For therapists

Wisconsin PT, OT and SLP guide

Who licenses OTs, PTs and SLPs in Wisconsin, whether patients need a referral, how Wisconsin Medicaid pays for children and adults, telehealth and the compacts, the business and records rules, and a launch checklist, every rule quoted from its source.

  • Sources Cited
  • Worksheet Included
  • For Clinicians

For OT, PT and SLP clinics in Wisconsin: three state boards license the disciplines, a physical therapist needs a written referral except in the cases the licensing law and the board’s rule list, Wisconsin 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

Key takeaways

  • In Wisconsin, physical therapists are licensed by the Physical Therapy Examining Board, occupational therapists by the Occupational Therapists Affiliated Credentialing Board and speech-language pathologists by the Hearing and Speech Examining Board, each under its own licensing law and rules.⁠1,4,5
  • For physical therapy, a physical therapist may practice only on the written referral of a physician, naturopathic doctor, physician assistant, chiropractor, dentist, podiatrist or advanced practice registered nurse, except for services to children with disabilities in schools under Department of Public Instruction rules, as part of a home health care agency, to a nursing home patient under the patient’s plan of care, related to athletic activities, conditioning or injury prevention, or for a previously diagnosed condition after informing the clinician who made the diagnosis; the board’s rule adds conditioning, injury prevention and application of biomechanics, and treatment of musculoskeletal injuries other than acute fractures or soft tissue avulsions, related to the work, home, leisure, recreational and educational environments.⁠2,6,7,8
  • Wisconsin Medicaid covers occupational, physical and speech therapy for children under EPSDT, and its adult coverage follows the limits in its provider manual.⁠3,9,10
  • Telehealth to a patient in Wisconsin requires authority to practice where the patient is located; the PT Compact, the OT Compact and the ASLP Interstate Compact stand as their commissions state for Wisconsin.⁠11,12,13,14,15,16,17,18,19
  • Medicare’s plan of care must be certified by a physician or nonphysician practitioner, and since January 2025 a signed order or referral on file can stand in for that signature on an initial plan delivered within 30 days of the evaluation.⁠20
  • As a Wisconsin Medicaid requirement, a provider keeps the program’s medical and financial records for at least 5 years from the date the program paid for the service. Separately, Wisconsin’s physical therapy act requires a PT to create and maintain a patient record for every patient the PT examines or treats.⁠21,22
  • The business entity is registered with the Corporation Bureau of the Wisconsin Department of Financial Institutions, and the state’s rules on who may own a therapy entity apply.⁠23,24,25
  • A child under three with a developmental delay is referred to the Birth to 3 Program, which runs separately from an outpatient clinic’s own intake.⁠26,27,28,29

Who licenses OTs, PTs and SLPs in Wisconsin?

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

DisciplineBoardLicensing law and rulesRenewal and continuing educationAssistants
Physical therapyPhysical Therapy Examining BoardWisconsin Statutes, chapter 448, subchapter III (Physical Therapy Examining Board); Wisconsin Administrative Code, chapters PT 1 to PT 10 (Physical Therapy Examining Board)Every two years, with PT and PTA licenses renewed by March 1 of each odd-numbered year; 30 hours of board-approved continuing education each two-year registration period for a PT and 20 for a PTA, 4 of them in ethics, jurisprudence or bothA PTA works under a PT’s general supervision, with face-to-face contact, which may be electronic, at least every 14 calendar days, the PT’s reassessment of each patient at least once a calendar month or every tenth treatment day, whichever is sooner, and no more than 2 full-time-equivalent PTAs under one PT⁠1,30,31,32,33,34,35
Occupational therapyOccupational Therapists Affiliated Credentialing BoardWisconsin Statutes, chapter 448, subchapter VII (Occupational Therapists Affiliated Credentialing Board); Wisconsin Administrative Code, chapters OT 1 to OT 6 (Occupational Therapists Affiliated Credentialing Board)Every two years, with OT and OTA licenses renewed by June 1 of each odd-numbered year; 24 points of continuing education in the two years before each renewal for OTs and OTAs alike, at least 12 of them through 2 or more professional development activities related to occupational therapyAn OTA practices under an OT’s close or general supervision; under general supervision the OT has direct contact with the OTA and face-to-face contact with the client by every tenth session and at least once a calendar month, and an entry-level OTA in rehabilitation, neonate, early intervention or school system services needs close supervision, with the OT’s daily contact on the premises⁠4,36,37,38,39,40,41,42
Speech-language pathologyHearing and Speech Examining BoardWisconsin Statutes, chapter 459, subchapter II (Licensure of Speech-Language Pathologists and Audiologists); Wisconsin Administrative Code, chapters HAS 6 to HAS 8 (Hearing and Speech Examining Board)Every two years, with SLP licenses expiring February 1 of each odd-numbered year; 20 hours of board-approved continuing education each two-year renewal period, at least 2 of them on ethics, with a new licensee first reporting hours at the second renewalThe licensure act does not require a license for a person who assists in the practice of speech-language pathology under the direct supervision of the speech-language pathologist⁠5,43,44,45,46,47,48,49

Physical therapists and physical therapist assistants answer to the Physical Therapy Examining Board.⁠1,30,31,32,33,34,35 Occupational therapists and occupational therapy assistants answer to the Occupational Therapists Affiliated Credentialing Board.⁠4,36,37,38,39,40,41,42 Speech-language pathologists answer to the Hearing and Speech Examining Board.⁠5,43,44,45,46,47,48,49 OTs and OTAs are licensed by the Occupational Therapists Affiliated Credentialing Board, which the statutes create in the Department of Safety and Professional Services and attach to the Medical Examining Board.⁠4,36,37,38,39,40,41,42 The Hearing and Speech Examining Board’s rules also cover hearing instrument specialist and audiologist licenses.⁠5,43,44,45,46,47,48,49 The licensure act does not require this license of a speech-language pathologist whose entire practice is a position for which the Department of Public Instruction requires licensure, other than ordering, fitting and dealing in hearing aids.⁠5,43,44,45,46,47,48,49 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 Wisconsin license renewal require?

Each board sets its own cycle and hours, listed in the table above, and the register template at the end of this page tracks them per clinician.⁠1,4,5 A renewal missed is a lapse, and the board’s own rules say what a lapsed licensee may and may not do; the clinic reads those rules before a clinician’s renewal date passes, not after.

Can a patient see a Wisconsin 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 practice only on the written referral of a physician, naturopathic doctor, physician assistant, chiropractor, dentist, podiatrist or advanced practice registered nurse, except for services to children with disabilities in schools under Department of Public Instruction rules, as part of a home health care agency, to a nursing home patient under the patient’s plan of care, related to athletic activities, conditioning or injury prevention, or for a previously diagnosed condition after informing the clinician who made the diagnosis; the board’s rule adds conditioning, injury prevention and application of biomechanics, and treatment of musculoskeletal injuries other than acute fractures or soft tissue avulsions, related to the work, home, leisure, recreational and educational environments.⁠2,6,7,8 Wisconsin Medicaid, as a payer, covers physical therapy when it is prescribed by a prescribing provider and performed by a PT, or by a PTA under a PT’s supervision.⁠2,6,7,8 For occupational therapy, the board’s standards of practice let an occupational therapist accept referrals from advanced practice nurses, chiropractors, dentists, optometrists, physical therapists, physicians, physician assistants, podiatrists, psychologists or other health care providers, send evaluation results to the referring health care provider, if any, and refer the client or request a consultation when the evaluation shows a need for another health care provider’s intervention.⁠50,51,52 Wisconsin Medicaid, as a payer, covers occupational therapy when it is prescribed by a prescribing provider and performed by an OT, or by an OTA under an OT’s supervision.⁠50,51,52 For speech-language pathology, the licensure act requires a license or a compact privilege to practice speech-language pathology in Wisconsin and defines the practice as applying principles, methods or procedures of prevention, identification, evaluation, consultation, intervention, instruction or research related to speech, language, cognition or swallowing.⁠53,54,55 Wisconsin Medicaid, as a payer, covers speech and language pathology when it is prescribed by a prescribing provider and provided by a certified speech and language pathologist or under one’s direct, on-premises supervision.⁠53,54,55

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 Wisconsin 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 Wisconsin Medicaid pay for pediatric and adult therapy?

