Contract Requirements for Therapy

This guide will help users understand therapy requirements as defined by the payer contract. Below are a few examples.

Requirements include a maximum and a minimum requirement

The resident must receive at least 60 minutes/day, but no more than 120 minutes/day.  For the week, the resident must receive at least 300 minutes, but no more than 600.  They can be treated no more than 5 days per week.

Requirements include a minimum with no maximum

The resident must receive at least 90 minutes/day (with no maximum), and at least 270 minutes/week (with no maximum).  They must be treated at least 3 days/week, but can be treated more days if needed.

Requirements include number of days minimum

The resident is allow to receive no more than 89 minutes/day, and less than 623 minutes/week.  They must be treated at least 3 days/week, but can be treated more days if needed.

Requirements include number of days minimum and maximum

The resident must receive at least 30 minutes/day, but no more than 60 minutes/day. For the week, they must receive at least 90 minutes, but no more than 150 minutes. They must be treated at least 3 days/week, but no more than 5 days/week.