# 907 KAR 8:015: 907 KAR 8:015. Independent occupational therapy service reimbursement provisions and requirements

> Kentucky · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_KY_KAR_T907_C008_R015

## Section

- **Citation:** 907 KAR 8:015
- **Heading:** 907 KAR 8:015. Independent occupational therapy service reimbursement provisions and requirements
- **Jurisdiction:** Kentucky
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Kentucky Administrative Regulations / Title 907 (Cabinet for Health and Family Services - Department for Medicaid Services) / Chapter 008 / 907 KAR 8:015

## Text

Section 1. General Requirements. For the department to reimburse for an occupational therapy service under this administrative regulation, the: (1) Occupational therapist shall meet the provider requirements established in 907 KAR 8:010; and (2) Service shall meet the coverage and related requirements established in 907 KAR 8:010. Section 2. Reimbursement. (1) The department shall reimburse for an occupational therapy service provided by an: (a) Occupational therapist, in accordance with 907 KAR 8:010 and this section, at 63.75 percent of the rate for the service listed on the current Kentucky-specific Medicare Physician Fee Schedule; or (b) Occupational therapy assistant working for an occupational therapist, in accordance with 907 KAR 8:010 and this section, at 37.5 percent of the rate for the service listed on the current Kentucky-specific Medicare Physician Fee Schedule. (2) (a) The current Kentucky-specific Medicare Physician Fee Schedule shall be the Kentucky-specific Medicare Physician Fee Schedule used by the Centers for Medicare and Medicaid Services on the date that the service is provided. (b) For example, if an occupational therapy service is provided on a date when the Centers for Medicare and Medicaid Services': 1. Interim Kentucky-specific Medicare Physician Fee Schedule for a given year is in effect, the reimbursement for the service shall be the amount established on the interim Kentucky-specific Medicare Physician Fee Schedule for the year; or 2. Final Kentucky-specific Medicare Physician Fee Schedule for a given year is in effect, the reimbursement for the service shall be the amount established on the final Kentucky-specific Medicare Physician Fee Schedule for the year. Section 3. Not Applicable to Managed Care Organizations. A managed care organization shall not be required to reimburse in accordance with this administrative regulation for a service covered pursuant to: (1) 907 KAR 8:010; and (2) This administrative regulation. Section 4. Federal Approval and Federal Financial Participation
he final Kentucky-specific Medicare Physician Fee Schedule for the year. Section 3. Not Applicable to Managed Care Organizations. A managed care organization shall not be required to reimburse in accordance with this administrative regulation for a service covered pursuant to: (1) 907 KAR 8:010; and (2) This administrative regulation. Section 4. Federal Approval and Federal Financial Participation. The department's reimbursement for services pursuant to this administrative regulation shall be contingent upon: (1) Receipt of federal financial participation for the reimbursement; and (2) Centers for Medicare and Medicaid Services' approval for the reimbursement. Section 5. Appeal Rights. A provider may appeal an action by the department as established in 907 KAR 1:671.

## Nearby sections

- [907 KAR 8:005 907 KAR 8:005. Definitions for 907 KAR Chapter 8](https://www.frixlaw.com/law-library/statutes/STATE_KY_KAR_T907_C008_R005.md)
- [907 KAR 8:010 907 KAR 8:010. Independent occupational therapy service coverage provisions and requirements](https://www.frixlaw.com/law-library/statutes/STATE_KY_KAR_T907_C008_R010.md)
- [907 KAR 8:015 907 KAR 8:015. Independent occupational therapy service reimbursement provisions and requirements](https://www.frixlaw.com/law-library/statutes/STATE_KY_KAR_T907_C008_R015.md)
- [907 KAR 8:020 907 KAR 8:020. Independent physical therapy service coverage provisions and requirements](https://www.frixlaw.com/law-library/statutes/STATE_KY_KAR_T907_C008_R020.md)
- [907 KAR 8:025 907 KAR 8:025. Physical therapy service reimbursement provisions and requirements](https://www.frixlaw.com/law-library/statutes/STATE_KY_KAR_T907_C008_R025.md)
- [907 KAR 8:030 907 KAR 8:030. Independent speech-language pathology service coverage provisions and requirements](https://www.frixlaw.com/law-library/statutes/STATE_KY_KAR_T907_C008_R030.md)
- [907 KAR 8:035 907 KAR 8:035. Speech-language pathology service reimbursement provisions and requirements](https://www.frixlaw.com/law-library/statutes/STATE_KY_KAR_T907_C008_R035.md)
- [907 KAR 8:040 907 KAR 8:040. Coverage of occupational therapy, physical therapy, and speech-language pathology services provided by various entities](https://www.frixlaw.com/law-library/statutes/STATE_KY_KAR_T907_C008_R040.md)
- [907 KAR 8:045 907 KAR 8:045. Reimbursement of occupational therapy, physical therapy, and speech-language pathology provided by various entities](https://www.frixlaw.com/law-library/statutes/STATE_KY_KAR_T907_C008_R045.md)

---

Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_KY_KAR_T907_C008_R015. Check the current official text before relying on it. Not legal advice.