US · guidance
CMS SOM App. W, Tag C-1622
§485.645(d)(6) Specialized Rehabilitative Services (§483.65 of this chapter)
• §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.
(b) Qualifications. Specialized rehabilitative services must be provided under
the written order of a physician by qualified personnel.
Interpretive Guidelines §485.645(d)(6)
Refer to Appendix PP of the State Operations Manual (SOM) for interpretive guidelines.
Survey Procedures §485.645(d)(6)
Refer to Appendix PP of the State Operations Manual (SOM) for survey procedures.
History
Rev. 200, Issued: 02-21-20; Effective: 02-21-20, Implementation: 02-21-20
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
1e6d2672669fde6cc2d1a6f0b4e3c482d4f20cef0f36af2c12ef73e684123337
The link goes to the issuing authority’s own document — the one we read to produce this record. Where a source publishes whole titles rather than sections, your browser may need a moment to jump to the provision.
Unofficial copy of government-published law, reproduced from official sources with full provenance. Not an official publication; verify against official sources before relying on it in a filing. Records in the 'guidance' corpus, and only that corpus, are sub-regulatory (interpretive guidelines, survey procedures) and are not binding law. Validity bounds follow each jurisdiction's declared temporalBasis.