{"ref":"MO-HSP-THR-01","title":"Physical Therapy, Occupational Therapy and Speech-Language Pathology","category":"Clinical tasks","summary":"Sets out how the Agency offers physical therapy, occupational therapy and speech-language pathology consistent with accepted standards of practice, directly or through a contracted provider; who may provide them under Missouri's definitions; supervision of physical therapy and occupational therapy assistants (therapist available at least by phone and a supervisory visit to the patient's residence at least every thirty days); and the Department waiver for areas of the state with no licensed therapists, which must be resubmitted annually.","inShort":["The IDG thinks about physical, occupational and speech therapy at every assessment and plan of care review.","Therapy needs an order from an authorized prescriber and must be in the plan of care.","A PT or OT must be reachable by phone while an assistant is working, and visits the patient's home at least every 30 days when an assistant is treating.","Therapists teach the patient and family how to use equipment safely and report changes to the case manager RN.","If no therapists are available in an area, only the Department can waive the requirement, and the waiver is resubmitted every year."],"primaryCitation":"19 CSR 30-35.010(2)(G)6.B","citations":["19 CSR 30-35.010(2)(G)6, 6.B, 6.D","19 CSR 30-35.010(1)(A)24, 25, 28, 29, 35","19 CSR 30-35.010(2)(C)","19 CSR 30-35.010(2)(E)1","19 CSR 30-35.010(2)(I)2"],"federalCitations":["42 CFR §418.70","42 CFR §418.72","42 CFR §418.74","42 CFR §418.114(b)(4)-(8)"],"surveyorAsks":["How do you provide therapy when a patient needs it? Show me the contract if it is not by your employees.","Is a PTA or OTA working with any patient? Show me the therapist's supervisory visits at least every 30 days."],"forms":[{"ref":"MO-HSP-THR-01-A","title":"Therapy Assistant Supervisory Visit Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (19 CSR 30-35.010(2)(G)6.B; 42 CFR §418.72)","5. How Therapy Is Arranged","6. When Therapy Is Considered","7. Orders, Evaluation and the Plan of Care","8. Supervision of Therapy Assistants (19 CSR 30-35.010(2)(G)6.B(I)-(III))","9. Qualifications","10. Waiver Where No Therapists Are Available","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":"mo-hospice","state":"Missouri","service":"Hospice","guides":[{"path":"/guides/hospice-policies/","h1":"What policies are required for hospice?"},{"path":"/guides/hospice-conditions-of-participation/","h1":"Hospice Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}