Wisconsin Medicaid is run by the Wisconsin Department of Health Services (DHS), and a clinic enrolls through its provider enrollment route before it bills.⁠56 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.⁠57 For recipients under 21, Wisconsin Medicaid’s EPSDT benefit covers treatment to correct or ameliorate defects found in screening, including any service in the federal definition of medical assistance when the EPSDT health assessment and evaluation show it is needed, and a service covered only on that basis needs prior authorization.⁠3

BadgerCare Plus, full-coverage Medicaid for low-income Wisconsin residents from birth through age 64, lists physical and occupational therapy and speech, hearing and language disorder services among its covered services.⁠9,10 Wisconsin Medicaid requires prior authorization for physical, occupational or speech and language therapy past 35 treatment days per spell of illness, a rule that does not apply to hospital inpatients or to therapy from a home health agency. Evaluations count toward the 35 days, and unused days do not carry over into a new spell of illness.⁠58,59,60,61 Most BadgerCare Plus members get their coverage through HMOs, insurance companies that offer services from select providers. The department’s list includes Anthem Blue Cross and Blue Shield, MHS Health Wisconsin and UnitedHealthcare of Wisconsin, which cover every county, and regional plans.⁠62,63 The fee schedule is published by the agency, and a clinic reads the current file rather than a remembered rate.⁠64

Does Wisconsin Medicaid pay for therapy in schools?

Wisconsin Medicaid covers school-based speech, language, hearing and audiological services, occupational therapy and physical therapy that a school district or CESA provides, to one student or a group of 2 to 7, when prescribed (or, for speech and hearing services, prescribed or referred) by a certified provider acting within the scope of practice.⁠65 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 Wisconsin Medicaid cover therapy by telehealth?

Wisconsin Medicaid pays for a covered benefit that a certified provider delivers through interactive telehealth, and the department lists occupational, physical and speech therapy among the services members can receive by telehealth when it is functionally equivalent to an in-person visit.⁠66,67 The telehealth section below covers the state’s own rules for the session itself.

What are Wisconsin’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 Wisconsin’s occupational therapy board holds OTs and OTAs to the same standards in a telehealth visit as in person, requires technology functionally equivalent to face-to-face contact, bars a telehealth visit where the standard of care cannot be met, and requires the board’s license to treat a patient located in Wisconsin. Under the physical therapy board’s rule as amended effective July 1, 2026, the supervising PT’s reassessment of a PTA’s patient may be done by real-time telehealth with the patient’s informed consent.⁠68,69,70,71

CompactWisconsin’s statusSource
PT Compact (physical therapy)Member: the commission lists Wisconsin among its 38 member states, which its map describes as actively issuing and accepting compact privileges (October 30, 2026)The PT Compact Commission⁠12,13,14
OT Compact (occupational therapy)Member accepting applications: the commission’s Before You Apply table, which leaves out non-member states, gives May 29, 2026 as the date Wisconsin began accepting OT Compact applications (October 30, 2026)The OT Compact Commission⁠15,16
ASLP Interstate Compact (speech-language pathology and audiology)Member: the commission’s roster lists Wisconsin’s speech-language pathology delegate and its audiology seat as appointment pending, and its home page lists registration for compact privileges as open for practitioners licensed in Louisiana, Ohio, Tennessee and West Virginia, so registration is not yet open for Wisconsin (October 30, 2026)The ASLP-IC Commission⁠17,18,19

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.⁠12,13,14

Which business steps are specific to Wisconsin?

The entity is registered with the Corporation Bureau of the Wisconsin Department of Financial Institutions, and the choice of entity is shaped by the state’s rule on who may own a therapy business.⁠23 Wisconsin’s service corporation law lets one or more licensed individuals who all hold the same license, or who are all health care professionals, organize and own shares in a service corporation, and it counts as health care professionals those licensed by the Physical Therapy Examining Board, the Occupational Therapists Affiliated Credentialing Board and the Hearing and Speech Examining Board. A health care professional shareholder, other than a physician or nurse anesthetist, who may provide care not under a physician’s or nurse anesthetist’s direction and supervision must carry malpractice insurance of at least the amounts set under s. 655.23 (4).⁠24,25 State tax registration is with the Wisconsin Department of Revenue, directly or through One Stop Business Registration.⁠72 The Wisconsin Department of Revenue’s guide treats supplies a provider uses in giving a medical service as taxable purchases by the provider, since the patient’s main purpose is the service. Durable medical equipment for use in a person’s home and prosthetic devices, used for a human being, may be sold without sales tax.⁠73 A Wisconsin employer must carry worker’s compensation insurance, unless it qualifies as self-insured, once it employs three or more full-time or part-time employees, or one or more employees paid combined gross wages of $500 or more in a calendar quarter for work in Wisconsin.⁠74,75 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 Wisconsin?

As a Wisconsin Medicaid requirement, a provider keeps the program’s medical and financial records for at least 5 years from the date the program paid for the service. Separately, Wisconsin’s physical therapy act requires a PT to create and maintain a patient record for every patient the PT examines or treats.⁠21,22 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.⁠76,77

Section 146.82 keeps all patient health care records confidential, released only to the persons the section names or with the informed consent of the patient or a person the patient authorizes, and the law’s definition of health care provider includes PTs and PTAs, OTs and OTAs, and SLPs.⁠78,79 Wisconsin’s breach notification law requires an entity based in Wisconsin, or one that maintains or licenses personal information in Wisconsin, that knows personal information in its possession was acquired without authorization to make reasonable efforts to notify each subject within a reasonable time, not more than 45 days after learning of it, unless the acquisition creates no material risk of identity theft or fraud. An entity described in 45 CFR 164.104 (a) that complies with 45 CFR part 164 is exempt.⁠80,81 Wisconsin’s child abuse reporting law names physical therapists, physical therapist assistants, occupational therapists and speech-language pathologists among the professionals who must report when they have reasonable cause to suspect that a child seen in the course of professional duties has been abused or neglected, by immediately informing, by telephone or personally, the county department (in a county of 750,000 or more people, the department or a licensed child welfare agency under contract with it) or the sheriff or local police department.⁠82,83

Which Wisconsin rules shape a pediatric clinic?

The Birth to 3 Program is Wisconsin’s early intervention program under Part C of IDEA, for children under 3 with delays or disabilities. Each county provides it, and a health care provider or other primary referral source who has reasonable cause to believe a child has a developmental delay, or a diagnosed condition with a high probability of causing one, must refer the child for an evaluation no more than 2 working days after identifying the child.⁠26,27,28,29 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. Wisconsin requires every disability insurance policy, and every self-insured health plan of the state or a county, city, town, village or school district, to cover treatment of autism spectrum disorder that a physician prescribes and qualified providers deliver, speech-language pathologists and occupational therapists among them, with at least $50,000 a year for intensive-level services (30 to 35 hours of care a week for at least 4 years) and $25,000 a year for nonintensive-level services, amounts adjusted each year for medical-care inflation. Deductibles, coinsurance and copayments may apply, but limits on the number of treatment visits may not.⁠84 The autism insurance mandates guide covers how such a mandate meets a plan’s own terms.

Which Wisconsin rules shape an adult clinic?

Medicare claims from Wisconsin go to National Government Services, Inc., the Medicare Administrative Contractor for Jurisdiction 6, Parts A and B (Illinois, Minnesota and Wisconsin), whose local coverage articles for therapy are the ones a Wisconsin clinic reads.⁠85 Wisconsin Medicaid’s adult therapy rules are in the Medicaid section above.

Which associations and directory pages serve Wisconsin?

The state chapters are APTA Wisconsin for physical therapy, the Wisconsin Occupational Therapy Association for occupational therapy and the Wisconsin Speech-Language Pathology and Audiology Association for speech-language pathology.⁠86,87,88 On DrSensory, families browse Wisconsin 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.⁠89

Which Wisconsin cities have DrSensory city pages?

