{"ref":"TX-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, how therapy assistants and social work assistants are supervised, when a therapist may do the initial and comprehensive assessment for a therapy-only patient, and what each discipline documents and reports.","inShort":["Therapists and social workers must hold a current Texas license before their first visit.","Therapy assistants work under a supervising therapist and do only the treatments the therapist assigns.","Give therapy only as ordered and written in the plan of care, and record the patient’s progress at every visit.","Tell the case manager and the practitioner about any fall, change in condition, or goal that is not being met.","Social workers report any suspected abuse, neglect, or exploitation right away. Do not wait for a team meeting."],"primaryCitation":"42 CFR §484.75","citations":["26 TAC §558.401","26 TAC §558.243","26 TAC §558.2","26 TAC §558.301"],"federalCitations":["42 CFR §484.75","42 CFR §484.115(f)","42 CFR §484.115(g)","42 CFR §484.115(h)","42 CFR §484.115(i)","42 CFR §484.115(l)","42 CFR §484.115(m)","42 CFR §484.115(n)","42 CFR §484.55(a)(2)","42 CFR §484.55(b)(3)","42 CFR §484.80(g)(1)","42 CFR §409.44","42 CFR §409.45"],"surveyorAsks":["Show me this physical therapist assistant’s license and who supervises him.","This patient receives therapy only. Who did the initial assessment and the comprehensive assessment, and when?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §484.75)","5. Qualifications","6. Therapy Services","7. Supervision of Therapy Assistants","8. Assessments for Therapy-Only Patients","9. Medical Social Services","10. Documentation and Coordination","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":"tx-lhhs","state":"Texas","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 Home Health Agency","legalName":"Sample Home Health Agency, LLC","logo":null}}