Therapy Caps Exception Process
Contractors shall, at the request of the individual enrolled under the Part B benefit or a person acting on behalf of that individual, grant an exception to the therapy cap in certain circumstances. There are different categories of exceptions described in the instruction. Documentation requirements relevant to therapy services, which are also applicable to the cap exceptions process, are also included here.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: February 15, 2006
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