Beyond its three Wisconsin pages, the directory publishes city pages for 2 Wisconsin cities, 6 pages across the three disciplines, each listing the clinics whose address is in that city; a clinic appears on the city page of its address without any action of its own, and a city or discipline without a page is reached through the state page.⁠89

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

DrSensory lists 47 PT, OT and SLP clinics in Wisconsin, on its occupational therapy, physical therapy and speech therapy pages for the state.⁠89

Is your clinic one of the 47?

An unclaimed listing shows what public records hold: the name, address, phone and therapy. A claimed listing carries the Claimed and verified badge and the clinic’s own name, address, phone, hours, website, therapies, ages served and insurance accepted, corrected in the clinic’s own editor.

Claiming starts with finding the listing and confirming the clinic’s email with a six-digit code. Claiming is free. Nothing is charged. The subscription, the one paid tier, adds a description, photos, clinicians, reviews and family messages, at $349.99 a year or $29.99 a month for the first location.

Claim your listingSee the pricing

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

RequirementWhere it comes fromWhat the clinic doesSource
A license for each clinicianPhysical Therapy Examining Board, Occupational Therapists Affiliated Credentialing Board, Hearing and Speech Examining BoardVerify every license on the board’s site and enter its renewal date in the register1,4,5,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49
Referral or direct accessThe licensing law for each disciplineSet the intake rule per discipline; keep the payer’s rule beside it2,6,7,8,50,51,52,53,54,55
Medicaid enrollment and coverageThe Wisconsin Department of Health Services (DHS)Enroll, read the provider manual’s therapy sections, note who issues authorizations3,56
Medicare plan of care42 CFR 424.24Certify every plan, or hold the signed order or referral on file with the plan delivered within 30 days20
Telehealth across a state lineThe patient’s state and the compactsConfirm the patient’s location each session; hold a license or a privilege there11,12,13,14
The business entityThe Corporation Bureau of the Wisconsin Department of Financial InstitutionsChoose the entity the state’s law allows and register it23,24,25
Record retentionState law, Medicare and HIPAAKeep the longest period that applies21,22,76

Which templates does a Wisconsin launch need?

Wisconsin launch checklist. Each line names its source so the clinic can re-read the rule when it changes.

  • Physical therapy licenses verified with the Physical Therapy Examining Board; renewal dates and continuing-education hours entered in the register
  • Occupational therapy licenses verified with the Occupational Therapists Affiliated Credentialing Board; the same
  • Speech-language pathology licenses verified with the Hearing and Speech Examining Board; the same
  • The intake rule for referrals set per discipline from the licensing law, with the payer’s rule beside it
  • Wisconsin Medicaid enrollment filed; the provider manual’s therapy sections and who issues authorizations noted
  • Medicare enrollment and the plan-of-care routine in place
  • Telehealth: the patient-location check at every session; licenses or compact privileges for every state served
  • The entity registered with the Corporation Bureau of the Wisconsin Department of Financial Institutions; the ownership rule read
  • The state’s sales-tax rule on services and on goods sold to patients read; a seller’s permit where the clinic sells goods
  • Record retention set to the longest period that applies
  • The early-intervention and school pathways known to intake, with the referral routes
  • The Medicare contractor’s therapy articles bookmarked
  • The state association memberships decided

License and renewal register. One line per clinician.

  • Clinician: [their name]
  • Discipline and board: [physical therapy, occupational therapy or speech-language pathology; the board]
  • License number: [as the board lists it]
  • Renewal date: [the date]
  • Continuing-education hours due and completed: [hours due by the board’s rule; hours completed to date]
  • Compact privileges held: [the states and the privilege numbers, if any]
  • Checked on the board’s site: [the date and by whom]

Payer register. One line per payer the clinic bills.

  • Payer: [Wisconsin Medicaid, a managed care plan, Medicare through National Government Services, Inc., a commercial plan]
  • Enrollment or contract status and effective date: [the status; the date]
  • Referral rule: [what the payer requires]
  • Authorization rule and who issues it: [what needs authorization; who issues it]
  • Telehealth rule: [covered services and modifiers]
  • Fee schedule location and date read: [where; when]
  • Owner: [who keeps this line current]

How might two Wisconsin clinics plan a launch?

A pediatric occupational therapy clinic in Milwaukee. Hypothetical; a planning exercise, not a claim about demand in Milwaukee.

  • Licensing: the owner and one occupational therapy assistant are verified with the Occupational Therapists Affiliated Credentialing Board; the assistant’s supervision rule from the board goes into the staffing plan.
  • Referrals: the licensing law’s rule for occupational therapy sets the intake script; Wisconsin Medicaid’s referral and authorization rules sit beside it, since most of the first families are enrolled through a managed care plan.
  • Medicaid: enrollment is filed before the first family is scheduled, and the program’s authorization rule for children, quoted above, is written into the scheduling routine.
  • Early intervention: families with children under three are told how the referral to the Birth to 3 Program works and that the clinic’s services run beside it.
  • Records: the chart policy is set on day one at or above the longest retention period that applies.

An adult physical therapy clinic in Madison. Hypothetical; a planning exercise, not a claim about demand in Madison.

  • Licensing: two physical therapists verified with the Physical Therapy Examining Board; one holds a PT Compact privilege for a neighboring state, which the telehealth policy records.
  • Referrals: the licensing law’s referral rule sets the intake script; Medicare’s plan-of-care routine is written before the first Medicare patient, with the signed order or referral held on file where the referring practitioner sends one.
  • Medicare: enrollment through National Government Services, Inc.; the contractor’s therapy articles are read for the codes the clinic bills.
  • Telehealth: the patient-location check is part of every video session’s note; a patient who travels out of state is seen only where the clinic holds authority.
  • Business: the entity is registered with the Corporation Bureau of the Wisconsin Department of Financial Institutions in the form the state’s law allows, and the local business license is filed with the city.

Frequently asked questions

Can I practice in Wisconsin on a compact privilege from another state?

Only as the compact’s commission states for Wisconsin: the table above gives each compact’s status, and a privilege is issued for a specific member state under that state’s licensing law, not as a national license.⁠12,13,14,15,16,17,18,19

Does Wisconsin Medicaid cover therapy for adults?

Within its own rules: the provider manual sets what is covered for adults, with the limits and authorization requirements quoted in the Medicaid section, while children’s coverage runs under EPSDT.⁠9,10,57

Do patients in Wisconsin need a referral before therapy?

The licensing law answers per discipline and the referral section quotes each rule; a payer may still require a referral or a certified plan of care the law does not, so the intake script carries both rules.⁠2,6,7,8,20

Can I treat a Wisconsin patient by telehealth from another state?

Only with authority to practice in Wisconsin, since licensure follows the patient’s location; a compact privilege is one route where the compact is live for the state.⁠11,12,13,14

How long must a Wisconsin clinic keep therapy records?

For Wisconsin Medicaid services, at least 5 years from the date the program paid for the service, under DHS 106.02 (9) (e) 2. The physical therapy act also requires a PT to create and maintain a record for every patient examined or treated.⁠21,22 Medicare’s 7-year and HIPAA’s 6-year rules cover other documents and do not shorten it.⁠76,77

Which entity can a Wisconsin therapy clinic form?

An entity filed with the Corporation Bureau of the Department of Financial Institutions, such as a corporation or limited liability company. Under Wisconsin’s service corporation law, PTs, OTs and SLPs may also organize a service corporation, alone or with other health care professionals.⁠24,25 Registration with the Corporation Bureau of the Wisconsin Department of Financial Institutions follows the choice.⁠23

How is a young child referred to early intervention in Wisconsin?

Through the Birth to 3 Program, which each Wisconsin county provides under the Department of Health Services. Refer a child through the county program’s primary point of referral, listed on the department’s Birth to 3 Program contacts page, no more than 2 working days after identifying a child you have reasonable cause to believe has a developmental delay.⁠26,27,28,29

Where do families find Wisconsin therapy clinics on DrSensory?

