Question: Is there any way to get more physical therapy approved for someone who has reached the limit with Medicaid? My stepdad is in a nursing home for long-term care and doesn’t seem to be getting enough exercise. He needs ongoing PT to keep his strength up.
Answer: Unfortunately, once you’ve used up the allotment for physical therapy for the calendar year, you’ll need to wait until it resets to have covered visits again. You could find a health insurance plan that provides additional PT visits if one is available in your area.
The other thing you could try is speaking with his primary care doctor. Depending on his health conditions and needs, your doctor could help file an appeal to get Medicaid to pay for more visits. There’s no guarantee this will be approved, but it’s worth a try.