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<strong>CMS</strong>-1403-FC<br />

the patient's rehabilitation goals, each 15 minutes,<br />

face-to face; individual (services provided by a<br />

CORF-qualified social worker or psychologist in a CORF), to<br />

accurately describe the unique social and psychological<br />

services provided by CORF staff and to establish<br />

appropriate payment for these services. The code does not<br />

include any physician work RVUs because the social and<br />

psychological services are performed by a CORF social<br />

worker with a Bachelor of Science degree or a Masters-level<br />

psychologist and not by a physician as defined in the<br />

statute at section 1861(r) of the Act.<br />

We did not receive any comments on our proposal to<br />

eliminate the mental health limitation requirement. The<br />

mental health limitation is no longer applicable because<br />

under our revised definition, CORF social and psychological<br />

services must directly relate to the physical therapy or<br />

other rehabilitation plan of treatment and its associated<br />

goals and do not relate to a general diagnosis of mental,<br />

psychoneurotic, and personality disorders which the mental<br />

health limitation addresses. Therefore, we are finalizing<br />

our proposed change to remove §410.155(b)(1)(ii) regarding<br />

the application of mental health limitations to CORD social<br />

and psychological services.<br />

374

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