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

• Department of Labor, Workers' Compensation System

Contact Information

• Vermont WC contacts

News and Updates

• Sign up for Medical/Health Care Provider E-mails

Other

• Medical/Health Care Providers Information
• Rules 1-46
• Rule 40
• Medical Fee Schedule

Therapy Regulations

• What is the conversion factor for outpatient therapy services?
  • Response: Not applicable
  • Detail: Fee schedule provided payment to the maximum allowable reimbursement for services in underserved areas
  • Citation:Rules, Proposed Rules and Memos
• What is the basis of the fee schedule for outpatient therapy services?
  • Response: Other
  • Detail: Not specified, fee schedule provided
  • Citation: Rules, Proposed Rules and Memos
• Are there limits on the number of physical therapy visits allowed?
  • Response: No
  • Citation: Rules, Proposed Rules and Memos
• Are there limits on payment per visit for outpatient therapy services?
  • Response: Yes
  • Citation: Rules, Proposed Rules and Memos
• Do regulations require use of treatment guidelines?
  • Response: No
  • Citation: Rules, Proposed Rules and Memos
• Is a referral required in order to see a physical therapist?
  • Response: No
  • Detail: PT recognized as treating provider, not subject to referral
  • Citation: Rules, Proposed Rules and Memos
• Can outpatient fees be negotiated above or below the fee schedule? ¹
  • Response: Yes -
  • Citation: Medical Fee Schedule
• Can the injured worker be charged for any claim-related services?
  • Response: No
  • Detail:
  • Citation: Memorandum
• Are there workers' compensation regulations about who can provide services under the direction and supervision of a physical therapist?
  • Response: Unknown
• 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?
  • Response: Unknown
• Are there regulations regarding Functional Capacity Evaluations (FCEs)?
  • Response: Yes
  • Citation: Rules, Proposed Rules and Memos

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: No
• Exclusive State Fund: No
• State Comp Fund (last resort): No

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