Idaho Admin. Code r. 16.03.09.730

Current through September 2, 2024

Section 16.03.09.730 - THERAPY SERVICES: DEFINITIONS

For the purposes of these rules, the following terms are used as defined below:

01.Duplicate Services. Services are considered duplicate:

a. When participants receive any combination of physical therapy, occupational therapy, or speech-language pathology services with treatments, evaluations, treatment plans, or goals that are not separate and unique to each service provided; or

b. When more than one (1) type of therapy is provided at the same time.

02.Feeding Therapy. Feeding Therapy means those therapy services necessary for the treatment of feeding disorders. Feeding disorders include problems gathering food and getting ready to suck, chew, or swallow it.

03.Maintenance Program. A program established by a therapist that requires the skills of a therapist or therapy professional and consists of activities and mechanisms to assist a participant in maximizing or maintaining the progress they have made during therapy or to prevent or slow further deterioration due to a disease or illness.

04.Occupational Therapy Services. Therapy services that:

a. Are provided within the scope of practice of licensed occupational therapy professionals;

b. Are necessary for the evaluation and treatment of impairments, functional disabilities, or changes in physical function and health status; and

c. Improve the individual's ability to perform those tasks required for independent functioning.

05.Physical Therapy Services. Therapy services that:

a. Are provided within the scope of practice of licensed physical therapy professionals;

b. Are necessary for the evaluation and treatment of physical impairment or injury by the use of therapeutic exercise and the application of modalities that are intended to restore optimal function or normal development; and

c. Focus on the rehabilitation and prevention of neuromuscular, musculoskeletal, integumentary, and cardiopulmonary disabilities.

06.Speech-Language Pathology Services. Therapy services that are:

a. Provided within the scope of practice of licensed speech-language pathologists; and

b. Necessary for the evaluation and treatment of speech and language disorders that result in communication disabilities; or

c. Necessary for the evaluation and treatment of swallowing disorders (dysphagia), regardless of the presence of a communication disability.

07.Therapeutic Procedures. Therapeutic procedures are the application of clinical skills, services, or both, that attempt to improve function.

08.Therapist. An individual licensed by the appropriate state licensing board as an occupational therapist, physical therapist, or speech-language pathologist.

09.Therapy Professional. An individual licensed by the appropriate state licensing board as an occupational therapist or occupational therapist assistant, physical therapist or physical therapist assistant, or speech-language pathologist.

10.Therapy Services. Occupational therapy, physical therapy, and speech-language pathology services are all considered to be therapy services. These services are ordered by the participant's attending physician, nurse practitioner, or physician assistant as part of a plan of care.

11.Treatment Modalities. A treatment modality is any physical agent applied to produce therapeutic changes to biological tissue, including the application of thermal, acoustic, light, mechanical or electrical energy.

Idaho Admin. Code r. 16.03.09.730

Effective March 17, 2022