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US · guidance

CMS SOM App. B, Tag G728

§484.75(c)(2) Rehabilitative therapy services are provided under the supervision of

activein force · 2026-07-22 – presentas-observed

an occupational therapist or physical therapist that meets the requirements of

§484.115(f) or (h), respectively.

Interpretive Guidelines §484.75(c)(2)

An assistant must be supervised by a skilled therapy professional for the assistant’s

respective therapy type. For example, only a physical therapist may supervise a physical

therapist assistant and only an occupational therapist may supervise an occupational

therapy assistant. The applicable therapist should monitor and evaluate the therapy

assistant’s performance regarding provision of treatments, patient education,

communication with the therapist, and data collection regarding the patient’s status and

health needs (as delegated by the therapist). Only the skilled therapist may perform

comprehensive assessments, patient evaluations, care planning and discharge planning.

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
cf307f98b7e57b0a71a935873ba795fc319e8d8fb33f737c5de827b88d73b3a4
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