On the state’s occupational therapy, physical therapy and speech therapy pages and on the city pages listed above, built from the clinic addresses the directory holds; a clinic’s listing appears on the pages of its own address, and a paid listing adds the clinic’s own description, hours and specialties.⁠89,90

Sources

  1. Wisconsin Department of Safety and Professional Services. Physical Therapy Examining Board. Checked October 30, 2026.
  2. Wisconsin State Legislature. 2023-24 Wisconsin Statutes (published October 1, 2026), s. 448.56, Practice requirements. Checked October 30, 2026.
    Show the passageHide the passage
    “(1) Written referral. Except as provided in this subsection and s. 448.52, a person may practice physical therapy only upon the written referral of a physician, naturopathic doctor, physician assistant, chiropractor, dentist, podiatrist, or advanced practice registered nurse. Written referral is not required if a physical therapist provides services in schools to children with disabilities, as defined in s. 115.76 (5), pursuant to rules promulgated by the department of public instruction; provides services as part of a home health care agency; provides services to a patient in a nursing home pursuant to the patient’s plan of care; provides services related to athletic activities, conditioning, or injury prevention; or provides services to an individual for a previously diagnosed medical condition after informing the individual’s physician, naturopathic doctor, physician assistant, chiropractor, dentist, podiatrist, or advanced practice registered nurse who made the diagnosis. The examining board may promulgate rules establishing additional services that are excepted from the written referral requirements of this subsection.”
  3. Wisconsin State Legislature. Wisconsin Administrative Code, s. DHS 107.22, Early and periodic screening, diagnosis and treatment (EPSDT) services. Checked October 30, 2026.
    Show the passageHide the passage
    “(1) Covered services. Early and periodic screening and diagnosis to ascertain physical and mental defects, and the provision of treatment as provided in sub. (4) to correct or ameliorate the defects shall be covered services for all recipients under 21 years of age ... (4) Other needed services. In addition to diagnostic and treatment services covered by Wisconsin MA under applicable provisions of this chapter, any services described in the definition of “medical assistance” under federal law, 42 USC 1396d (a), when provided to EPSDT patients, are covered if the EPSDT health assessment and evaluation indicates that they are needed. Prior authorization under s. DHS 107.02 (3) is required for coverage of services under this subsection.”
  4. Wisconsin Department of Safety and Professional Services. Occupational Therapists Affiliated Credentialing Board. Checked October 30, 2026.
  5. Wisconsin Department of Safety and Professional Services. Hearing and Speech Examining Board. Checked October 30, 2026.
  6. Wisconsin State Legislature. Wisconsin Administrative Code, s. PT 6.01, Referrals. Checked October 30, 2026.
    Show the passageHide the passage
    “(1) In addition to the services excepted from written referral under s. 448.56, Stats., a written referral is not required to provide the following services, related to the work, home, leisure, recreational and educational environments: (a) Conditioning. (b) Injury prevention and application of biomechanics. (c) Treatment of musculoskeletal injuries with the exception of acute fractures or soft tissue avulsions.”
  7. Wisconsin State Legislature. 2023-24 Wisconsin Statutes (published October 1, 2026), s. 448.56, Practice requirements. “(a) A physical therapist shall refer a patient to an appropriate health care practitioner if the physical therapist has reasonable cause to believe that symptoms or conditions are present that require services beyond the scope of the practice of physical therapy.” Checked October 30, 2026.
  8. Wisconsin State Legislature. Wisconsin Administrative Code, s. DHS 107.16, Physical therapy (Medical Assistance covered services). Checked October 30, 2026.
    Show the passageHide the passage
    “(a) General. Covered physical therapy services are those medically necessary modalities, procedures and evaluations enumerated in pars. (b) to (d), when prescribed by a prescribing provider and performed by a qualified physical therapist (PT) or a certified physical therapy assistant under the supervision of a physical therapist pursuant to s. PT 5.01.”
  9. Wisconsin Department of Health Services. BadgerCare Plus: Full Coverage Medicaid (last revised August 31, 2026). “BadgerCare Plus is full coverage Medicaid It helps Wisconsinites age 0–64 who have low-income.” Checked October 30, 2026.
  10. Wisconsin Department of Health Services. BadgerCare Plus: Covered Services and Copays (last revised August 13, 2026). “BadgerCare Plus covers: ... Physical and occupational therapy. ... Speech, hearing, and language disorder services.” Checked October 30, 2026.
  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) ... Washington West Virginia Wisconsin Enacted Legislation (3)” Checked October 30, 2026.
  13. PT Compact Commission. PT Compact Map. “38 Member States Actively Issuing and Accepting Compact Privileges ...” Checked October 30, 2026.
  14. Wisconsin State Legislature. 2023-24 Wisconsin Statutes (published October 1, 2026), s. 448.985, Physical therapy licensure compact. Checked October 30, 2026.
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    “(a) The purpose of this compact is to facilitate interstate practice of physical therapy with the goal of improving public access to physical therapy services. The practice of physical therapy occurs in the state where the patient/client is located at the time of the patient/client encounter. The compact preserves the regulatory authority of states to protect public health and safety through the current system of state licensure.”
  15. Occupational Therapy Compact Commission. Before You Apply for an OT Compact Privilege. “States not listed below are not a member of the Occupational Therapy Compact. ... State Accepting OTC Applications? ... Wisconsin May 29, 2026 ...” Checked October 30, 2026.
  16. Wisconsin State Legislature. 2023-24 Wisconsin Statutes (published October 1, 2026), s. 448.987, Occupational therapy licensure compact. “(1) Purpose. The purpose of this compact is to facilitate interstate practice of occupational therapy with the goal of improving public access to occupational therapy services.” Checked October 30, 2026.
  17. Audiology and Speech-Language Pathology Interstate Compact Commission. Delegate Information. “Member State Appointed Delegates ... Wisconsin Audiology Appointment Pending Wisconsin SLP Catherine Kanter ...” Checked October 30, 2026.
  18. Audiology and Speech-Language Pathology Interstate Compact Commission. ASLP-IC Home. “Registration for compact privileges to practice is open for licensed practitioners in Louisiana, Ohio, Tennessee, and West Virginia.” Checked October 30, 2026.
  19. Wisconsin State Legislature. 2023-24 Wisconsin Statutes (published October 1, 2026), s. 459.70, Audiology and speech-language pathology interstate compact. “(a) The purpose of this compact is to facilitate interstate practice of audiology and speech-language pathology with the goal of improving public access to audiology and speech-language pathology services.” Checked October 30, 2026.
  20. Code of Federal Regulations. 42 CFR 424.24, Requirements for medical and other health services furnished by providers under Medicare Part B (eCFR, up to date as of October 22, 2026; paragraph (c), outpatient physical therapy, occupational therapy and speech-language pathology services). Checked October 26, 2026.
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    “The individual needs, or needed, physical therapy, occupational therapy, or speech-language pathology services.”; “The services were furnished while the individual was under the care of a physician, nurse practitioner, clinical nurse specialist, or physician assistant.”; “The initial certification must be obtained as soon as possible after the plan is established.”; “Recertification is required at least every 90 days.”; “When it is recertified, the plan or other documentation in the patient’s record must indicate the continuing need for physical therapy, occupational therapy or speech-language pathology services.”; “the therapist has documented evidence that the plan of treatment has been delivered to the physician, NP, PA, or CNS within 30 days of completion of the initial evaluation, the certification does not need to be signed by a physician, NP, CNS, or PA who has knowledge of the case.”; “No references to an order or referral in this subsection shall be construed to require an order or referral for outpatient physical therapy, occupational therapy, or speech-language pathology services.”.
  21. Wisconsin State Legislature. Wisconsin Administrative Code, s. DHS 106.02 (9), Medical and financial recordkeeping and documentation (Medical Assistance providers). Checked October 30, 2026.
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    “2. All records under pars. (a) to (d) shall be retained by a provider for a period of not less than 5 years, except that a rural health clinic provider shall retain the records for not less than 6 years. This period shall begin on the date on which the provider received payment from the program for the service to which the records relate.”
  22. Wisconsin State Legislature. 2023-24 Wisconsin Statutes (published October 1, 2026), s. 448.56, Practice requirements. “(5) Patient records. A physical therapist shall create and maintain a patient record for every patient the physical therapist examines or treats.” Checked October 30, 2026.
