§484.75. Condition of participation: Skilled professional services.
42 C.F.R. § 484.75
Skilled professional services include skilled nursing services, physical therapy, speech-language pathology services, and occupational therapy, as specified in § 409.44 of this chapter, and physician or allowed practitioner and medical social work services as specified in § 409.45 of this chapter. Skilled professionals who provide services to HHA patients directly or under arrangement must participate in the coordination of care.
Standard: Provision of services by skilled professionals. Skilled professional services are authorized, delivered, and supervised only by health care professionals who meet the appropriate qualifications specified under § 484.115 and who practice according to the HHA's policies and procedures.
Standard: Responsibilities of skilled professionals. Skilled professionals must assume responsibility for, but not be restricted to, the following:
Ongoing interdisciplinary assessment of the patient;
Development and evaluation of the plan of care in partnership with the patient, representative (if any), and caregiver(s);
Providing services that are ordered by the physician or allowed practitioner as indicated in the plan of care;
Patient, caregiver, and family counseling;
Patient and caregiver education;
Preparing clinical notes;
Communication with all physicians involved in the plan of care and other health care practitioners (as appropriate) related to the current plan of care;
Participation in the HHA's QAPI program; and
Participation in HHA-sponsored in-service training.
Supervision of skilled professional assistants.
Nursing services are provided under the supervision of a registered nurse that meets the requirements of § 484.115(k).
Rehabilitative therapy services are provided under the supervision of an occupational therapist or physical therapist that meets the requirements of § 484.115(f) or (h), respectively.
Medical social services are provided under the supervision of a social worker that meets the requirements of § 484.115(m).
Notes, amendments, and revision history
Amendments
[82 FR 4578, Jan. 13, 2017, as amended at 85 FR 27628, May 8, 2020]
Source
Source: 82 FR 4578, Jan. 13, 2017, unless otherwise noted.
Authority
Authority: 42 U.S.C. 1302 and 1395hh.
Source
Source: 54 FR 33367, Aug. 14, 1989, unless otherwise noted.
Amendments
[82 FR 4578, Jan. 13, 2017, as amended at 85 FR 27628, May 8, 2020]