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This summary sets forth various workers' compensation regulations regarding outpatient physical therapy services. The Workers' Compensation State Regulations resource may serve as a tool to assist in locating regulations. Please send database comments and corrections to advocacy@apta.org.

To the extent an individual or entity wishes to rely upon information contained in this resource, such reliance should be based upon an independent legal review and analysis of applicable law. This resource was prepared for informational purposes only and is not offered or intended, nor should it be relied upon, for legal advice for any specific set of circumstances. Additional legal doctrines, federal and state statutes, and case law not set forth herein may apply to your situation and such laws, rules and regulations can vary from state to state. You should consult with your own attorney to obtain specific legal advice on your particular facts and circumstances and applicable laws, rules, and regulations.

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Therapy Regulations

  • What is the conversion factor for outpatient therapy services?
  • What is the basis of the fee schedule for outpatient therapy services?
  • Are there limits on the number of physical therapy visits allowed?
    • Response: No
    • Detail: the employer shall provide for an injured employee such reasonable medical, surgical or other attendance or treatment, nurse and hospital services, medicines, crutches and apparatus, as may be reasonably required by the employee’s physician or needed immediately after an injury or manifestation of an occupational disease, and for a reasonable time thereafter
    • Citation: https://legislature.idaho.gov/statutesrules/idstat/Title72/T72CH4/SECT72-432/
  • Are there limits on payment per visit for outpatient therapy services?
    • Response: No
  • Do regulations require use of treatment guidelines?
    • Response: No
  • Is a referral required in order to see a physical therapist?
  • Can outpatient fees be negotiated above or below the fee schedule? 1
    • Response: Yes + / -
    • Detail: WCRI report indicates can be negotiated above or below the published rate, but no citation located
    • Citation: Workers' compensation medical cost containment: A national inventory, 2011 (WCRI report WC-11-35, April 2011)
  • Can the injured worker be charged for any claim-related services?
    • Response: No
    • Detail: An employee shall not be responsible for charges of physicians, hospitals or other providers of medical services to whom he has been referred for treatment of his injury or occupational disease by an employer designated physician or by the commission, except for charges for personal items or extended services which the employee has requested for his convenience and which are not required for treatment of his injury or occupational disease
    • Citation: https://legislature.idaho.gov/statutesrules/idstat/Title72/T72CH4/SECT72-432/
  • Are there workers' compensation regulations about who can provide services under the direction and supervision of a physical therapist?
    • Response: No
  • Are there provider network and/or managed care regulations in place?
    • Response: No
  • Are there regulations that address which fee schedule applies if an injured worker from this state seeks treatment in another state?
  • Are there regulations regarding Functional Capacity Evaluations (FCEs)?
    • Response: Yes
    • Detail: After an injury or contraction of an occupational disease and during the period of disability the employee, if requested by the employer or ordered by the commission, shall submit himself for examination at reasonable times and places to a duly qualified physician or surgeon
    • Citation: https://legislature.idaho.gov/statutesrules/idstat/Title72/T72CH4/SECT72-433/

1 While some states use a mandatory fee schedule, many states have provisions for fees to be negotiated above or below the published fee schedule. "Yes + / - " indicates that fees can be negotiated above or below the fee schedule. "Yes -" indicates that fees can only be negotiated below the fee schedule.

The following payer types conduct business in this state.

  • Private Carriers: Yes
  • Self-insured Employers or Groups: Yes
  • Competitive State Fund: Yes
  • Exclusive State Fund: No
  • State Comp Fund (last resort): No

The Workers' Compensation resources have been updated as of 2026.

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