MMC Benefits Handbook
Occupational Therapy
The plan covers the treatment to:
- Learn or re-learn daily living skills (e.g., bathing, dressing and eating) or compensatory techniques to improve the level of independence in the activities of daily living
- Provide task-oriented therapeutic activities designed to significantly improve, develop or restore physical functions lost or impaired as a result of a disease.
Coverage includes services, treatment, education testing or training related to developmental delays.
Prior authorization for occupational therapy is recommended. Contact the Claims Administrator for specific details. Ongoing therapy is subject to periodic clinical review to determine medical necessity for continued therapy.