N.J. Admin. Code § 10:54-5.36

Current through Register Vol. 56, No. 11, June 3, 2024

Section 10:54-5.36 - Rehabilitative services; physical therapy

(a) Physical therapy is a service prescribed by a physician and provided to a Medicaid/NJ FamilyCare beneficiary by or under the direction of a qualified physical therapist. Physical therapy does not include therapy which is purely palliative, such as the application of heat in any form; massage, routine calisthenics; group exercises; assistance in any activity; use of a simple mechanical device; or other services not requiring the special skill of a licensed physical therapist.

1. A qualified physical therapist is an individual who is:

i. Licensed by the State of New Jersey as a physical therapist in accordance with N.J.A.C. 13:39A; and

ii. A graduate of a program of physical therapy approved by both the Committee on Allied Health Education and Accreditation of the American Medical Association and the American Physical Therapy Association or its equivalent.

2. If treatment or services are provided in a state other than New Jersey, the physical therapist shall meet the requirements of that state, including licensure if applicable, and all applicable Federal requirements.

N.J. Admin. Code § 10:54-5.36

Amended by R.2001 d.51, effective 2/5/2001.
See: 32 New Jersey Register 3929(a), 33 New Jersey Register 555(a).
In (a), substituted "beneficiary" for "recipient" preceding "by or under" in the introductory paragraph.
Amended by R.2003 d.69, effective 2/3/2003.
See: 34 New Jersey Register 3183(a), 35 New Jersey Register 888(a).
In (a), substituted "Medicaid/NJ FamilyCare" for "Medicaid" in the introductory paragraph.