[Code of Federal Regulations]
[Title 42, Volume 3]
[Revised as of October 1, 2004]
From the U.S. Government Printing Office via GPO Access
[CITE: 42CFR485.717]

[Page 614]
 
                         TITLE 42--PUBLIC HEALTH
 
  CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF 
                  HEALTH AND HUMAN SERVICES (CONTINUED)
 
PART 485_CONDITIONS OF PARTICIPATION: SPECIALIZED PROVIDERS--Table of Contents
 
   Subpart H_Conditions of Participation for Clinics, Rehabilitation 
Agencies, and Public Health Agencies as Providers of Outpatient Physical 
             Therapy and Speech-Language Pathology Services
 
Sec. 485.717  Condition of participation: Rehabilitation program.

    This condition and its standards apply only to a rehabilitation 
agency's own patients, not to patients of hospitals, skilled nursing 
facilities (SNFs), or Medicaid nursing facilities (NFs) to whom the 
agency furnishes services. (The hospital, SNF, or NF is responsible for 
ensuring that qualified staff furnish services for which they arrange or 
contract for their patients.) The rehabilitation agency provides, in 
addition to physical therapy and speech-language pathology services, 
social or vocational adjustment services to all of its patients who need 
them. The agency provides for special qualified staff to evaluate the 
social and vocational factors, to counsel and advise on the social or 
vocational problems that arise from the patient's illness or injury, and 
to make appropriate referrals for needed services.
    (a) Standard: Qualification of staff. The agency's social or 
vocational adjustment services are furnished as appropriate, by 
qualified psychologists, qualified social workers, or qualified 
vocational specialists. Social or vocational adjustment services may be 
performed by a qualified psychologist or qualified social worker. 
Vocational adjustment services may be furnished by a qualified 
vocational specialist.
    (b) Standard: Arrangements for social or vocational adjustment 
services. (1) If a rehabilitation agency does not provide social or 
vocational adjustment services through salaried employees, it may 
provide those services through a written contract with others who meet 
the requirements and responsibilities set forth in this subpart for 
salaried personnel.
    (2) The contract must specify the term of the contract and the 
manner of termination or renewal and provide that the agency retains 
responsibility for the control and supervision of the services.

[41 FR 20865, May 21, 1976. Redesignated at 42 FR 52826, Sept. 30, 1977, 
and amended at 56 FR 46562, Sept. 13, 1991. Redesignated and amended at 
60 FR 2326, 2328, Jan. 9, 1995; 60 FR 11632, Mar. 2, 1995; 60 FR 50447, 
Sept. 29, 1995]