Ohio Administrative Code › Title 5160 - Ohio Department of Medicaid › Chapter 5160-8 - Therapeutic and Diagnostic Services › Section 5160-8-31 - Skilled therapy: providers

Current through all regulations passed and filed through July 1, 2024
(A)
								 Rendering
			 providers.
(1)
									
			 Independently practicing skilled therapists either must participate in the
			 medicare program or, if they limit their practice to pediatric treatment and do
			 not serve medicare beneficiaries, must meet all other requirements for medicare
			 participation.
(2)
									 The following eligible providers may render a physical
			 therapy service:
(a)
										 A physical therapist;
(b)
										 A physical
			 therapist assistant who is licensed to provide the particular service and who
			 provides the service to only one person at a time under the supervision of an
			 eligible provider;
(c)
										 A physical therapy student who is completing an
			 internship, if the following conditions are met:
(i)
											 The service is
			 provided under the supervision of the eligible provider responsible for the
			 patient's therapy;
(ii)
											 The eligible provider responsible for the patient's
			 therapy has face-to-face contact with the patient during provision of the
			 service;
(iii)
											 The eligible provider responsible for the patient's
			 therapy keeps on file official documentation of the internship, including the
			 beginning and ending dates; and
(iv)
											 The eligible
			 provider responsible for the patient's therapy includes in the patient's
			 medical record documentation that appropriate service was provided under
			 supervision, that the eligible provider checked and updated the medical record
			 at least once a week, and that all requirements for payment were met;
			 or
(d)
										 A mechanotherapist.
(3)
									 The following
			 eligible providers may render an occupational therapy service:
(a)
										 An occupational
			 therapist;
(b)
										 An occupational therapy assistant who is licensed to
			 provide the particular service and who provides the service to only one person
			 at a time under the supervision of an eligible provider; or
(c)
										 An occupational
			 therapy student who is completing an internship, if the following conditions
			 are met:
(i)
											
			 The service is provided under the supervision of the eligible provider
			 responsible for the patient's therapy;
(ii)
											 The eligible
			 provider responsible for the patient's therapy has face-to-face contact with
			 the patient during provision of the service;
(iii)
											 The eligible
			 provider responsible for the patient's therapy keeps on file official
			 documentation of the internship, including the beginning and ending dates;
			 and
(iv)
											 The eligible provider responsible for the patient's
			 therapy includes in the patient's medical record documentation that appropriate
			 service was provided under supervision, that the eligible provider checked and
			 updated the medical record at least once a week, and that all requirements for
			 payment were met.
(4)
									 The following
			 eligible providers may render a speech-language pathology service:
(a)
										 A
			 speech-language pathologist;
(b)
										 A
			 speech-language pathology aide who is licensed to provide the particular
			 service and who provides the service to only one person at a time under the
			 supervision of an eligible provider;
(c)
										 A
			 speech-language pathology student who is completing an internship, if the
			 following conditions are met:
(i)
											 The service is provided under the supervision of the
			 eligible provider responsible for the patient's therapy;
(ii)
											 The eligible
			 provider responsible for the patient's therapy has face-to-face contact with
			 the patient during provision of the service;
(iii)
											 The eligible
			 provider responsible for the patient's therapy keeps on file official
			 documentation of the internship, including the beginning and ending dates;
			 and
(iv)
											 The eligible provider responsible for the patient's
			 therapy includes in the patient's medical record documentation that appropriate
			 service was provided under supervision, that the eligible provider checked and
			 updated the medical record at least once a week, and that all requirements for
			 payment were met; or
(d)
										 A person holding
			 a conditional license to practice speech-language pathology, if the eligible
			 provider supervising the professional experience keeps on file a copy of the
			 conditionally-licensed speech-language pathologist's plan of supervised
			 professional experience, required by section
			 4753.071 of the Revised
			 Code.
(5)
									 The following eligible providers may render an
			 audiology service:
(a)
										 An audiologist;
(b)
										 An audiology
			 aide who is licensed to provide the particular service and who provides the
			 service to only one person at a time under the supervision of an eligible
			 provider;
(c)
										 An audiology student who is completing an internship,
			 if the following conditions are met:
(i)
											 The student
			 provides the service under the supervision of the eligible provider responsible
			 for the patient's therapy;
(ii)
											 The eligible
			 provider responsible for the patient's therapy has face-to-face contact with
			 the patient during provision of the service;
(iii)
											 The eligible
			 provider responsible for the patient's therapy keeps on file official
			 documentation of the internship, including the beginning and ending dates;
			 and
(iv)
											 The eligible provider responsible for the patient's
			 therapy includes in the patient's medical record documentation that appropriate
			 service was provided under supervision, that the eligible provider checked and
			 updated the medical record at least once a week, and that all requirements for
			 payment were met; or
(d)
										 An audiology
			 student who is completing an externship, if the following conditions are
			 met:
(i)
											 The
			 service is provided under the supervision of the eligible provider responsible
			 for the patient's therapy; and
(ii)
											 The eligible
			 provider responsible for the patient's therapy keeps on file official
			 documentation of the externship, including the beginning and ending
			 dates.