Carelon Clinical Appropriateness Guidelines for Rehabilitative and Habilitative Services
Outpatient Rehabilitative and Habilitative Services
The services addressed in the Carelon Clinical Appropriateness Guidelines for Outpatient Rehabilitative and Habilitative Services include physical therapy, occupational therapy, speech therapy, and associated adjunctive and alternative treatments.
OPEN THE GUIDELINES FOR OUTPATIENT REHABILITATIVE AND HABILITATIVE SERVICES EFFECTIVE JUNE 12, 2022
CPT code lists
To access the current CPT code list, please refer to the appropriate BCBS health plan provider page
- Illinois Commercial
- Montana
- New Mexico Commercial
- Blue Cross Centennial CommunitySM (New Mexico Medicaid)
- Oklahoma (look for the link to “Preauthorization Requirements Lists”)
- Texas
Archived Guidelines
Rehabilitative and Habilitative Services
- Rehabilitative and Habilitative Services effective May 1, 2021 – June 11, 2022
- Rehabilitative and Habilitative Services effective January 1, 2021 – April 30, 2021