{"ref":"MO-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: qualified and licensed professionals; therapy-only assessments; measurable, objective therapy goals and functional reassessment by a qualified therapist; supervision of therapy assistants and social work assistants; the Medicare coverage rules that apply if the Agency is Medicare-certified; and the MO HealthNet therapy limits.","inShort":["Physical, occupational and speech therapy and social work are provided only by qualified, licensed professionals.","Therapy goals must be measurable and based on objective measurements of what the patient can do.","A qualified therapist, not an assistant, must see and reassess each therapy patient at least every 30 days.","Therapy assistants and social work assistants work under the supervision of a therapist or social worker.","MO HealthNet limits therapy for some adults to 20 visits a year in total. Office staff track this."],"primaryCitation":"42 CFR §484.75 (adopted by 19 CSR 30-26.010(1)(A))","citations":["19 CSR 30-26.010(1)(A)","RSMo §197.400(4)","13 CSR 70-90.010(2)(B), (2)(C), (3), (8), (9)"],"federalCitations":["42 CFR §484.75","42 CFR §484.115(f) to (n)","42 CFR §484.55(a)(2), (b)(3)","42 CFR §484.60","42 CFR §409.44(c)","42 CFR §409.45(c)"],"surveyorAsks":["Who supervises your physical therapist assistants and occupational therapy assistants, and how?","Show me the therapy goals and objective measurements for this patient, and when a qualified therapist last reassessed the patient."],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §484.75 (adopted by 19 CSR 30-26.010(1)(A)))","5. Disciplines and Supervision","6. Therapy Evaluation, Goals, and the Plan of Care","7. Reassessment by a Qualified Therapist","8. Supervision of Therapy Assistants","9. Medical Social Services","10. Care Coordination and Discharge from Therapy","11. MO HealthNet Therapy Limits","12. Responsibilities","13. Records and Compliance Monitoring","14. Staff Training","15. References","16. Related Policies and Forms","17. Approval","18. Revision History"],"version":"1.0","sample":false,"pack":"mo-hha","state":"Missouri","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}}