{"ref":"OH-HH-CS-03","title":"Therapy and Medical Social Services","category":"Clinical tasks","summary":"Sets out who may provide physical therapy, occupational therapy, speech-language pathology and medical social services for the Agency, the federal qualifications and Ohio licensing boards for each discipline, what therapists and social workers do (including therapy-only assessments and aide instructions), how therapy assistants and social work assistants are supervised, and how Ohio Medicaid limits on therapy affect care.","inShort":["Therapists and social workers must hold an Ohio license and meet the federal qualifications for their discipline.","Therapy assistants work under the supervision of a physical or occupational therapist, who evaluates, plans and reassesses.","When therapy is the only service, the therapist does the assessments and writes the aide’s care instructions.","Get an order before changing how often you visit.","Ask for a social work referral when money, caregiving, safety or planning problems affect the patient’s care."],"primaryCitation":"42 CFR §484.75","citations":["ORC 3740.01(K)","ORC 3740.01(P)","ORC 3740.01(R)","ORC 3740.01(T)","ORC 3740.01(U)","OAC 5160-12-01(E)","OAC 5160-12-01(G)","ORC 5101.63"],"federalCitations":["42 CFR §484.75","42 CFR §484.75(c)","42 CFR §484.115","42 CFR §484.55(a)","42 CFR §484.55(b)","42 CFR §484.60(a)","42 CFR §484.80(g)","42 CFR §484.80(h)","42 CFR §409.43"],"surveyorAsks":["Show me the Ohio license and the federal qualification for each therapist and social worker.","Who supervises your physical therapist assistants and occupational therapy assistants, and how do you show it?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §484.75)","5. Qualifications and Ohio Licensing Boards","6. Duties of the Qualified Therapist","7. Therapy Orders and Visits","8. Supervision of Therapy Assistants","9. Medical Social Services","9.1 Referral to the social worker","9.2 What the social worker does","9.3 Social work assistants","10. Ohio Medicaid Therapy Limits","11. Documentation and Coordination","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":"oh-hha","state":"Ohio","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}}