[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: 42CFR484.32]



[Page 583-584]

 

                         TITLE 42--PUBLIC HEALTH

 

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

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 484_HOME HEALTH SERVICES--Table of Contents

 

                    Subpart C_Furnishing of Services

 

Sec. 484.32  Condition of participation: Therapy services.



    Any therapy services offered by the HHA directly or under 

arrangement are given by a qualified therapist or by a qualified therapy 

assistant under the supervision of a qualified therapist and in 

accordance with the plan of care. The qualified therapist assists the 

physician in evaluating level of function, helps develop the plan of 

care (revising it as necessary), prepares clinical and progress notes, 

advises and consults with the family and other agency personnel, and 

participates in in-service programs.

    (a) Standard: Supervision of physical therapy assistant and 

occupational therapy assistant. Services furnished by a qualified 

physical therapy assistant or qualified occupational therapy assistant 

may be furnished under the supervision of a qualified physical or 

occupational therapist. A physical therapy assistant or occupational 

therapy assistant performs services planned, delegated, and supervised 

by the therapist,



[[Page 584]]



assists in preparing clinical notes and progress reports, and 

participates in educating the patient and family, and in in-service 

programs.

    (b) Standard: Supervision of speech therapy services. Speech therapy 

services are furnished only by or under supervision of a qualified 

speech pathologist or audiologist.



[54 FR 33367, August 14, 1989, as amended at 56 FR 32974, July 18, 1991]