vt-26P031: Physical Therapy, Occupational Therapy, and Speech Language Pathology Service.

Vermont Secretary of State Rules Service Proposed Rules PostingsA Service of the Office of the Secretary of State Vermont.gov Feedback SOS Website APA Site Code of Vermont Rules Recent Search Rules Calendar Subscribe APA Contact Info Search Rules Deadline For Public Comment Deadline: Nov 16, 2026Please submit comments to the agency or primary contact person listed below, before the deadline. Rule Details Rule Number: 26P031 Title: Physical Therapy, Occupational Therapy, and Speech Language Pathology Service. Type: Standard Status: Proposed Agency: Agency of Human Services Legal Authority: 3 V.S.A. § 801(b)(11); 33 V.S.A. § 1901(a)(1) Summary: This rule sets forth the criteria for coverage of physical therapy, occupational therapy and speech language pathology services under Vermont's Medicaid program. It amends Medicaid covered services rule 7317 titled "Rehabilitative Therapy Services". This rule is being amended and adopted as Health Care Administrative Rule 4.219 titled "Physical Therapy, Occupational Therapy, and Speech Language Pathology Services". Amendments include, updating service limits from 30 to 60 visits per calendar year for adults, and removing service limits for Medicaid members under the age of 21. Additional changes include, clarifying terms that were not previously defined, clarifying conditions for coverage, and specifying services that are not covered. Persons Affected: Medicaid beneficiaries; Agency of Human Services including its Departments; health care providers; and health law, policy and related advocacy and community based organizations and groups including the Office of Health Care Advocate. Economic Impact: The rule does not increase or lessen an economic burden on any person or entity including no impact on the State's gross annualized budget. The changes and amendments conform the rule with current coverage criteria. Posting date: Oct 07,2026 Hearing Information Information for Hearing # 1 Hearing date: 11-09-2026 12:00 PM    Location: Waterbury State Office Complex, Ash 49, Room A213 Address: 280 State Drive City: Waterbury State: VT Zip: 05671-1000 Hearing Notes: Also virtually via MS Teams: https://teams.microsoft.com/meet/292032739668735?pWZoJ XADWGmlKw2ZpCI Information for Hearing # 2 Hearing date: 11-09-2026 12:00 PM    Location: Virtual via MS Teams Address: https://teams.microsoft.com/meet/292032739668735?pWZoJ XADWGmlKw2ZpCI City: n/a State: VT Zip: n/a Hearing Notes: Virtually via MS Teams: https://teams.microsoft.com/meet/2920327396 Contact Information Information for Contact # 1 Level: Primary     Name: Ashley Berliner     Agency: Agency of Human Services     Address: 280 State Drive     City: Waterbury     State: VT     Zip: 05671-1000     Telephone: 802-578-9300     Fax: 802-241-0450     Email:  Ashley.Berliner@vermont.gov             Website Address:  https://humanservices.vermont.gov/rules-policies/health-care-rules/health-care-administrative-rules-hcar            Information for Contact # 2 Level: Secondary     Name: Susan Coburn     Agency: Agency of Human Services     Address: 280 State Drive     City: Waterbury     State: VT     Zip: 05671-1000     Telephone: 802-578-9412     Fax: 802-241-0405     Email:  susan.coburn@vermont.gov                     Keyword Information Keywords: Physical Therapy Occupational Therapy Speech Language Pathology Medicaid Health Care Administrative Rule HCAR Accessbility Policy    |    Privacy Policy A Vermont Government Website   Copyright 2026 State of Vermont   v 1.0.2