Sue,
 
Unfortunately your question is not a simple one to answer.  You need to look at the NJ practice act to determine what your state laws are regarding physician referrals.  If you are a direct access state, you may not necessarily require an MD order.  That being said, payers are few and far between who will reimburse for services that are not ordered by a physician. 
 
The second part is whether you are required to obtain and maintain MD certification of your treatment plan.  Your medicare patients can't be treated without this certification and recertification every 30 days.  What you need to do is familiarize yourself with state statute and payer guidelines for your primary payers. 
 
A great resource for regulations related to OT is AOTA.  Another that I continue to find very useful is PTManager.com.
 
Good Luck
 
 
 
Redge L Campbell MS OTR/L
Director of Rehabilitation Services
Harrison Hospital
Bremerton, WA  98310
360.792.6531

>>> [EMAIL PROTECTED] 09/20/01 06:17PM >>>
Can anyone refer me to an appropriate agency to determine guidelines for
needing dr's. orders to  provide OT therapy. I am in NJ. As an outreach
service provider, there seems to be a difference of opinion among the OTs as
to which settings an OT can provide services without a dr's. order.  (ex: 
school, day workshops, etc. )
I don't want anyone putting their licence in jeopardy, and I can't seem to
get a definitive answer ( in writing) from anywhere.
Any direction would be greatly appreciated.
Sue

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