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Point32 Outpatient Physical and Occupational Therapy Services Form
This procedure is not covered
Harvard Pilgrim HealthCare Medical Policy
Outpatient Physical and Occupational Therapy Services
STRIDE SM (HMO) MEDICARE ADVANTAGE
Subject: Outpatient Physical and Occupational Therapy Services
Policy and Coverage Criteria: Harvard Pilgrim Health Care (HPHC) utilizes Centers for Medicare and Medicaid Services (CMS) guidelines and applicable National Coverage Determination (NCD) and/or Local Coverage Determination (LCD) for medical necessity determination.