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If you work in an outpatient physical therapy clinic, do you see all of your Medicaid patients (including HMO Medicaid replacement plans) under strict direct supervision and one on one? I know they say they follow CMS guidelines but they also say that and then the rules differ wildly in a lot of other areas from what Medicare will allow. I am writing this to see what is the norm because I don't know many outpatient PT's outside of a nursing home setting where everyone is one on one regardless of payor.