Home Health Physical Therapy

Home health physical therapy is covered when skilled PT services are required to improve, restore, or maintain functional abilities, with coverage contingent on documented medical necessity, objective measurements, and a clear plan of care. Specific modalities and procedures (splint fabrication, therapeutic exercise, gait training, manual therapy, ultrasound, vasopneumatic devices, orthotic/prosthetic training, wheelchair training, etc.) are covered for defined clinical indications, while non-skilled or heat-only modalities alone, TENS for chronic low back pain, work-specific vocational training, and routine post-education lymphedema pump use are limited or excluded.

"Home health physical therapy is covered to improve or restore physical functioning, prevent injury/impairment/activity limitations/participation restrictions, or rehabilitate following disease, inj..."