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CMS-1403-FC
Therefore, we proposed to delete this language in order to
clarify that only those social and psychological services
that relate directly to a rehabilitation plan of treatment
and the associated rehabilitation goals are considered CORF
social and psychological services.
In addition, we proposed to remove §410.155(b)(1)(ii)
regarding the application of mental health limitations to
CORF social and psychological services. As we previously
stated, CORF services, including social and psychological
services, must directly relate to or further the
rehabilitation goals established in the physical therapy,
occupational therapy, speech-language pathology, or
respiratory therapy plan of treatment. In the CY 2008 PFS
final rule with comment period (72 FR 66400), we stated
that CORF services must be furnished under a written plan
of treatment that indicates the diagnosis and
rehabilitation goals, and prescribes the type, amount,
frequency, and duration of the skilled rehabilitation
services, including physical therapy, occupational therapy,
speech-language pathology and respiratory therapy services.
Section 410.155(b) specifies that the mental health payment
limitation applies when there is a diagnosis of mental,
psychoneurotic, and personality disorders (mental disorders
identified by a diagnosis code within the range of 290
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