Jimmie--
 
I work in home health, and on a few occasions, this situation arose in my 
agency.  If memory serves me correctly, I believe that we determined that if 
the opening discipline (skilled nursing or physical therapy) performed a 
skilled service during their evaluation (evaluation alone did not qualify as 
the skilled service) then OT was "allowed" to case manage and stand alone.
 
Yes, I agree the current situation is quite frustrating.
 
Susan 

Jimmie Arceneaux <[EMAIL PROTECTED]> wrote:

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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