053-10 Wyo. Code R. §§ 10-21 - Physical Medicine and Restorative Services
(a)
Chiropractors, physical therapists, physical therapist assistants, occupational
therapists, and occupational therapist assistants may perform treatment
modalities in the management of soft tissue injuries for the progressive
development of strength and mobility, and to improve functional outcomes. An
initial evaluation should document the diagnosis or clinical impression
consistent with presenting complaint(s) and the results of the examination and
diagnostic procedures conducted. Subsequent visits performed require
documentation of measured, objective, significant findings.
(b) The Division shall pay physical therapy
and occupational therapy services only if they are provided pursuant to a
prescription from the injured worker's primary treating health care provider,
as defined in Chapter 1, Section 3(mm) of these Rules.
(c) The Division shall monitor claims for
services and may require provider to submit a formal written treatment plan or
supplemental report detailing the medical necessity, specific goals, number of
sessions and timeframes for review and authorization to continue the service.
If the injured worker is not responding within the recommended duration
periods, per the assessment of the provider, other treatment interventions,
further diagnostics studies or consultation may be considered.
(d) The Administrator adopts the
Rehabilitation Therapy Utilization Guidelines for the Care and
Treatment of Injured Workers and Chiropractic Utilization
Guidelines for the Care and Treatment of Injured Workers, which will
be used by the Division in its evaluation and payment of physical therapy and
chiropractic claims. These guidelines are available at:
https://dws.wyo.gov/dws-division/workers-compensation/resources-information/treatment-guidelines/
Notes
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