CMS SOM App. B, Tag G986

services.

An HHA that furnishes outpatient physical therapy or speech-language pathology

services must meet all of the applicable conditions of this part and the additional

health and safety requirements set forth in §485.711, §485.713, §485.715, §485.719,

§485.723, and §485.727 of this chapter to implement section 1861(p) of the Act.

Interpretive Guidelines §484.105(g)

In general, this guidance is for situations where a patient would be coming to the

premises of the HHA for outpatient therapy services. The patient would not be receiving

HHA services and OPT services at the same time and therefore not all the HHA CoPs

would apply. For example, the patient could have a total joint operation and be

discharged home to get HHA services inclusive of therapy. Then when the patient is

doing better, they could transition to outpatient services provided by the HHA on the

premises of the HHA where the HHA has a therapy gym.

If an HHA provides outpatient physical therapy services or speech-language pathology

services it must also meet the conditions of the regulations summarized below, among

others, as applicable:

§485.711 Condition of participation: Plan of care and physician involvement: For each

patient in need of outpatient physical therapy or speech pathology services, there is a

written plan of care established and periodically reviewed by a physician, or by a

physical therapist or speech pathologist respectively.

§485.713 Condition of participation: Physical therapy services: If the HHA offers

physical therapy services, it provides an adequate program of physical therapy and has an

adequate number of qualified personnel and the equipment necessary to carry out its

program and to fulfill its objectives.

§485.715 Condition of participation: Speech pathology services: If speech pathology

services are offered, the HHA provides an adequate program of speech pathology and has

an adequate number of qualified personnel and the equipment necessary to carry out its

program and to fulfill its objectives.

§485.719 Condition of participation: Arrangements for physical therapy and speech

pathology services to be performed by other than salaried organization personnel

The following two CoPs, §485.723 and §485.727, are applicable when specialized

rehabilitation space and equipment is owned, leased, operated, contracted for, or arranged

for at sites under the HHA’s control and when the HHA bills the Medicare/Medicaid

programs for services rendered at these sites.]

§485.723 Condition of participation: Physical environment. The building housing the

HHA is constructed, equipped, and maintained to protect the health and safety of patients,

personnel, and the public and provides a functional, sanitary, and comfortable

environment.

§485.727 Condition of participation: Emergency preparedness. The HHA must establish

and maintain an emergency preparedness program.