The state of Illinois passed a bill allowing a form of direct access in August 2018 allowing patients to access physical therapy services without a script. However there are rules and regulations with regards to this new law which can be confusing to physical therapy consumers. This blog post is to explain what exactly direct access means and steps to make sure you can attend physical therapy services without a disruption in your care.
Scenario 1: You have a script for physical therapy
You are all set! You can attend physical therapy directly. Bring your script with you to your first visit/initial evaluation!
Scenario 2: You don’t have a script, but have a doctor that is following your care
If you have a physician that you have a good relationship with, such as an internist, physiatrist, orthopedic that you follow up regularly with, you can be seen for 15 business days or 10 visits whichever comes first. At this time if you are showing measurable improvement you can continue to be seen by physical therapy with a progress note sent to your doctor.
If no measurable improvement is being made, you will need to follow up with a physician to be able to continue with physical therapy.
Scenario 3: You don’t have a script or a physician that you regularly follow up with
If you do not have a physician that you regularly follow up with, you can still be seen for physical therapy for 15 business days or 10 visits whichever comes first. This allows time to get in and be seen by a doctor while beginning care with a physical therapist to start the road to recovery. If no script has been obtained by the 15 business days or 10 visits, physical therapy will have to cease until a script is obtained by your physical therapist. If you are able to obtain a script within the 15 business days or 10 visits you can continue your care without interruption.
We look forward to seeing you for your aches and pains and getting you on the road to recovery! If you have questions regarding direct access please call us at 773-999-9825!
***Note: Not all insurance plans cover physical therapy, and some plans that require pre-authorization may still require a physician’s order. We recommend that you contact Core Physical Therapy or your health insurance plan prior to your initial visit to confirm coverage of your treatment and physician referral guidelines