OT/PT PRESCRIPTION TEMPLATE
Medicaid-Compliant OT/PT Prescription Templates:
2026-27
Blank Template (all options are manually entered),
click here.2025-26 Template
(Will be removed from Knowledge Base.) click here
Important Note: The Multi-Discipline 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 requiring that all prescriptions show the specific frequency, duration and class designation (I/G).
Article ID: 347, Created: 2/22/2022 at 9:47 AM, Modified: 8/31/2026 at 4:18 PM