I work in homehealth as well. It is very absurd to think that under medicare, OT is not one of the qualifying services (PT/ SLP/ Nsg.). OT may stand alone only after the case has been opened by another discipline and need for OT has been established by another discipline, if they were no OT orders upon admission. I do believe that this should a major initiative for the AOTA PAC agenda. Equally frustrating is that in many states, OTs cannot be enrolled as medicaid providers and you can actually start a Rehab Agency or CORF without an OT. Well, we do trail others quite a bit and ofcourse, it endorses the notion of the policymakers and thus, the public in general, for OT not to be an essential service in these clinical settings.
Joe
----- Original Message ----- From: "Spot_60" <[EMAIL PROTECTED]>
To: <[email protected]>; <[email protected]>
Sent: Friday, March 04, 2005 5:46 PM
Subject: Re: [OTlist] Home health
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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