# 907 KAR 8:025: 907 KAR 8:025. Physical therapy service reimbursement provisions and requirements

> Kentucky · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_KY_KAR_T907_C008_R025

## Section

- **Citation:** 907 KAR 8:025
- **Heading:** 907 KAR 8:025. Physical 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 8:025

## Text

Section 1. General Requirements. For the department to reimburse for physical therapy under this administrative regulation, the: (1) Physical therapist shall meet the provider requirements established in 907 KAR 8:020; and (2) Physical therapy shall meet the coverage and related requirements established in 907 KAR 8:020. Section 2. Reimbursement. (1) The department shall reimburse for a physical therapy service provided by a: (a) Physical therapist, in accordance with 907 KAR 8:020 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) Physical therapist assistant working for a physical therapist, in accordance with 907 KAR 8:020 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 a physical 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 8:020; 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 8:020; 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)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_KY_KAR_T907_C008_R025. Check the current official text before relying on it. Not legal advice.