  23. Wisconsin Department of Financial Institutions. DFI Business Entity General Information. Checked October 30, 2026.
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    “The Corporation Bureau of the Division of Corporate & Consumer Services at the Department of Financial Institutions is the filing office for the organizational instruments to create corporations, limited partnerships, limited liability partnerships, and limited liability companies, as well as documents to amend those charters in some respect or other.”
  24. Wisconsin State Legislature. 2023-24 Wisconsin Statutes (published October 1, 2026), s. 180.1903, Formation of service corporation. Checked October 30, 2026.
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    “(1) Except as provided in sub. (1m), one or more natural persons licensed, certified, or registered pursuant to any provisions of the statutes, if all have the same license, certificate, or registration or if all are health care professionals, may organize and own shares in a service corporation. ... (4) Each health care professional, other than a physician or nurse anesthetist, who is a shareholder of a service corporation and who has the authority to provide health care services that are not under the direction and supervision of a physician or nurse anesthetist shall carry malpractice insurance that provides coverage of not less than the amounts established under s. 655.23 (4).”
  25. Wisconsin State Legislature. 2023-24 Wisconsin Statutes (published October 1, 2026), s. 180.1901, Definitions. Checked October 30, 2026.
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    “(1m) “Health care professional” means an individual who is licensed, registered or certified by any of the following: ... (bg) Physical therapy examining board under subch. III of ch. 448. ... (bu) Occupational therapists affiliated credentialing board under subch. VII of ch. 448. ... (g) Hearing and speech examining board under subch. II of ch. 459.”
  26. Wisconsin Department of Health Services. Birth to 3 Program (last revised February 24, 2026). Checked October 30, 2026.
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    “The Wisconsin Birth to 3 Program is an early intervention special education program. It helps children under the age of 3 who have delays or disabilities. ... In Wisconsin, early intervention is known as the Birth to 3 Program. This type of program is required by the federal government under Part C of the Individuals with Disabilities Education Act (IDEA).”
  27. Wisconsin Department of Health Services. Birth to 3 Program: Contact Us (last revised August 10, 2026). “Each Wisconsin county provides Birth to 3 program services to eligible children and their families. ... Primary Point of Referral In charge of all referrals into the program.” Checked October 30, 2026.
  28. Wisconsin State Legislature. Wisconsin Administrative Code, s. DHS 90.07, Identification and referral. Checked October 30, 2026.
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    “(b) The informed referral network shall be made up of all primary referral sources. Primary referral sources include but are not limited to: ... 3. Health care providers such as neonatal intensive care units, perinatal follow-through clinics, hospitals, physicians, public health agencies and facilities, and rehabilitation agencies and facilities; ... (b) If the primary referral source has reasonable cause to believe that a child has a diagnosed physical or mental condition which has a high probability of resulting in a developmental delay or has a developmental delay, the primary referral source shall refer the child for an evaluation. The primary referral source shall ensure that referral for evaluation is made no more than 2 working days after a child has been identified.”
  29. Wisconsin State Legislature. Wisconsin Administrative Code, s. DHS 90.11, Individualized family service plan. Checked October 30, 2026.
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    “(c) Communication services. Communication services, also called speech and language services, to include: ... (i) Occupational therapy services. Occupational therapy services that address the functional needs of a child related to the performance of self-help skills or to adaptive development, and to adaptive behavior and play, and sensory, motor and postural development. ... (j) Physical therapy. Physical therapy services to promote sensorimotor functions through the enhancement of musculoskeletal status, neurobehavioral organization, perceptual and motor development, cardiopulmonary status and effective environmental adaption.”
  30. Wisconsin State Legislature. 2023-24 Wisconsin Statutes (published October 1, 2026), s. 15.405 (7r), Physical therapy examining board. “(7r) Physical therapy examining board. There is created in the department of safety and professional services a physical therapy examining board consisting of the following members appointed for staggered 4-year terms ...” Checked October 30, 2026.
  31. Wisconsin State Legislature. 2023-24 Wisconsin Statutes (published October 1, 2026), s. 440.08 (2) (a), Renewal dates. Checked October 30, 2026.
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    “(a) Except as provided in par. (b) and in ss. 440.51, 442.04, 444.03, 444.11, 447.04 (2) (c) 2., 447.05 (1) (b), 449.17 (1m) (d), 449.18 (2) (e), 455.06 (1) (b), 463.10, 463.12, and 463.25 and subch. II of ch. 448, the renewal dates for credentials are as follows: ... 57. Physical therapist: March 1 of each odd-numbered year. 57m. Physical therapist assistant: March 1 of each odd-numbered year.”
  32. Wisconsin State Legislature. Wisconsin Administrative Code, ch. PT 8, Biennial License Renewal (ss. PT 8.02 and 8.05). Checked October 30, 2026.
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    “PT 8.02 Renewal required; method of renewal. Each licensee shall renew his or her license biennially with the department. ... A license shall expire if it is not renewed by March 1 of each odd-numbered year, except for temporary licenses granted pursuant to ch. PT 3.”
  33. Wisconsin State Legislature. Wisconsin Administrative Code, s. PT 9.03, Continuing education requirements. Checked October 30, 2026.
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    “(1) Unless granted a postponement or waiver under sub. (8), every physical therapist shall complete at least 30 hours of board-approved continuing education in each biennial registration period, as specified in s. 448.55 (3), Stats. Four of the required 30 hours shall be in the area of ethics, jurisprudence, or both. (2) Unless granted a postponement or waiver under sub. (8), every physical therapist assistant shall complete at least 20 hours of board-approved continuing education in each biennial registration period, as specified in s. 448.55 (3), Stats. Four of the required 20 hours shall be in the area of ethics, jurisprudence, or both.”
  34. Wisconsin State Legislature. Wisconsin Administrative Code, s. PT 5.01, Practice and supervision of physical therapist assistants (as amended effective July 1, 2026). Checked October 30, 2026.
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    “(1) A physical therapist assistant shall assist a physical therapist in the practice of physical therapy under the general supervision of a physical therapist. ... (b) Have direct face-to-face contact with the physical therapist assistant at least every 14 calendar days. Electronic face-to-face communications may be used to fulfill this requirement. ... (h) Provide assessment and reevaluation of each patient at a minimum of one time per calendar month or every tenth treatment day, whichever is sooner, and adjust the treatment plan as appropriate. ... No physical therapist may at any time supervise more than 2 physical therapist assistants full-time equivalents practicing under general supervision.”
  35. Wisconsin State Legislature. 2023-24 Wisconsin Statutes (published October 1, 2026), s. 448.56, Practice requirements. “(6) Physical therapist assistants. A physical therapist assistant may assist a physical therapist in the practice of physical therapy if the physical therapist provides direct or general supervision of the physical therapist assistant.” Checked October 30, 2026.
  36. Wisconsin State Legislature. 2023-24 Wisconsin Statutes (published October 1, 2026), s. 15.406 (5), Occupational therapists affiliated credentialing board. Checked October 30, 2026.
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    “(5) Occupational therapists affiliated credentialing board. There is created in the department of safety and professional services, attached to the medical examining board, an occupational therapists affiliated credentialing board consisting of the following members appointed for 4-year terms ...”
  37. Wisconsin State Legislature. 2023-24 Wisconsin Statutes (published October 1, 2026), s. 448.96, Definitions. Checked October 30, 2026.
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    “(4) “Occupational therapist” means an individual who is licensed by the affiliated credentialing board to practice occupational therapy ... (6) “Occupational therapy assistant” means an individual who is licensed by the affiliated credentialing board to assist in the practice of occupational therapy under the supervision of an occupational therapist ...”
  38. Wisconsin State Legislature. 2023-24 Wisconsin Statutes (published October 1, 2026), s. 440.08 (2) (a), Renewal dates. Checked October 30, 2026.
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    “(a) Except as provided in par. (b) and in ss. 440.51, 442.04, 444.03, 444.11, 447.04 (2) (c) 2., 447.05 (1) (b), 449.17 (1m) (d), 449.18 (2) (e), 455.06 (1) (b), 463.10, 463.12, and 463.25 and subch. II of ch. 448, the renewal dates for credentials are as follows: ... 52. Occupational therapist: June 1 of each odd-numbered year. 53. Occupational therapy assistant: June 1 of each odd-numbered year.”
