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.

Key Resources and Links

Agency

• Workers' Compensation Court (WCC)

Contact Information

• WCC Contacts

News and Updates

• What's New

Other

• Medical Services
• Medical Publications
• Schedule of Medical and Hospital Fees
• Treatment Guidelines

Therapy Regulations

• What is the conversion factor for outpatient therapy services?
  • Response: Not reported
  • Detail: Utilize fee schedule for reim bursemnets for specific treatment codes
  • Citation: https://www.wcc.ok.gov/home/showpublisheddocument/2595/639153813207870000
• What is the basis of the fee schedule for outpatient therapy services?
  • Response: RBRVS
  • Detail: OK Statues Title 85A. Workers' Compensation
  • Citation: https://oksenate.gov/sites/default/files/2019-12/os85A.pdf
• Are there limits on the number of physical therapy visits allowed?
  • Response: Yes
  • Detail: 2026 Schedule of Hospital and Medical Fees. Physical Medicinr ground rules, pg. 331: Treatment beyong 18 visits in the aggregate must be authorized.
  • Citation: https://www.wcc.ok.gov/home/showpublisheddocument/2595/639153813207870000
• Are there limits on payment per visit for outpatient therapy services?
  • Response: Yes
  • Detail: 2026 Schedule of Hospital and Medical Fees. Page 331 – 4 units per day; 6 if multiple regions; except FCE.
  • Citation: https://www.wcc.ok.gov/home/showpublisheddocument/2595/639153813207870000
• Do regulations require use of treatment guidelines?
  • Response: No
  • Detail: OK Statues Title 85A. Workers' Compensation Pg. 26: The medical treatment guidelines are not requirements, nor are they mandates or standards; thye provide advice by identifying the care most likely to benefit injured workers.
  • Citation: https://oksenate.gov/sites/default/files/2019-12/os85A.pdf
• Is a referral required in order to see a physical therapist?
  • Response: Yes
  • Detail: 2026 Schedule of Hospital and Medical Fees. Physical Medicine Ground Rules Pg 331: The MAR values in this section apply only when a physician determines the services are medically warranted
  • Citation: www.wcc.ok.gov/home/showpublisheddocument/2595/639153813207870000
• Can outpatient fees be negotiated above or below the fee schedule? ¹
  • Response: Yes + / -
  • Detail: OK Statutes Title 85.A-55 (B): The provisions of this section relating to charges shall not apply if a written contract exists between the employer and the person who renders the medical service or supplies.
  • Citation: https://oksenate.gov/sites/default/files/2019-12/os85A.pdf
• Can the injured worker be charged for any claim-related services?
  • Response: No
  • Detail: OK Statutes Title 85.A-18 (A): No hospital, physician, or other health care provider shall bill or attempt to collect any fee or any portion of a fee for services rendered to an employee due to a work-related injury
  • Citation: https://oksenate.gov/sites/default/files/2019-12/os85A.pdf
• Are there workers' compensation regulations about who can provide services under the direction and supervision of a physical therapist?
  • Response: Yes
  • Detail: Per Physical Medicine Ground Rules, 2a) A licensed physical therapist assistant under the direct clinical on-site supervision of a licensed physical therapist or under the general supervision of a licensed physical therapist, as provided in the rules of the State Board of Medical Licensure and Supervision
  • Citation: www.wcc.ok.gov/home/showpublisheddocument/2595/639153813207870000
• Are there provider network and/or managed care regulations in place?
  • Response: Yes
  • Detail: Managed care is regulated by Department of Health
  • Citation: https://oklahoma.gov/health/services/licensing-inspections/health-resources-development-service/managed-care-systems.html
• Are there regulations that address which fee schedule applies if an injured worker from this state seeks treatment in another state?
  • Response: No
• Are there regulations regarding Functional Capacity Evaluations (FCEs)?
  • Response: Yes
  • Detail: Physical Medicine Ground Rules (3)(d)
  • Citation: www.wcc.ok.gov/home/showpublisheddocument/2595/639153813207870000

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.