{"ref":"CA-HH-CS-03","title":"Therapy, Medical Social Services, and Diet Counseling","category":"Clinical tasks","summary":"Sets out how the Agency provides physical therapy, occupational therapy, speech therapy, medical social services, and diet counseling: each by or under the supervision of a qualified professional of that discipline and according to the plan of treatment, with the duties 22 CCR §§74711, 74713, and 74715 list; therapy orders that state the specific procedures, frequency, and duration (22 CCR §74701(d)); and no use of physical therapy aides in place of certified home health aides (22 CCR §74709(d)).","inShort":["Therapy, social work, and diet counseling follow the plan of treatment and the written order.","Therapy orders must say what treatment, how often, and for how long. If it is not ordered, do not do it.","Assistants work only under a supervising professional of the same discipline. Only the therapist evaluates, changes the plan, or discharges.","Physical therapy aides never take the place of certified home health aides.","Report changes in the patient to the physician and record them. Write your note at the visit."],"primaryCitation":"22 CCR §74711","citations":["22 CCR §74711","22 CCR §74713","22 CCR §74715","22 CCR §74701(d)","22 CCR §74709(d)","22 CCR §74653","22 CCR §74655","22 CCR §74623","Cal. Health & Safety Code §1727.5(c)","Cal. Bus. & Prof. Code §4996"],"federalCitations":["42 CFR §484.75","42 CFR §484.115"],"surveyorAsks":["Show me the therapy order for this patient. Does it state the procedures, frequency, and duration?","Who supervises your physical therapist assistants and occupational therapy assistants, and how?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (22 CCR §74711)","5. Therapy Services","6. Supervision of Therapy Assistants and Aides","7. Therapy Orders","8. Therapy Outside the Home","9. Medical Social Services","10. Supervision of Social Work Assistants","11. Diet Counseling","12. Documentation and Reporting","13. Responsibilities","14. Records and Compliance Monitoring","15. Staff Training","16. References","17. Related Policies and Forms","18. Approval","19. Revision History"],"version":"1.0","sample":false,"pack":"ca-hha","state":"California","service":"Home health","guides":[{"path":"/guides/home-health-agency-policies/","h1":"What policies and procedures are required for home health agencies?"},{"path":"/guides/home-health-conditions-of-participation/","h1":"Home health Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}