  39. Wisconsin State Legislature. Wisconsin Administrative Code, s. OT 3.02, Renewal required; method of renewal. Checked October 30, 2026.
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    “OT 3.02 Renewal required; method of renewal. Each licensee shall renew biennially with the board. Each licensee shall submit a completed renewal application and the required renewal fee to the department by the date specified in s. 440.08 (2) (a) 52. or 53., Stats., as applicable.”
  40. Wisconsin State Legislature. Wisconsin Administrative Code, s. OT 3.06, Continuing education. Checked October 30, 2026.
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    “(1) Each holder of a license as an occupational therapist shall, at the time of applying for renewal of the license, certify that the licensee has completed at least 24 points of acceptable continuing education during the 2-year period immediately preceding the renewal date under s. 440.08 (2) (a) 52., Stats. (2) Each holder of a license as an occupational therapy assistant shall, at the time of applying for renewal of the license, certify that the licensee has completed at least 24 points of acceptable continuing education during the 2-year period immediately preceding the renewal date under s. 440.08 (2) (a) 53., Stats. (3) At least 12 points of the continuing education required under subs. (1) and (2) shall be accumulated through 2 or more professional development activities listed under Table OT 3.06 that are related to occupational therapy.”
  41. Wisconsin Department of Safety and Professional Services. Occupational Therapist. “1 continuing education point equals 1 hour.” Checked October 30, 2026.
  42. Wisconsin State Legislature. Wisconsin Administrative Code, s. OT 4.04, Supervision and practice of occupational therapy assistants. Checked October 30, 2026.
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    “(1) An occupational therapy assistant must practice under the supervision of an occupational therapist. ... (2) Supervision of an occupational therapy assistant by an occupational therapist shall be either close or general. ... (3) When close supervision is required, the supervising occupational therapist shall have daily contact on the premises with the occupational therapy assistant. ... (ah) When general supervision is allowed, the supervising occupational therapist shall, except as provided under par. (ap), have direct contact with the occupational therapy assistant and face-to-face contact with the client by every tenth session of occupational therapy and no less than once per calendar month. ... (5) Close supervision is required for all rehabilitation, neonate, early intervention, and school system services provided by an entry level occupational therapy assistant.”
  43. Wisconsin State Legislature. 2023-24 Wisconsin Statutes (published October 1, 2026), s. 15.405 (6m), Hearing and speech examining board. “(6m) Hearing and speech examining board. There is created a hearing and speech examining board in the department of safety and professional services consisting of the following members appointed for 4-year terms ...” Checked October 30, 2026.
  44. Wisconsin State Legislature. Wisconsin Administrative Code, s. HAS 7.04, Failure to renew. “A licensee who fails to renew a license by the applicable renewal date shall not practice as a hearing instrument specialist, speech-language pathologist or audiologist.” Checked October 30, 2026.
  45. Wisconsin State Legislature. 2023-24 Wisconsin Statutes (published October 1, 2026), s. 459.22, Applicability. Checked October 30, 2026.
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    “(f) Require an individual to be licensed under this subchapter to engage in the practice of speech-language pathology or audiology, other than engaging in the practice of ordering, fitting, and dealing in hearing aids, in a position for which the department of public instruction requires licensure as a speech and language pathologist or audiologist, if the individual’s entire practice of speech-language pathology or audiology, other than engaging in the practice of ordering, fitting, and dealing in hearing aids, is limited to the duties of that position.”
  46. Wisconsin State Legislature. 2023-24 Wisconsin Statutes (published October 1, 2026), s. 440.08 (2) (a), Renewal dates. Checked October 30, 2026.
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    “(a) Except as provided in par. (b) and in ss. 440.51, 442.04, 444.03, 444.11, 447.04 (2) (c) 2., 447.05 (1) (b), 449.17 (1m) (d), 449.18 (2) (e), 455.06 (1) (b), 463.10, 463.12, and 463.25 and subch. II of ch. 448, the renewal dates for credentials are as follows: ... 68v. Speech-language pathologist: February 1 of each odd-numbered year.”
  47. Wisconsin State Legislature. Wisconsin Administrative Code, s. HAS 7.02, Licenses. “Except as provided in s. 459.24 (6), Stats., speech-language pathologist and audiologist licenses granted under ss. 459.24 and 459.28, Stats., expire on February 1 of each odd-numbered year.” Checked October 30, 2026.
  48. Wisconsin State Legislature. Wisconsin Administrative Code, s. HAS 8.03, Continuing education. Checked October 30, 2026.
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    “(1) Except as provided in sub. (6), hearing instrument specialists, audiologists and speech-language pathologists shall complete at least 20 hours of board approved continuing education programs or courses of study which pertain to the practice of fitting and dealing in hearing instruments, audiology or speech-language pathology, as appropriate, in each biennial renewal period. Of the 20 required hours, at least 2 hours shall relate to ethics. ... (6) A new licensee is not required to report continuing education hours until the second renewal date following the initial grant of his or her license.”
  49. Wisconsin State Legislature. 2023-24 Wisconsin Statutes (published October 1, 2026), s. 459.22, Applicability. “(2) This subchapter does not do any of the following: ... (e) Require an individual to be licensed under this subchapter to assist in the practice of speech-language pathology or audiology under the direct supervision of the speech-language pathologist or audiologist.” Checked October 30, 2026.
  50. Wisconsin State Legislature. Wisconsin Administrative Code, s. OT 4.03, Standards of practice. Checked October 30, 2026.
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    “(2) Referrals. Referrals may be accepted from advanced practice nurses, chiropractors, dentists, optometrists, physical therapists, physicians, physician assistants, podiatrists, psychologists, or other health care providers. ... (f) Evaluation results shall be communicated to the referring health care provider, if any, and to the appropriate persons in the facility and community. ... (g) If the results of the evaluation indicate areas that require intervention by other health care providers, the individual shall be appropriately referred or an appropriate consultation shall be requested.”
  51. Wisconsin State Legislature. 2023-24 Wisconsin Statutes (published October 1, 2026), s. 448.96, Definitions. Checked October 30, 2026.
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    “(5) “Occupational therapy” means the therapeutic use of purposeful and meaningful occupations to evaluate and treat individuals of all ages who have a disease, disorder, impairment, activity limitation or participation restriction that interferes with their ability to function independently in daily life roles and environments and to promote health and wellness.”
  52. Wisconsin State Legislature. Wisconsin Administrative Code, s. DHS 107.17, Occupational therapy (Medical Assistance covered services). Checked October 30, 2026.
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    “(1) Covered services. Covered occupational therapy services are the following medically necessary services when prescribed by a prescribing provider, in accordance with s. 49.46 (2) (a) 4. or (2) (b) 6., Stats., and performed by a certified occupational therapist (OT) or by a certified occupational therapist assistant under the direct, immediate, on-premises supervision of a certified occupational therapist ...”
  53. Wisconsin State Legislature. 2023-24 Wisconsin Statutes (published October 1, 2026), s. 459.24, Licensure. Checked October 30, 2026.
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    “(a) Engage in the practice of speech-language pathology or use the title “speech-language pathologist” or any similar title unless the person holds a current speech-language pathologist license granted by the examining board under sub. (2) or (6) (a) or holds a valid compact privilege.”
  54. Wisconsin State Legislature. 2023-24 Wisconsin Statutes (published October 1, 2026), s. 459.20, Definitions. Checked October 30, 2026.
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    “(5) “Speech-language pathology” means applying principles, methods or procedures of prevention, identification, evaluation, consultation, intervention, instruction or research related to speech, language, cognition or swallowing or any abnormal condition involving speech, articulation, fluency, voice, verbal or written language, auditory comprehension, cognition or communication or oral, pharyngeal or laryngeal sensorimotor competencies.”
  55. Wisconsin State Legislature. Wisconsin Administrative Code, s. DHS 107.18, Speech and language pathology services (Medical Assistance covered services). Checked October 30, 2026.
