US · guidance
CMS SOM App. B, Tag G524
§484.55(b)(3) When physical therapy, speech-language pathology, or occupational
therapy is the only service ordered by the physician or allowed practitioner, a
physical therapist, speech-language pathologist or occupational therapist may
complete the comprehensive assessment, and for Medicare patients, determine
eligibility for the Medicare home health benefit, including homebound status. For
Medicare patients, the occupational therapist may complete the comprehensive
assessment when occupational therapy is ordered with another qualifying
rehabilitation therapy service (speech-language pathology or physical therapy) that
establishes program eligibility.
Interpretive Guidelines §484.55(b)(3)
In therapy-only cases, a qualified therapist (registered and/or licensed by the State in
which they practice) may conduct the comprehensive assessment for therapy services
ordered.
History
Rev. 219; Issued: 04-12-24; Effective: 04-12-24; Implementation: 04-12-24
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
9a6ffa9f3edf404642cbb0d213e2505cb32bbca9673abe877736429b7dae6cbd
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