State RegulationsOH specificDifficulty 2/5
After knee surgery, a member of a Canton health insuring corporation receives physical therapy. The member assumes that because therapy is rehabilitative, it must be a basic service. Under ORC 1751.01, physical therapy is actually classified as:
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Answer & full 3-part explanation (select an option above, or peek)
Why C is correct
ORC 1751.01(B) places physical therapy in the supplemental health care services tier. The rehabilitative character of the service does not make it basic: the basic tier of ORC 1751.01(A) is a defined list, and the specialty tier of ORC 1751.01(C) is a separate category.
Why the other options are wrong
- A) Wrong: the basic tier of ORC 1751.01(A) is limited to hospital, outpatient, diagnostic services, and cancer clinical trials; physical therapy is supplemental.
- B) Wrong: the specialty tier is defined separately in ORC 1751.01(C); physical therapy is supplemental under ORC 1751.01(B).
- D) Wrong: physical therapy is a statutorily defined supplemental service under ORC 1751.01(B); it is not created by separate negotiation.
Memory hook
Therapy is tier-two: physical therapy = supplemental.