Idaho Admin. Code r. 16.03.09.733

Current through September 2, 2024

Section 16.03.09.733 - THERAPY SERVICES: PROCEDURAL REQUIREMENTS

The Department will pay for therapy services rendered by a therapy professional if such services are ordered by a physician, nurse practitioner, or PA as part of a plan of care.

01.Orders.

a. All therapy must be ordered by a physician, nurse practitioner, or PA.

b. If services are required for extended periods, they must be reordered as necessary, but at least every ninety (90) days for all participants with the following exceptions:

i. Therapy provided by home health agencies must be included in the home health plan of care and be reordered at least every sixty (60) days.

ii. Therapy for individuals with long-term medical conditions, as documented by physician, nurse practitioner, or PA, must be reordered at least every three hundred sixty-five (365) days.

c. Therapy services provided under a home health plan of care must comply with the order requirements in Section 723 of these rules.

02.Level of Supervision. Supervision of physical therapist assistants and occupational therapist assistants by the physical therapist or occupational therapist must be done under rules of the applicable licensure board.

03.Face-to-Face Encounter for Home Health Therapy Services. Therapy services provided under a home health plan of care must comply with requirements in Subsection 723.02 of these rules.

04.Therapy Plan of Care. All therapy services must be provided under a therapy plan of care that is based on an evaluation and is established prior to beginning treatment.

a. The plan of care must be signed by the person who established the plan, and sent to the ordering provider within thirty (30) days of the evaluation to continue therapy services.

b. The plan of care must be consistent with the therapy evaluation and contain:

i. Diagnoses;

ii. Treatment goals that are measurable and pertain to the identified functional impairment(s); and

iii. Type, frequency, and duration of therapy services.

c. Therapy services provided under a home health plan of care must comply with the home health plan of care requirements in Section 723 of these rules.

Idaho Admin. Code r. 16.03.09.733

Effective July 1, 2024