[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: 42CFR485.717]



[Page 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. 485.717  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]