CMS SOM App. A, Tag A-1574

• §483.65(a) Provision of services. If specialized rehabilitative services such as

but not limited to physical therapy, speech-language pathology, occupational

therapy, respiratory therapy, and rehabilitative services for a mental

disorder and intellectual disability or services of a lesser intensity as set forth

at §483.120(c), are required in the resident's comprehensive plan of care, the

facility must—

(1) Provide the required services; or

(2) In accordance with §483.70(g), obtain the required services from

an outside resource that is a provider of specialized rehabilitative

services and is not excluded from participating in any federal or

state health care programs pursuant to section 1128 and 1156 of

the Act.

• §483.65(b) Qualifications. Specialized rehabilitative services must be

provided under the written order of a physician by qualified personnel.

Interpretive Guidelines §482.58(b)(7)

Refer to Appendix PP of the State Operations Manual (SOM) for interpretive guidelines.

Survey Procedures §482.58(b)(7)

Refer to Appendix PP of the State Operations Manual (SOM) for survey procedures.