Outpatient therapy is one of the primary services that our CSB offers. Requiring physician direction as described in the manual that includes but not limited to, a "face-to-face visit with the individual, prescribe the type of care provided, and if services are not limited by the prescription, periodically review the need for continued care,"  would place a financial as well as a workforce barrier on us as well as many other agencies that provide this service. I would ask that this is reconsidered. 

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