CMS Pub. 100-02, ch. 8, § 50.3

Therapy Furnished by the Skilled Nursing Facility or by Others Under

Arrangements With the Facility and Under Its Supervision

(Rev. 242, Issued: 03-16-18, Effective: 06-19-18, Implementation: 06-19-18)

Physical therapy (PT), speech-language pathology (SLP), and occupational therapy (OT)

services must be provided by the SNF or by others under arrangements with the SNF for

beneficiaries in either a covered Part A stay or a non-covered stay in the SNF (see Pub.

100-04, Medicare Claims Processing Manual, Chapter 6, §20.5, for a more detailed

discussion of therapy services under consolidated billing, the SNF “bundling”

requirement). Bundling of therapy services to the SNF is not required for beneficiaries

residing in a non-certified portion of the same institution that also includes a participating

distinct part SNF. See Chapter 7, SNF Part B Billing, §10 in the Medicare Claims

Processing Manual, for a clarification of bill types used to make this distinction clear in

billing. For a discussion of skilled therapy (that is, PT, SLP, and OT) services in the

context of the SNF level of care criteria, see §§30.4ff. of this chapter.