Section 484.75 - Condition of participation: Skilled professional servicesSkilled professional services include skilled nursing services, physical therapy, speech-language pathology services, and occupational therapy, as specified in § 409.44 of this chapter, and physician or allowed practitioner and medical social work services as specified in § 409.45 of this chapter. Skilled professionals who provide services to HHA patients directly or under arrangement must participate in the coordination of care.
(a)Standard: Provision of services by skilled professionals. Skilled professional services are authorized, delivered, and supervised only by health care professionals who meet the appropriate qualifications specified under § 484.115 and who practice according to the HHA's policies and procedures.(b)Standard: Responsibilities of skilled professionals. Skilled professionals must assume responsibility for, but not be restricted to, the following: (1) Ongoing interdisciplinary assessment of the patient;(2) Development and evaluation of the plan of care in partnership with the patient, representative (if any), and caregiver(s);(3) Providing services that are ordered by the physician or allowed practitioner as indicated in the plan of care;(4) Patient, caregiver, and family counseling;(5) Patient and caregiver education;(6) Preparing clinical notes;(7) Communication with all physicians involved in the plan of care and other health care practitioners (as appropriate) related to the current plan of care;(8) Participation in the HHA's QAPI program; and(9) Participation in HHA-sponsored in-service training.(c)Supervision of skilled professional assistants.(1) Nursing services are provided under the supervision of a registered nurse that meets the requirements of § 484.115(k) .(2) Rehabilitative therapy services are provided under the supervision of an occupational therapist or physical therapist that meets the requirements of § 484.115(f) or (h) , respectively.(3) Medical social services are provided under the supervision of a social worker that meets the requirements of § 484.115(m) . 82 FR 4578 , Jan. 13, 2017, as amended at 85 FR 27628 , May 8, 2020 82 FR 4578 , 1/13/2017; as amended at 85 FR 27628 , 5/8/2020