OT/PT PRESCRIPTION TEMPLATE
Medicaid-Compliant OT/PT Prescription Template: Click here
Important Note: The OT/PT Prescription Template with the "As per IEP" narrative has been removed from the Knowledge Base. Please discontinue using any "Per IEP" templates.
- All Full-Service Medicaid counties are no longer accepting prescriptions that reference the IEP for the frequency and duration.
- All 2025-26 prescriptions MUST show the specific frequency, duration and class designation (e.g., 2x30 Ind).
Article ID: 347, Created: 2/22/2022 at 9:47 AM, Modified: 8/12/2025 at 3:51 PM