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Notice: This CMS-approved document has been submitted - Philips ... Notice: This CMS-approved document has been submitted - Philips ...
CMS-1403-FC the patient's rehabilitation goals, each 15 minutes, face-to face; individual (services provided by a CORF-qualified social worker or psychologist in a CORF), to accurately describe the unique social and psychological services provided by CORF staff and to establish appropriate payment for these services. The code does not include any physician work RVUs because the social and psychological services are performed by a CORF social worker with a Bachelor of Science degree or a Masters-level psychologist and not by a physician as defined in the statute at section 1861(r) of the Act. We did not receive any comments on our proposal to eliminate the mental health limitation requirement. The mental health limitation is no longer applicable because under our revised definition, CORF social and psychological services must directly relate to the physical therapy or other rehabilitation plan of treatment and its associated goals and do not relate to a general diagnosis of mental, psychoneurotic, and personality disorders which the mental health limitation addresses. Therefore, we are finalizing our proposed change to remove §410.155(b)(1)(ii) regarding the application of mental health limitations to CORD social and psychological services. 374
CMS-1403-FC 3. CORF Conditions of Participation In the CY 2008 final rule with comment period (72 FR 66400), we finalized changes to the CORF coverage and payment rules. However, all conforming regulations in the CORF Conditions of Participation (CoPs) were not updated at that time. In the CY 2009 PFS proposed rule, we proposed to revise §485.58(e)(2). Section 485.58(e) currently provides that as a CoP, a CORF facility must provide all CORF services on its premises with the exception of--(1) physical therapy, occupational therapy, and speech-language pathology services furnished away from the premises of the CORF, if Medicare payment is not otherwise made for these services; and (2) a single home visit for the purpose of evaluating the potential impact of the patient’s home environment on the rehabilitation goals. We proposed to clarify that the alternate premises for provision of physical therapy, occupational therapy, and speech-language pathology services may be the patient’s home. The following is a summary of the comments received concerning CORF CoPs and our responses. Comment: Commenters concurred with the proposed clarification regarding the patient’s home as an alternate 375
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<strong>CMS</strong>-1403-FC<br />
3. CORF Conditions of Participation<br />
In the CY 2008 final rule with comment period<br />
(72 FR 66400), we finalized changes to the CORF coverage<br />
and payment rules. However, all conforming regulations in<br />
the CORF Conditions of Participation (CoPs) were not<br />
updated at that time.<br />
In the CY 2009 PFS proposed rule, we proposed to<br />
revise §485.58(e)(2). Section 485.58(e) currently provides<br />
that as a CoP, a CORF facility must provide all CORF<br />
services on its premises with the exception of--(1)<br />
physical therapy, occupational therapy, and speech-language<br />
pathology services furnished away from the premises of the<br />
CORF, if Medicare payment is not otherwise made for these<br />
services; and (2) a single home visit for the purpose of<br />
evaluating the potential impact of the patient’s home<br />
environment on the rehabilitation goals. We proposed to<br />
clarify that the alternate premises for provision of<br />
physical therapy, occupational therapy, and speech-language<br />
pathology services may be the patient’s home.<br />
The following is a summary of the comments received<br />
concerning CORF CoPs and our responses.<br />
Comment: Commenters concurred with the proposed<br />
clarification regarding the patient’s home as an alternate<br />
375