Section 16.03.09.736 - THERAPY SERVICES: QUALITY ASSURANCE ACTIVITIES01.Unreimbursable Services and Penalties. Therapy services that are not medically necessary or that are not specifically covered by these rules are not reimbursable, and if paid are subject to recoupment and penalties under IDAPA 16.05.07, "The Investigation and Enforcement of Fraud, Abuse, and Misconduct."02.Therapist Conditions and Requirements. The therapist is required to formulate all therapy interventions in accordance with the applicable licensure rules in IDAPA 24.06.01, "Rules for the Licensure of Occupational Therapists and Occupational Therapy Assistants," or IDAPA 24.13.01, "Rules Governing the Physical Therapy Licensure Board," or IDAPA 24.23.01, "Rules of the Speech and Hearing Services Licensure Board," as well as the applicable association's professional Code of Ethics and Standards supporting best practice.03.Documentation. a. The provider must maintain financial and other records in sufficient detail to allow the Department to audit them as described in Section 305 of these rules.b. The following documentation must be maintained in the files of the provider:i. Physician, nurse practitioner, or physician assistant orders for therapy services;ii. Therapy plans of care; andiii. Progress or other notes documenting each assessment, each therapy session, and results of tests and measurements related to therapy services.c. The provider must grant the Department immediate access to all information required to review compliance with these rules, as required in Section 330 of these rules. The absence of such documentation is cause for recoupment of Medicaid payment.Idaho Admin. Code r. 16.03.09.736