Q.- We have an employee whose child needs occupational therapy, speech therapy, and developmental intervention. She wants to use her FSA to be reimbursed for the cost of some of these services. Would a letter of medical necessity from each therapist be necessary or would one letter from her pediatrician suffice?
A.- One letter of medical necessity from the pediatrician will suffice, and a separate letter from each therapist is not necessary. The letter of medical necessity must state that the therapeutic services are for medical care and directly related to the diagnosis, cure, mitigation, treatment or prevention of disease or illness. The participant should remember that the receipt from the therapists must clearly state what services are provided so it can be tied to the services required in the letter of medical necessity.
