{"ref":"NC-HH-CS-03","title":"Therapy and Medical Social Work Services","category":"Clinical tasks","summary":"Sets out what physical therapy, occupational therapy, speech-language pathology and medical social work must include under 10A NCAC 13J .1103 to .1106, requires the licensed therapist to perform initial and discharge assessments and plan of care updates and to be accessible at all times a therapy assistant is treating, sets the Agency’s supervision of therapy and social work assistants, and applies the federal qualification and supervision rules.","inShort":["The licensed therapist does the first assessment, writes the therapy plan, does plan updates, and does the discharge assessment.","Therapy assistants treat only within the therapist’s plan, and the therapist must be reachable every minute the assistant is with a patient.","The supervising therapist visits each patient an assistant treats at least every 30 days, as the Agency’s standard.","Report any reaction to treatment or change in condition to the physician and the case manager the same day.","Social work helps patients and families cope, stay safe and use community resources."],"primaryCitation":"10A NCAC 13J .1103","citations":["10A NCAC 13J .1103","10A NCAC 13J .1104","10A NCAC 13J .1105","10A NCAC 13J .1106","10A NCAC 13J .1110(a)","10A NCAC 13J .1110(c)","10A NCAC 13J .1202(a)","10A NCAC 13J .1302(c)","NC Medicaid Clinical Coverage Policy 3A"],"federalCitations":["42 CFR §484.75","42 CFR §484.115","42 CFR §484.55(a)(2)","42 CFR §484.55(b)(3)","42 CFR §484.80(g)(1)"],"surveyorAsks":["Who did the initial assessment and the discharge assessment for this physical therapy patient?","How is your physical therapist reached while the assistant is in the home?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (10A NCAC 13J .1103 to .1106; 42 CFR §484.75(c))","5. What Each Service Includes","6. Assessments and Plan of Care by the Licensed Therapist","7. Therapy Assistants","8. Medical Social Work","9. Orders, Reporting and Documentation","10. Qualifications and Competency","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":"nc-hha","state":"North Carolina","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}}