SF 5018

Introduction - 94th Legislature (2025 - 2026)

Posted on 04/10/2026 09:14 a.m.

A bill for an act
relating to human services; increasing the number of physical therapy visits
available to children under medical assistance; amending Minnesota Statutes 2025
Supplement, section 256B.0625, subdivision 8.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

Section 1.

Minnesota Statutes 2025 Supplement, section 256B.0625, subdivision 8, is
amended to read:

Subd. 8.

Physical therapy.

(a) Medical assistance covers physical therapy and related
services. Specialized maintenance therapy is covered for recipients age 20 and under.

(b) Services provided by a physical therapy assistant shall be reimbursed at the same
rate as services performed by a physical therapist when the services of the physical therapy
assistant are provided under the direction of a physical therapist who is on the premises.
Services provided by a physical therapy assistant that are provided under the direction of a
physical therapist who is not on the premises shall be reimbursed at 65 percent of the physical
therapist rate.

(c) Payment for physical therapy and related services is limited to 14 visits per year
unless prior authorization of a greater number of visits is obtained. new text begin This paragraph expires
upon the effective date of paragraph (d).
new text end

new text begin (d) Effective January 1, 2027, or upon federal approval, whichever is later, payment for
physical therapy and related services is limited to the following number of visits per year
unless prior authorization of a greater number of visits is obtained:
new text end

new text begin (1) for children following an inpatient or outpatient hospital-based surgery, 30 visits;
and
new text end

new text begin (2) for all other recipients, 14 visits.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment.
new text end