Occupational Therapy

Pediatric Therapy and Medicaid Authorizations: Stop Losing Visits

In pediatric practices, authorization is revenue. When an authorization lapses, the visits keep happening — the payments don't.

By Brandon Seigel, Chief Problem Solver · July 24, 2026 · 6 min read

Why pediatric practices are hit hardest

Children often have Medicaid or managed Medicaid, which means authorizations with set visit counts and date ranges, frequent plan switches, and monthly eligibility changes.

A daily authorization rhythm

The practices that avoid write-offs share a few habits:

  • Eligibility verified before every episode and re-checked monthly
  • Visits used vs. authorized tracked in real time
  • Re-authorization requests started well before expiration
  • Front desk and billing working from one shared board

How our program helps

Our Eligibility & Authorization Program builds custom Monday.com boards into your intake process and manages authorizations and eligibility every business day. It's available as a separately priced add-on, based on team availability.

Quick answers

How do pediatric therapy practices avoid authorization denials?

Verify eligibility monthly, track visits used against visits authorized, and start re-authorizations well before they expire, using one shared workflow.

Sources and further reading

See exactly what's included in our medical billing services for therapy practices, how our percentage-of-collections pricing works, or browse common questions from practice owners.

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