The recent amendment of the German Habilitative Services Prescription Directive for Dentists changes the rules governing the prescription of habilitative services and devices in statutory health insurance (SHI)-accredited dental care. The main change is the scrapping of the average-case limit, which in the past made prescribing more sessions than the average-case limit subject to evaluation and approval by the SHI provider. What is also new is the introduction of a blank prescription policy, which allows physiotherapists to shape the habilitative treatment plan as they deem necessary. This article describes the background of the directive, what has changed, and what deficits remain. Keywords: Habilitative Services Prescription Directive, physiotherapy, manual therapy