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CMS-1403-FC
physician services (as defined at §410.100(a)), physical
therapy services and social or psychological services. As
such, occupational therapy services are not considered one
of the core CORF services but are optional. The CORF must
provide the core CORF services. In addition it may furnish
any of the optional covered and medically necessary
services and items such as occupational therapy,
speech-language pathology, or respiratory therapy services.
These optional services must directly relate to, and be
consistent with, the rehabilitation plan of treatment, and
must be necessary to achieve the rehabilitation goals.
Occupational therapy services include assessment of an
individual’s level of independent functioning, selection
and teaching of task-oriented therapeutic activities to
restore sensory-integrative functions, teaching of
compensatory techniques to permit an individual with a
physical or cognitive impairment or limitation to engage in
daily activities. The patient’s plan of treatment will
document all the covered and medically necessary items and
services that the patient requires which will include the
core CORF services as well as any of the optional services
such as occupational therapy.
In the CY 2007 PFS final rule with comment period, we
revised §410.100(h) states that CORF social and
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