Medicaid Expansion of Coverage for Physical Therapy

Date Issued: 10/25/2018

Beginning July 1, 2018, EmblemHealth will cover more Physical Therapy (PT) visits for Enhanced Care (Medicaid) and Enhanced Care Plus (HARP) members:

  • The PT limit will be increased from 20 to 40 visits in a year, when medically necessary.
  • Limits do not apply to members under age 21, members who are developmentally disabled, and members with a traumatic brain injury.