CMS SOM App. A, Tag A-1644

member of the treatment team; and

Interpretive Guidelines §482.61(c)(1)(iv)

There is no “correct” number of staff who comprise the treatment team. The disciplines

involved in the patient’s treatment depend upon the problems to be treated, the short-term and long-range goals, and the treatment approaches and modalities used to achieve

these goals.

The intent of the regulation is to ensure that each individual on the treatment team who is

primarily responsible for ensuring compliance with particular aspects of the patient’s

individualized treatment program is identified. Identification of the staff should be

recorded in a manner that includes the title and discipline of the individual.

The patient, as well as family/significant others, should be aware of the staff responsible

for various aspects of treatment.

Survey Procedures §482.61(c)(1)(iv)

• Review a sample of medical records and verify that the individualized treatment

plan includes the responsibilities of each member of the treatment team.

• Review a sample of medical records and verify treatment and interventions

include the discipline assigned to take responsibility for the treatment and that the

treatment is being completed by an individual either by name and title or by their

title within that discipline.