[Code of Federal Regulations]

[Title 42, Volume 3]

[Revised as of October 1, 2005]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR440.110]



[Page 239-240]

 

                         TITLE 42--PUBLIC HEALTH

 

  CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF 

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 440_SERVICES: GENERAL PROVISIONS--Table of Contents

 

                          Subpart A_Definitions

 

Sec. 440.110  Physical therapy, occupational therapy, and services for 

individuals with speech, hearing, and language disorders.



    (a) Physical therapy. (1) Physical therapy means services prescribed 

by a physician or other licensed practitioner of the healing arts within 

the scope of his or her practice under State law and provided to a 

recipient by or under the direction of a qualified physical therapist. 

It includes any necessary supplies and equipment.

    (2) A ``qualified physical therapist'' is an individual who is--

    (i) A graduate of a program of physical therapy approved by both the 

Committee on Allied Health Education and Accreditation of the American 

Medical Association and the American Physical Therapy Association or its 

equivalent; and

    (ii) Where applicable, licensed by the State.

    (b) Occupational therapy. (1) Occupational therapy means services 

prescribed by a physician or other licensed practitioner of the healing 

arts within the scope of his or her practice under State law and 

provided to a recipient by or under the direction of a qualified 

occupational therapist. It includes any necessary supplies and 

equipment.

    (2) A ``qualified occupation therapist'' is an individual who is--

    (i) Registered by the American Occupational Therapy Association; or

    (ii) A graduate of a program in occupational therapy approved by the 

Committee on Allied Health Education and Accreditation of the American 

Medical Association and engaged in the supplemental clinical experience 

required before registration by the American Occupational Therapy 

Association.

    (c) Services for individuals with speech, hearing, and language 

disorders. (1) Services for individuals with speech, hearing, and 

language disorders means diagnostic, screening, preventive, or 

corrective services provided by or under the direction of a speech 

pathologist or audiologist, for which a patient is referred by a 

physician or other licensed practitioner of the healing arts within the 

scope of his or her practice under State law. It includes any necessary 

supplies and equipment.

    (2) A ``speech pathologist'' is an individual who meets one of the 

following conditions:

    (i) Has a certificate of clinical competence from the American 

Speech and Hearing Association.

    (ii) Has completed the equivalent educational requirements and work 

experience necessary for the certificate.

    (iii) Has completed the academic program and is acquiring supervised 

work experience to qualify for the certificate.

    (3) A ``qualified audiologist'' means an individual with a master's 

or doctoral degree in audiology that maintains documentation to 

demonstrate that he or she meets one of the following conditions:

    (i) The State in which the individual furnishes audiology services 

meets or exceeds State licensure requirements in paragraph (c)(3)(ii)(A) 

or (c)(3)(ii)(B) of this section, and the individual is licensed by the 

State as an audiologist to furnish audiology services.

    (ii) In the case of an individual who furnishes audiology services 

in a State that does not license audiologists, or an individual exempted 

from State licensure based on practice in a specific institution or 

setting, the individual must meet one of the following conditions:

    (A) Have a Certificate of Clinical Competence in Audiology granted 

by the American Speech-Language-Hearing Association.

    (B) Have successfully completed a minimum of 350 clock-hours of 

supervised clinical practicum (or is in the process of accumulating that 

supervised clinical experience under the supervision of a qualified 

master or doctoral-level audiologist); performed at least 9 months of 

full-time audiology services under the supervision of a qualified master 

or doctoral-level audiologist after obtaining a master's or doctoral 

degree in audiology, or a related field; and successfully completed



[[Page 240]]



a national examination in audiology approved by the Secretary.



[43 FR 45224, Sept. 29, 1978, as amended at 45 FR 24888, Apr. 11, 1980; 

56 FR 8854, Mar. 1, 1991; 60 FR 19861, Apr. 21, 1995; 69 FR 30587, May 

28, 2004]