CMS Pub. 100-02, ch. 12, § 40.3

Occupational therapy is a medically prescribed treatment to improve or restore functions

that have been impaired by illness or injury or, when function has been permanently lost

or reduced by illness or injury, to improve the individual's ability to perform those tasks

required for independent functioning. Occupational therapy services are covered CORF

services if physical therapy services are the predominate rehabilitation services provided

in the CORF.

A qualified occupational therapist, as defined at 42CFR485.70(c), has the knowledge,

training, and experience required to evaluate and reevaluate a patient's level of function,

determine whether an occupational therapy program could reasonably be expected to

improve, restore, or compensate for lost function, and recommend to the physician a plan

of treatment. The skills of a qualified occupational therapist are required to evaluate and

reevaluate the patient's level of function and to develop, in consultation with the

physician as appropriate, the occupational therapy plan of treatment. A qualified

occupational therapy assistant, as defined at 42CFR485.70(c), functioning under the

supervision of the qualified occupational therapist may also carry out various aspects, as

appropriate, of the occupational therapy plan of treatment, in accordance with applicable

State laws. Occupational therapist assistants are not allowed to conduct the discharge

visit as this visit is viewed as the final assessment of the patient’s progress toward

attaining the goals of the occupational therapy plan of treatment.

NOTE: Supervision of CORF occupational therapy services requires that the

occupational therapist either must be on the premises of the CORF or must be available

to the occupational therapy assistant through direct telecommunications for consultation

and assistance during the CORF’s operating hours. (See 42CFR485.58(d)(6)).