Supervision Requirements of an Occupational Therapy Assistant

April 23, 2018
Rick Gawenda


Under Medicare Part B, what are the supervision requirements of an occupational therapy assistant in the private practice setting and non-private practice setting (i.e. hospital, skilled nursing facility, rehab agency, CORF)?


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  1. Do these same policies exist if a patient has a medicare advantage policy or do you follow the supervision requirements of the private insurance carrier at that point?

    1. You would need to follow the supervision requirements of the Medicare Advantage plan, private insurance carrier or state practice act, whichever is most restrictive.

  2. Can you provide the link to Medicare’s guidelines on this? We would like something for our records. Thank you!

  3. What are the supervision requirements under Part A for a COTA?
    All the above just covers Part B.

    1. The Medicare program requires general supervision of an assistant in all settings except for private practice. You also need to look at your state practice act and see what the supervision requirements are of an assistant. Follow the one that is most restrictive.