Physical, Speech & Occupational Therapy Limits Lifted for 2021

The 2011-12 NY State budget, ] limited  access to compression stockings, prescription footwear, and enteral nutritional formula, as well as physical therapy, occupational therapy, and speech therapy.

Some of these limits have been repealed or made less harsh.

Physical, Speech, and Occupational Therapy -

Compression Stockings and Orthopedic Footwear - Court Strikes Down Restrictions in Medicaid Coverage 

The full article can be found here.

"Ensure" and Enteral Nutritional Supplements - 

In 2011, the state budget law limited these "enteral supplements" to only those adults who can only be tube-fed.  This change was Medicaid Redesign Team   MRT 5901 Bowing to pressure to reinstate broader access to these supplements, in 2012, the state amended Social Services Law ยง 365-a(2)(g) to direct the State Department of Health to develop standards so that adults diagnosed with an HIV-related condition and other illness and conditions may qualify for Medicaid to pay for these supplements, including those who do not have to be tube-fed.  The State Department of Health delayed in issuing the new standards for adults until finally issuing them in June 2013.

See the changes in eligibility for these supplements in this article.

This article was authored by the Empire Justice Center and updated by NYLAG.

Empire Justice Center



Article ID: 158
Last updated: 13 Oct, 2021
Revision: 6
Medicaid -> Physical, Speech & Occupational Therapy Limits Lifted for 2021
http://health.wnylc.com/health/entry/158/