MedicaidAdministrativeMedium impact
Therapy Signature Letter 8-30
Kentucky Medicaid·KY · Physical Therapy, Occupational Therapy·Provider Letter
Effective date
Aug 30, 2023
We identified it
Jun 20, 2026
Summary
Kentucky Medicaid now allows signatures on PT/OT/ST prior authorization documentation from any physician, APRN, physician assistant, or RN within the same group as the referring physician, not just the original referring physician. Electronic signatures are permitted if compliant with state regulations.
Action Required
Immediately: Update therapy prior authorization workflows to allow signatures from any physician, APRN, PA, or RN within the same group practice. Train billing and therapy staff on expanded signature authority. Ensure electronic signature systems comply with 907 KAR 3:005 requirements. Update internal documentation procedures to reflect that any qualified provider in the group can sign therapy prior auth documents.