Therapy and Medical Social Services
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.
About this policy
- Policy number
- TX-HH-CS-03
- Version
- 1.0
- Main rule
- 42 CFR §484.75
- Library
- Texas home health · 56 policies
- Category
- Clinical tasks
- Sections
- 18
In short
- 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.
What's inside
18 sections. The full text comes with the One-time Policy Pack.
- 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
An inspector may ask
- 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?
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