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Overhead flat-lay of four labeled cards representing the four criteria of medical necessity in therapy on a clean desk with a progress note at the edge

June 13, 2026

Medical Necessity in Therapy: The Four Criteria Every Note Has to Meet

Medical necessity in therapy is the standard your notes have to meet to be reimbursable, and it breaks into four criteria checked at every session. Here is what each one means and how they show up in one real note.

By Rindie Eagle