacy of Individually Identifiable Health Information, 45 C.F.R., Parts 160 and 164, a patient or a patient’s personal representative may inspect or receive a copy of the patient’s records from a health care provider when that health care provider is governed by the provisions of 45 C.F.R., Parts 160 and 164. ... (4) A health care provider who provides a paper or electronic copy of a patient’s records to the patient or the patient’s personal representative: (a) shall provide the copy within the deadlines required by the Health Insurance Portability and Accountability Act of 1996, Administrative Simplification rule, 45 C.F.R. Sec. 164.524(b); and (b) may charge a reasonable cost-based fee ...”
72. Utah State Legislature. Utah Code section 78B-3-403(13). “(13) "Health care provider" includes any person, partnership, association, corporation, or other facility or institution who causes to be rendered or who renders health care or professional services as a hospital, health care facility, physician, ... physical therapist, physical therapist assistant, ... audiologist, speech-language pathologist ...” Checked October 30, 2026.
73. Utah State Legislature. Utah Code section 13-44-202. Checked October 30, 2026.
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    “(a) A person who owns or licenses computerized data that includes personal information concerning a Utah resident shall, when the person becomes aware of a breach of system security, conduct in good faith a reasonable and prompt investigation to determine the likelihood that personal information has been or will be misused for identity theft or fraud purposes. (b) If an investigation under Subsection (1)(a) reveals that the misuse of personal information for identity theft or fraud purposes has occurred, or is reasonably likely to occur, the person shall provide notification to each affected Utah resident. (c) If an investigation under Subsection (1)(a) reveals that the misuse of personal information relating to 500 or more Utah residents, for identity theft or fraud purposes, has occurred or is reasonably likely to occur, the person shall, in addition to the notification required in Subsection (1)(b), provide notification to: (i) the Office of the Attorney General; and (ii) the Utah Cyber Center created in Section 63A-16-1102. ... (2) A person required to provide notification under Subsection (1) shall provide the notification in the most expedient time possible without unreasonable delay ...”
74. Utah State Legislature. Utah Code section 80-2-602. Checked October 30, 2026.
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    “(1) Except as provided in Subsection (3), if a person, including an individual licensed under Title 58, Chapter 31b, Nurse Practice Act, or Title 58, Chapter 67, Utah Medical Practice Act, has reason to believe that a child is, or has been, the subject of abuse or neglect, or observes a child being subjected to conditions or circumstances that would reasonably result in abuse or neglect, the person shall immediately report the suspected abuse or neglect to the division or to the nearest peace officer or law enforcement agency.”
75. Utah State Legislature. Utah Code section 31A-22-642 (amended 2026 General Session). Checked October 30, 2026.
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    “(i) "Therapeutic care" means services provided by licensed or certified speech therapists, occupational therapists, or physical therapists. ... (E) therapeutic care. ... (a) Notwithstanding the provisions of Section 31A-22-618.5, a health benefit plan offered in the individual market or the large group market and entered into or renewed on or after January 1, 2016, and before January 1, 2020, shall provide coverage for the diagnosis and treatment of autism spectrum disorder: (i) for a child who is at least two years old, but younger than 10 years old; ... (b) Notwithstanding the provisions of Section 31A-22-618.5, a health benefit plan offered in the individual market or the large group market and entered into or renewed on or after January 1, 2020, shall provide coverage for the diagnosis and treatment of autism spectrum disorder in accordance with the requirements of this section and rules made by the commissioner. ... (b) Notwithstanding Subsection (5)(a), for a health benefit plan offered in the individual market or the large group market and entered into or renewed on or after January 1, 2020, coverage for behavioral health treatment for a person with an autism spectrum disorder may not have a limit on the number of hours covered.”
76. Centers for Medicare & Medicaid Services. Who are the MACs: A/B MAC Jurisdiction F (JF). “Contract Awardee: Noridian Healthcare Solutions, LLC , Contract Number 75FCMC25CJ010 ... JF processes FFS Medicare Part A and Part B claims for Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, Washington, and Wyoming ...” Checked October 30, 2026.
77. Utah Labor Commission. Utah Medical Fee Standard, 2026 Edition (R612-300-5(C), Restorative Services). Checked October 30, 2026.
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    “The Utah Labor Commission with the approval of the Workers’ Compensation Advisory Council has adopted the 2026 Medical Fee Standard. ... 1. The following criteria must be met before payment is allowed for restorative services: a. The patient’s condition must have the potential for restoration of function; b. The treatment must be prescribed by the treating physician; c. The treatment must be specifically targeted to the patient’s condition; and d. The provider must be in constant attendance during the providing of treatment. ... 4. Medical providers billing under CPT codes 97010 through 97150, 97161 through 97168, and 97530 through 97610 are limited to payment for a maximum of three procedures/units per visit, or six procedures/units if more than one site is treated.”
78. APTA Utah. APTA Utah (the state association's site). Checked October 30, 2026.
79. the Utah Speech-Language Hearing Association. the Utah Speech-Language Hearing Association (the state association's site). Checked October 30, 2026.
80. DrSensory. Occupational therapy clinics in Utah, 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.
81. 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 Utah, not legal, compliance, billing or financial advice. Rules change; the clinic confirms each with its source before acting on it.