[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: 42CFR485.703]



[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. 485.703  Definitions.



    Clinic. A facility that is established primarily to furnish 

outpatient physician services and that meets the following tests of 

physician involvement:

    (1) The medical services are furnished by a group of three or more 

physicians practicing medicine together.

    (2) A physician is present during all hours of operation of the 

clinic to furnish medical services, as distinguished from purely 

administrative services.

    Organization. A clinic, rehabilitation agency, or public health 

agency.

    Public health agency. An official agency established by a State or 

local government, the primary function of which is to maintain the 

health of the population served by performing environmental health 

services, preventive medical services, and in certain cases, therapeutic 

services.

    Rehabilitation agency. An agency that--

    (1) Provides an integrated interdisciplinary rehabilitation program 

designed to upgrade the physical functioning of handicapped disabled 

individuals by bringing specialized rehabilitation staff together to 

perform as a team; and

    (2) Provides at least the following services:

    (i) Physical therapy or speech-language pathology services.

    (ii) Social or vocational adjustment services.

    Supervision. Authoritative procedural guidance that is for the 

accomplishment of a function or activity and that--

    (1) Includes initial direction and periodic observation of the 

actual performance of the function or activity; and

    (2) Is furnished by a qualified person--

    (i) Whose sphere of competence encompasses the particular function 

or activity; and

    (ii) Who (unless otherwise provided in this subpart) is on the 

premises if the person performing the function or activity does not meet 

the assistant-level practitioner qualifications specified in Sec. 

485.705.



[41 FR 20865, May 21, 1976. Redesignated at 42 FR 52826, Sept. 30, 1977, 

and amended at 53 FR 12015, Apr. 12, 1988; 54 FR 38679, Sept. 20, 1989. 

Redesignated and amended at 60 FR 2326, 2327, Jan. 9, 1995; 60 FR 50447, 

Sept. 29, 1995]