Skip to main content

January 27 2026 Home Health Providers Occupational and Physical Therapist Assistant

January 27, 2026: Attention Home Health Agencies: This notification is being issued to providers to help clarify Fee For Service (FFS) Medicaid billing for Home Health Occupational Therapist Assistants (OTA) and Physical Therapist Assistants (PTA). 

As long as the OTA/PTA receives supervision from a licensed occupational and physical therapist, services must be billed under G0151 (PT code) or G0152 (OT code). If therapists are not receiving supervision, these services cannot be billed. FFS claims will be denied if either G0157 – PTA code or G0158 – OTA code is reported.

Services for Home Health OT and PT must be billed through HHAeXchange and billed in sequential Date of Service (DOS) order. Services that require EVV and other EVV policy can be found in Policy Bulletins MMP 24- 11 and MMP 24-21 on the Electronic Visit Verification website.

For additional resources related to Home Health, visit the Home Health webpage, the Medicaid Provider Manual, Chapter: Electronic Visit Verification (EVV), Section: 4 Home Health Care Services or the Electronic Visit Verification website.