{"ref":"MI-HH-CS-03","title":"Therapy and Medical Social Services","category":"Clinical tasks","summary":"Sets out how the Agency furnishes physical therapy, occupational therapy, speech-language pathology and medical social services: the qualifications in 42 CFR §484.115 and the Michigan licenses each discipline holds, supervision of assistants, therapy assessment and the Medicare reassessment rule, medical social services, and the Michigan Medicaid limits (therapy only when medically necessary, speech therapy only for certain Children’s Special Health Care Services children, and no Medicaid coverage of medical social services).","inShort":["Therapists and social workers hold the Michigan license for their field and meet the federal qualifications.","Assistants work only under the supervising therapist or social worker, and report changes the same day.","A qualified therapist, not an assistant, treats and reassesses the patient at least every 30 days.","Goals are measurable, and function is measured so progress can be compared.","Michigan Medicaid does not cover medical social services, and covers speech therapy only for certain children. Check before you start."],"primaryCitation":"42 CFR §484.75","citations":["Michigan Medicaid Provider Manual, Home Health, Sections 9 and 13.5","MCL 333.17601 (Part 176, Speech-language pathology)","MCL 333.17801 (Part 178, Physical therapy)","MCL 333.18301 (Part 183, Occupational therapy)","MCL 333.18501 (Part 185, Social work)"],"federalCitations":["42 CFR §484.75","42 CFR §484.115(f) to (n)","42 CFR §409.44(c)","42 CFR §409.45(c)","42 CFR §484.55(a)(2) and (b)(3)"],"surveyorAsks":["Who supervises your therapy assistants and social work assistants?","Show me the qualified therapist’s functional reassessment for this patient in the last 30 days."],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §484.75)","5. Qualifications and Michigan Licenses","6. Therapy Evaluation, Goals and Plan","7. Reassessment and Use of Assistants","8. Medical Social Services","9. Michigan Medicaid Coverage of Therapy and Social Work","10. Documentation","11. Responsibilities","12. Records and Compliance Monitoring","13. Staff Training","14. References","15. Related Policies and Forms","16. Approval","17. Revision History"],"version":"1.0","sample":false,"pack":"mi-hha","state":"Michigan","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}}