Form Cms-1893 - Outpatient Physical Therapy - Speech Pathology Survey Report

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OUTPATIENT PHYSICAL THERAPY — SPEECH PATHOLOGY SURVEY REPORT
42 CFR 485.703 Definitions
(b) Exception for federally defined qualifications. The following federally defined
qualifications must be met:
(a) Clinic. A facility that is established primarily to furnish outpatient physician
(1) For a physician, the qualifications and conditions as defined in section
services and that meets the following tests of physician involvement:
1861(r) of the Act and the requirements in part 484 of this chapter.
(1) The medical services are furnished by a group of three or more
physicians practicing medicine together.
(2) For a speech-language pathologist, the qualifications specified in section
(2) A physician is present during all hours of operation of the clinic to
1861(ll)(1) of the Act and the requirements in part 484 of this chapter.
furnish medical services, as distinguished from purely administrative services.
(c) Exceptions when no State Licensing laws or State certification or
(b) Organization. A clinic, rehabilitation agency, or public health agency.
registration requirements exist. If no State licensing laws or State certification
(c) Public health agency. An official agency established by a State or local
or registration requirements exist for the profession, the following requirements
government, the primary function of which is to maintain the health of the
must be met—
population served by performing environmental health services, preventive
(1) Administrator. A person who has a bachelor’s degree and:
medical services, and in certain cases, therapeutic services.
(i) Has experience or specialized training in the administration of health
(d) Rehabilitation agency. An agency that provides an integrated multidisciplinary
institutions or agencies; or
rehabilitation program designed to upgrade the physical functioning of
(ii) Is qualified and has experience in one of the professional health
handicapped disabled individuals by bringing specialized rehabilitation staff
disciplines.
together to perform as a team; and provides at least the following services:
(2) Occupational Therapist. An occupational therapist must meet the
physical therapy or speech-language pathology services.
qualifications set forth in § 484.4 of this chapter.
(3) Occupational Therapy Assistant. An occupational therapy assistant must
(e) Extension location. A location or site from which a rehabilitation agency provides
meet the qualifications set forth in § 484.4 of this chapter.
services within a portion of the total geographic area served by the primary site.
The extension location is part of the rehabilitation agency. The extension location
(4) Physical Therapist. A physical therapist must meet the qualifications set forth
is located sufficiently close to share administration, supervision, and services in a
in § 484.4 of this chapter.
manner that renders it unnecessary for the extension location to independently
(5) Physical Therapist Assistant. A physical therapist assistant must meet the
meet the conditions of participation as a rehabilitation agency.
qualifications set forth in § 484.4 of this chapter.
(f) Supervision. Authoritative procedural guidance that is for the accomplishment
(6) Psychologist. A person who:
of a function or activity and that includes initial direction and periodic observation
(i) Holds a doctoral degree in psychology from a training program approved
of the actual performance of the function or activity; and is furnished by a qualified
by the American Psychological Association; or
person whose sphere of competence encompasses the particular function or
(ii) Has attained certification or licensing by the State, or non-statutory
activity; and who (unless otherwise provided in this subpart) is on the premises if
certification by the State psychological association.
the person performing the function or activity does not meet the assistant level
(7) Speech-language pathologist. A person who meets either of the following
practitioner qualifications specified in 485.705.
requirements:
(i) The education and experience requirements for a Certificate of Clinical
42 CFR 485.705 Personnel qualifications.
Competence in speech-language pathology granted by the American
(a) General qualification requirements. Except as specified in paragraphs (b) and
Speech-Language-Hearing Association.
(c) of this section, all personnel who are involved in the furnishing of outpatient
(ii) The educational requirements for certification and is in the process of
physical therapy, occupational therapy, and speech-language pathology services
accumulating the supervised experience required for certification.
directly by or under arrangements with an organization must be legally authorized
(licensed or, if applicable, certified or registered) to practice by the State in which
they perform the functions or actions, and must act only within the scope of their
State license or State certification or registration.
Form CMS-1893 (01/13)
1

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Parent category: Medical