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UNOFFICIAL 1737-92 (3) There is an expectation that the patient's condition will improve significantly in a reasonable period of time based on the assessment made by the physician of the
patient's restoration potential, or the services are necessary to establish a safe
and effective maintenance program required in connection with a specific disease state; and (4) The amount, frequency, and duration of services are reasonable.
(d) When physical therapy or occupational therapy is requested for an acute symptomatic condition without demonstrable musculoskeletal abnormality, the therapy shall be provided for only a short period of time not to exceed two weeks, except when extended by prior approval.
(e) Where a neuro-musculoskeletal abnormality is demonstrated, a definitive diagnosis shall be made utilizing radiologic or appropriate diagnostic procedures, and if necessary, specialty consultation.
(f) All recommended therapy for non-institutional recipients shall require the approval of the medical consultant and the request shall include the following information: (1) Diagnosis; (2) Recommended therapy indicating the frequency and estimated duration of therapy; and (3) For chronic cases, long term goals and a plan of care.
(g) Outpatient physical therapy services and outpatient occupational therapy shall be limited to no more than three-fourths of an hour or three modalities of treatment per day although several treatment modalities may be provided during this treatment period. Physical therapy services exceeding three- fourths of an hour or three modalities shall be specifically approved by the department prior to the provision of services. [Eff 08/01/94 ] (Auth: HRS §346-14) (Imp: 42 C.F.R. §§440.10, 440.230)
§17-1737-80 Podiatry services. (a) Podiatry services means services directed toward the treatment and care of feet ailments or disorders of the foot and ankle that are provided by a podiatrist or a physician, who is licensed to practice in the State of Hawaii. (b) Podiatry services and appliances (orthoses,prostheses) shall include, but are not limited to, the treatment of conditions of the foot and ankle such as: