[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: 42CFR485.713]



[Page 617-618]

 

                         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. 485.713  Condition of participation: Physical therapy services.



    If the organization offers physical therapy services, it provides an 

adequate program of physical therapy and has an adequate number of 

qualified personnel and the equipment necessary to carry out its program 

and to fulfill its objectives.

    (a) Standard: Adequate program. (1) The organization is considered 

to have an adequate outpatient physical therapy program if it can:

    (i) Provide services using therapeutic exercise and the modalities 

of heat, cold, water, and electricity;

    (ii) Conduct patient evaluations; and

    (iii) Administer tests and measurements of strength, balance, 

endurance, range of motion, and activities of daily living.

    (2) A qualified physical therapist is present or readily available 

to offer supervision when a physical therapist assistant furnishes 

services.

    (i) If a qualified physical therapist is not on the premises during 

all hours of operation, patients are scheduled so as to ensure that the 

therapist is present when special skills are needed, for example, for 

evaluation and reevaluation.

    (ii) When a physical therapist assistant furnishes services off the 

organization's premises, those services are supervised by a qualified 

physical therapist who makes an onsite supervisory visit at least once 

every 30 days.

    (b) Standard: Facilities and equipment. The organization has the 

equipment and facilities required to provide the range of services 

necessary in the treatment of the types of disabilities it accepts for 

service.

    (c) Standard: Personnel qualified to provide physical therapy 

services. Physical therapy services are provided by, or under the 

supervision of, a qualified physical therapist. The number of qualified 

physical therapists and qualified physical therapist assistants is 

adequate for the volume and diversity of physical therapy services 

offered. A qualified physical therapist is on the premises or readily 

available during the operating hours of the organization.

    (d) Standard: Supportive personnel. If personnel are available to 

assist qualified physical therapists by performing



[[Page 618]]



services incident to physical therapy that do not require professional 

knowledge and skill, these personnel are instructed in appropriate 

patient care services by qualified physical therapists who retain 

responsibility for the treatment prescribed by the attending physician.



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

Further redesignated and amended at 60 FR 2326, 2327, Jan. 9, 1995; 60 

FR 50447, Sept. 29, 1995]