IN CLINIC TRAINING: Understanding the Responsibilities of Treating Physicians in Workers' Compensation

We invite clinic staff and billers to join us for an important session introducing the unique responsibilities involved when accepting the role of a treating physician under workers' compensation. APTA Montana is committed to supporting your practice in accurately and confidently fulfilling this role, ensuring compliance and best outcomes for your patients and business. We look forward to helping you navigate these responsibilities with clarity and support. Please contact APTA MT for Fees and Scheduling

SB 109 Signed into Law - Effective October 1, 2025

We're pleased to share that Montana Senate Bill 109 has been signed into law by Governor Gianforte. This legislation represents an important milestone for the physical therapy profession in our state. While the bill is now officially law, it will not go into effect until October 1, 2025. This lead time provides an opportunity for physical therapists across Montana to prepare for the upcoming changes and ensure a smooth transition.

What does this mean?

  • Injured workers may begin care directly with a physical therapist for full case management and treatment as of October 1, 2025
  • Physical therapists choosing to take on the role of "treating physician" are required to:
    • Coordinate the worker's receipt of medical services
    • Determine maximum medical improvement, physical restrictions, level of return to work, approval of job analysis, provide documentation
    • Provide or arrange for treatment within the Montana Utilization and Treatment Guidelines including imaging and physical therapy treatments
    • Refer to health care providers for medical services when appropriate
    • Conduct or arrange for timely impairment ratings
  • See FAQ for Medical Providers(pdf from MT Dept of Labor) for complete details
  • No physical therapist is required to take on the role of treating physician. You may continue to refer patients to a physician to manage the case if preferred.


Reimbursement Details:

  • When a physical therapist serves as the treating physician, they will be reimbursed at 110% of the Workers' Compensation fee schedule.
  • Montana Professional Fee Schedule(opens in a new window)

 

Next Steps:

  • APTA Montana offers the following opportunities:
    1. Live, 45-minute presentation in your clinic, schedule with a WC professional from APTA Montana(Contact Us page opens in a new window).
      • ​​​​​​​ This is a FEE BASED program. We will reply to your email with the fee schedule, invoicing, payment methods, and scheduling links.
    2. On demand webinar to be released by May 2025
    3. Q&A at APTA Montana Fall Conference in Missoula Live - October 4-5, 2025