Physical therapy is an optional benefit and its coverage is determined by the state that administers the Medicare program. Using Federal guidelines, states determine the scope, duration, type, and amount of optional benefits rendered.
Other optional benefits determined by states are podiatry, optometry, occupational therapy, dental, hospice, case management, private nurse care, respiratory care, chiropractic care, personal care, and prosthetics. Diagnostic, rehabilitative and preventive services are optional apart from early and periodic screening and treatment care. Speech and hearing disorders and prescriptions are also optional benefits.
Mandatory benefits must be covered by a state's Medicaid program. These benefits include inpatient and outpatient hospital care, laboratory services, x-rays, family planning, physician, and midwife services. Pregnant women seeking smoking cessation counseling is a mandatory benefit. Medicaid must also cover transportation costs to the facility providing medical care.