Hey all,

Let me tell you of a situation which presented itself at my place of business.  
We have an occupational therapy program which specializes in patients with 
visual impairments.  A referral came in the other day for the program and a 
nurse was sent out to admit to home care while an OT was assigned to to assess 
for admission to the low vision program.  The OT identified limitations which 
necessitated a plan of care.  the nurse on the other hand did not identify a 
nursing skill.  For those of you familiar with home health care in the U.S., OT 
cannot initially qualify a patient for home health care.  This made us unable 
to see this clearly homebound patient for needed services.  I find this 
situation extremely frustrating.  It is quite ridiculous that OT is not 
included as a qualifier in the Medicare regulations for home health care.

I'm interested to read what others think.

Jimmie Arceneaux, LOTR
Metro Preferred Home Care
3501 N. Causeway Blvd., Ste 200
Metairie, LA 70002
504-838-7080
Fax 504-833-9309

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