Live tool ASP-RCM Solutions
PT billing guide All payer matrices Free therapy audit ← Back to asprcmsolutions.com
ASP-RCM Solutions
Live Industry Intelligence
Built by ASP-RCM Solutions for multi-clinic physical, occupational and speech therapy groups
Maintained Monthly Last update September 17, 2026

The PT, OT & Speech Therapy Payer Policy Matrix

A live, sourced view of Medicaid, Medicare Advantage and commercial payer policy changes affecting outpatient physical therapy, occupational therapy and speech-language pathology across all 50 states and DC: visit limits, prior authorization, delegated UM vendors and rates. Every cell links to the primary source. Updated by the ASP-RCM industry-intelligence team.

51 jurisdictions 8 payer columns ... recent updates indexed Coverage window: Jul 2025 → Sep 2026

Federal Layer · Applies to every state below

Recent federal-level moves rippling across every state Medicaid program and commercial payer simultaneously. Click any card for the primary source.

All Rate cut Rate increase Policy Auth/Cap Expansion Admin
52 rows · 0 updates visible
State / Jurisdiction State Medicaidvisit limits, PA Medicare / MAstate-specific BCBS / Anthem+ Carelon MSK UnitedHealthcare+ Optum PT Aetnatherapy UM CignaASH / eviCore HumanaMA + commercial Direct access & WCstate law
CELL TYPES: Rate cut Policy change Auth / Cap change Expansion / Win Administrative No verified change

Want this mapped to your clinics?

We run therapy revenue cycle for multi-clinic PT, OT and speech groups. Send us your payer list and clinic states and we will show you where these changes are already hitting your visits and authorizations.

Request the audit →

Audits We Pass. Memberships We Hold.

CASP Business Affiliate · DNV ISO/IEC 27001 · HIPAA Compliant (DNV) · SOC 2 Type II with HITRUST · BPO Excellence Award 2023 · Excellence in Customer Service 2024 · Inc. 5000
ASP-RCM Solutions
Revenue cycle management for U.S. healthcare providers. Senior partners on every account.
Home Therapy Billing All payer matrices Whitepapers Contact
© 2026 ASP-RCM Solutions · Privacy · Terms · HIPAA