Change in coverage for outpatient occupational therapy services for members who are 21 years of age and older
AHCCCS has expanded its coverage of occupational therapy services for members who are 21 years and older. Beginning October 1, 2017, outpatient occupational therapy services are covered for AHCCCS members 21 years of age and older. This benefit covers 15 outpatient occupational therapy visits when they are needed to keep a level of function or help get to a level of function, and 15 outpatient occupational therapy visits to restore a level of function. Prior authorization is not required for these 30 therapy visits.
There is no change in coverage of Occupational Therapy services for members who are under 21 years of age.
As always, don't hesitate to contact your
Mercy Care or your
Mercy Maricopa Provider Relations Representative with any questions or comments. You can find this notice and all other provider notices on our
Mercy Care Plan or
Mercy Maricopa website.
