Yes, some ADDT programs do provide OT, PT, and/or ST to adult clients, though this is not universal practice.
Key considerations for ADDT programs offering therapy:
– Therapy services for adults in ADDT settings can be billed through the client’s PASSE if the services are medically necessary and included in the individual’s plan of care (ISP).
– The provider (or a contracted therapy group) must be enrolled with DHS as a therapy provider and meet applicable credentialing requirements.
– ADDT day program billing and therapy billing are separate — therapy is billed under therapy procedure codes, not ADDT day program rates.
– Prior authorization from the PASSE is typically required for therapy services.
– For clients who have Medicare, Medicare must be billed as the primary payer for therapy before Medicaid.