MedicaidDocumentationMedium impact
Clarification Regarding Record Requirements for Therapy Services in Individualized Education Programs (IEPs)
Illinois Medicaid - HFS·IL · Physical Therapy, Occupational Therapy, Speech Therapy·Provider Notice
Effective date
Oct 18, 2016
We identified it
Jun 20, 2026
Summary
Illinois Medicaid clarified documentation requirements for therapy services in schools (IEPs). Physical and occupational therapy must have written prescriptions from physicians with specific diagnosis information. Speech therapy requires written referrals but practitioners determine treatment details.
Action Required
Immediately for Illinois school-based providers: Ensure all PT/OT services have written physician prescriptions including diagnosis before rendering services. Obtain written physician referrals for speech therapy services. Update documentation annually and maintain in student files. IEP meeting notes and signed IEPs alone do not satisfy requirements.