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    “(a) General. Covered speech and language pathology services are those medically necessary diagnostic, screening, preventive or corrective speech and language pathology services prescribed by a prescribing provider and provided by a certified speech and language pathologist or under the direct, immediate on-premises supervision of a certified speech and language pathologist.”
  56. Wisconsin Department of Health Services (ForwardHealth). Enrollment Criteria. Checked October 30, 2026.
  57. 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.”.
  58. Wisconsin State Legislature. Wisconsin Administrative Code, s. DHS 107.16, Physical therapy (Medical Assistance covered services). Checked October 30, 2026.
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    “(b) Requirement. Prior authorization is required under this subsection for physical therapy services provided to an MA recipient in excess of 35 treatment days per spell of illness, except that physical therapy services provided to an MA recipient who is a hospital inpatient or who is receiving physical therapy services provided by a home health agency are not subject to prior authorization under this subsection.”
  59. Wisconsin State Legislature. Wisconsin Administrative Code, s. DHS 107.17, Occupational therapy (Medical Assistance covered services). Checked October 30, 2026.
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    “(b) Requirement. Prior authorization is required under this subsection for occupational therapy services provided to an MA recipient in excess of 35 treatment days per spell of illness, except that occupational therapy services provided to an MA recipient who is a hospital inpatient or who is receiving occupational therapy services provided by a home health agency are not subject to prior authorization under this subsection.”
  60. Wisconsin State Legislature. Wisconsin Administrative Code, s. DHS 107.18, Speech and language pathology services (Medical Assistance covered services). Checked October 30, 2026.
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    “(b) Requirement. Prior authorization is required under this subsection for speech and language pathology services provided to an MA recipient in excess of 35 treatment days per spell of illness, except that speech and language pathology services provided to an MA recipient who is a hospital inpatient or who is receiving speech therapy services provided by a home health agency are not subject to prior authorization under this subsection.”
  61. Wisconsin State Legislature. Wisconsin Administrative Code, s. DHS 107.16, Physical therapy (Medical Assistance covered services). Checked October 30, 2026.
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    “(d) Evaluations. Evaluations shall be covered services. The need for an evaluation or re-evaluation shall be documented in the plan of care. Evaluations shall be counted toward the 35-day per spell of illness prior authorization threshold. ... (f) Non-transferability of treatment days. Unused treatment days from one spell of illness may not be carried over into a new spell of illness.”
  62. Wisconsin Department of Health Services. BadgerCare Plus: Member Information (last revised June 24, 2026). Checked October 30, 2026.
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    “Most people who get BadgerCare Plus get it through HMOs (health maintenance organizations). These are insurance companies that offer services from select providers. You can choose an HMO from the packet and letter we send you. If you do not choose an HMO by the due date, we pick one for you.”
  63. Wisconsin Department of Health Services. BadgerCare Plus: Member Information (last revised June 24, 2026). Checked October 30, 2026.
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    “Find an Anthem Blue Cross and Blue Shield provider Phone: 855-690-7800 (711 for Teletypewriter (TTY)) Counties: All ... Find an MHS Health Wisconsin provider Phone: 888-713-6180 (800-947-3529 for TTY) Counties: All ... Find a UnitedHealthcare of Wisconsin provider Phone: 800-504-9660 (711 for TTY) Counties: All ...”
  64. Wisconsin Department of Health Services (ForwardHealth). Max Fee Home. Checked October 30, 2026.
  65. Wisconsin State Legislature. Wisconsin Administrative Code, s. DHS 107.36, School-based services. Checked October 30, 2026.
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    “1. School-based services covered by the MA program are services described in this section that are provided by a school district or CESA. ... (b) Speech, language, hearing and audiological services. Speech, language, hearing and audiological services for a member with a speech, language or hearing disorder that adversely affects the individual’s functioning are covered school-based services. ... The services may be delivered to an individual or to a group of 2 to 7 individuals. These services must be prescribed or referred by a provider certified under ch. DHS 105, and acting within the scope of their practice under applicable statutes and rules that govern the provider’s practice. ... (c) Occupational therapy services. Occupational therapy services which identify, treat, or compensate for medical problems that interfere with age-appropriate functional performance are covered school-based services. ... (d) Physical therapy services. Physical therapy services which identify, treat, or compensate for medical problems are covered school-based services.”
  66. Wisconsin Department of Health Services. Medicaid Telehealth Expansion (last revised April 1, 2026). “Medicaid will pay your doctor for telehealth services when they are provided to you in a way that is “functionally equivalent” to the services you would get during an in-person visit. ... Therapies Occupational therapy Physical therapy Speech therapy ...” Checked October 30, 2026.
  67. Wisconsin State Legislature. 2023-24 Wisconsin Statutes (published October 1, 2026), s. 49.45 (61), Services provided through telehealth and communications technology. Checked October 30, 2026.
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    “(b) Subject to par. (e), the department shall provide reimbursement under the Medical Assistance program for any benefit that is a covered benefit under s. 49.46 (2) and that is delivered by a certified provider for Medical Assistance through interactive telehealth.”
  68. Wisconsin State Legislature. Wisconsin Administrative Code, ch. OT 6, Telehealth (ss. OT 6.03 to 6.05). Checked October 30, 2026.
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    “OT 6.03 Technology and equipment. An occupational therapist or occupational therapy assistant who provides occupational therapy services using a telehealth visit shall utilize technology that enables the transmission of information via the technology that is of sufficient quality to be functionally equivalent to face-to-face contact. ... (1) An occupational therapist or occupational therapy assistant shall be held to the same standards of practice, care, and professional conduct regardless of whether occupational therapy services are provided utilizing a telehealth visit or an in-person visit. ... (2) A telehealth visit may not be utilized if the standard of care for the particular occupational therapy services provided cannot be met. ... OT 6.05 Wisconsin license required. An occupational therapist or occupational therapy assistant who uses a telehealth visit to provide occupational therapy services to a patient located in this state shall be licensed by the board.”
  69. Wisconsin State Legislature. Wisconsin Administrative Code, s. OT 6.04, Standards of practice, care, and conduct. “(3) Upon scheduling a telehealth visit, clear information shall be provided to the patient that the visit will be a telehealth visit.” Checked October 30, 2026.
  70. Wisconsin State Legislature. Wisconsin Administrative Code, s. PT 5.01, Practice and supervision of physical therapist assistants (as amended effective July 1, 2026). Checked October 30, 2026.
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    “The assessment and reevaluation may be conducted via telehealth if all of the following conditions are met: ... 2. The patient or the patient’s legal guardian has provided informed consent that is specific to the use of telehealth for these services. ... 3. The supervising physical therapist provides the telehealth assessment and reevaluation in real time allowing for interactive communication between the physical therapist and the patient.”
  71. Wisconsin State Legislature. 2023-24 Wisconsin Statutes (published October 1, 2026), s. 440.01 (1) (hm), Definitions. Checked October 30, 2026.
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    “(hm) “Telehealth” means a practice of health care delivery, diagnosis, consultation, treatment, or transfer of medically relevant data by means of audio, video, or data communications that are used either during a patient visit or a consultation or are used to transfer medically relevant data about a patient. “Telehealth” includes asynchronous telehealth services, interactive telehealth, and remote patient monitoring.”
  72. Wisconsin Department of Revenue. DOR Starting a Business. “1. Register with Department of Revenue if any of the following apply ... 2. Otherwise - Click on the One Stop Business Registrationto register your business with multiple agencies, including the Department of Financial Institutions and the Department of Workforce Development.” Checked October 30, 2026.
  73. Wisconsin Department of Revenue. Wisconsin Sales and Use Tax Information, Publication 201 (10/26). Checked October 30, 2026.
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    “Certain specified services which are sold, licensed, performed, or furnished at retail in Wisconsin are subject to Wisconsin sales or use tax, unless the service provider or the buyer is exempt from tax on the particular transaction. ... Example 6: A physician purchases tape which is used in providing medical service. Such tape purchases are subject to the tax because the patients’ main purpose is to obtain the medical service. ... Retail sales of the following products and services may be made without sales tax, even though an exemption certificate is not received by the seller. ... (7) Durable Medical Equipment, Mobility-enhancing Equipment, and Prosthetic Devices • Durable medical equipment that is for use in a person’s home, including repair parts, replacement parts, and accessories for that equipment, if the equipment is used for a human being. ... • Prosthetic devices, including repair parts, replacement parts, and accessories for such devices, if the devices are used for a human being.”
  74. Wisconsin Department of Workforce Development. Worker’s Compensation Employer Resources. Checked October 30, 2026.
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    “Wisconsin Employers that meet specific requirements are required to carry Worker’s Compensation insurance unless they qualify for Self-Insured status. Employers receive the assurance they will not be sued for damages, medical care and lost wages if their employees get injured while working. You must have Worker’s Compensation if any of your businesses: Employ three or more full-time or part-time employees. You must get insurance on the day you employ the third person. Employ one or more full-time or part-time employees to whom you have paid combined gross wages of $500 or more in any calendar quarter for work done at one or more locations in Wisconsin. You must have insurance by the 10th day of the first month of the next calendar quarter.”
  75. Wisconsin State Legislature. 2023-24 Wisconsin Statutes (published October 1, 2026), s. 102.04, Definition of employer. Checked October 30, 2026.
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    “1. Every person who at any time employs 3 or more employees for services performed in this state, whether in one or more trades, businesses, professions, or occupations, and whether in one or more locations. A person who employs 3 or more employees for services performed in this state becomes subject to this chapter on the day on which the person employs 3 or more such employees. 2. Every person who employs fewer than 3 employees, provided the person has paid wages of $500 or more in any calendar quarter for services performed in this state. Such a person shall become subject to this chapter on the 10th day of the month next succeeding such quarter.”
  76. 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.”.
  77. 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.”.
  78. Wisconsin State Legislature. 2023-24 Wisconsin Statutes (published October 1, 2026), s. 146.82, Confidentiality of patient health care records. Checked October 30, 2026.
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    “(1) Confidentiality. All patient health care records shall remain confidential. Patient health care records may be released only to the persons designated in this section or to other persons with the informed consent of the patient or of a person authorized by the patient.”
  79. Wisconsin State Legislature. 2023-24 Wisconsin Statutes (published October 1, 2026), s. 146.81, Health care records; definitions. Checked October 30, 2026.
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    “(1) “Health care provider” means any of the following: ... (dg) A physical therapist or physical therapist assistant who is licensed under subch. III of ch. 448 or who holds a compact privilege under subch. XI of ch. 448. ... (es) An occupational therapist or occupational therapy assistant who is licensed under subch. VII of ch. 448 or who holds a compact privilege under subch. XII of ch. 448. ... (hm) A speech-language pathologist or audiologist who is licensed under subch. II of ch. 459 or who holds a compact privilege under subch. III of ch. 459, or a speech and language pathologist licensed by the department of public instruction.”
  80. Wisconsin State Legislature. 2023-24 Wisconsin Statutes (published October 1, 2026), s. 134.98, Notice of unauthorized acquisition of personal information. Checked October 30, 2026.
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    “(a) If an entity whose principal place of business is located in this state or an entity that maintains or licenses personal information in this state knows that personal information in the entity’s possession has been acquired by a person whom the entity has not authorized to acquire the personal information, the entity shall make reasonable efforts to notify each subject of the personal information. ... 1. The acquisition of personal information does not create a material risk of identity theft or fraud to the subject of the personal information. ... (a) Subject to sub. (5), an entity shall provide the notice required under sub. (2) within a reasonable time, not to exceed 45 days after the entity learns of the acquisition of personal information. ... (b) An entity that is described in 45 CFR 164.104 (a), if the entity complies with the requirements of 45 CFR part 164.”
  81. Wisconsin State Legislature. 2023-24 Wisconsin Statutes (published October 1, 2026), s. 134.98, Notice of unauthorized acquisition of personal information. “(cm) Notwithstanding pars. (a), (b), (bm), and (br), an entity is not required to provide notice of the acquisition of personal information if any of the following applies ...” Checked October 30, 2026.
  82. Wisconsin State Legislature. 2023-24 Wisconsin Statutes (published October 1, 2026), s. 48.981, Abused or neglected children and abused unborn children. Checked October 30, 2026.
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    “(a) Any of the following persons who has reasonable cause to suspect that a child seen by the person in the course of professional duties has been abused or neglected or who has reason to believe that a child seen by the person in the course of professional duties has been threatened with abuse or neglect and that abuse or neglect of the child will occur shall, except as provided under subs. (2m) and (2r), report as provided in sub. (3): ... 22. A physical therapist. 22m. A physical therapist assistant. 23. An occupational therapist. ... 25. A speech-language pathologist.”
  83. Wisconsin State Legislature. 2023-24 Wisconsin Statutes (published October 1, 2026), s. 48.981, Abused or neglected children and abused unborn children. Checked October 30, 2026.
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    “1. A person required to report under sub. (2) shall immediately inform, by telephone or personally, the county department or, in a county having a population of 750,000 or more, the department or a licensed child welfare agency under contract with the department or the sheriff or city, village, or town police department of the facts and circumstances contributing to a suspicion of child abuse or neglect or of unborn child abuse or to a belief that abuse or neglect will occur.”
  84. Wisconsin State Legislature. 2023-24 Wisconsin Statutes (published October 1, 2026), s. 632.895 (12m), Treatment for autism spectrum disorders. Checked October 30, 2026.
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    “(b) Subject to pars. (c) and (d), and except as provided in par. (e), every disability insurance policy, and every self-insured health plan of the state or a county, city, town, village, or school district, shall provide coverage for an insured of treatment for the mental health condition of autism spectrum disorder if the treatment is prescribed by a physician and provided by any of the following who are qualified to provide intensive-level services or nonintensive-level services: ... 6. A speech-language pathologist, as defined in s. 459.20 (4). 7. An occupational therapist, as defined in s. 448.96 (4). ... (c) 1. The coverage required under par. (b) shall provide at least $50,000 for intensive-level services per insured per year, with a minimum of 30 to 35 hours of care per week for a minimum duration of 4 years, and at least $25,000 for nonintensive-level services per insured per year, except that these minimum coverage monetary amounts shall be adjusted annually, beginning in 2011, to reflect changes in the consumer price index for all urban consumers, U.S. city average, for the medical care group, as determined by the U.S. department of labor. ... (d) The coverage required under par. (b) may be subject to deductibles, coinsurance, or copayments that generally apply to other conditions covered under the policy or plan. The coverage may not be subject to limitations or exclusions, including limitations on the number of treatment visits.”
  85. Centers for Medicare & Medicaid Services. Who are the MACs: A/B MAC Jurisdiction 6 (J6). “Contract Awardee: National Government Services, Inc., contract number 75FCMC20C0026 ... J6 processes FFS Medicare Part A and Part B claims for Illinois, Minnesota, and Wisconsin ...” Checked October 30, 2026.
  86. APTA Wisconsin. APTA Wisconsin (the state association's site). Checked October 30, 2026.
  87. the Wisconsin Occupational Therapy Association. the Wisconsin Occupational Therapy Association (the state association's site). Checked October 30, 2026.
  88. the Wisconsin Speech-Language Pathology and Audiology Association. the Wisconsin Speech-Language Pathology and Audiology Association (the state association's site). Checked October 30, 2026.
  89. DrSensory. Occupational therapy clinics in Wisconsin, 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.
  90. 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 Wisconsin, not legal, compliance, billing or financial advice. Rules change; the clinic confirms each with its source before acting on it.