Supervision Requirements of Assistants in the Non-Private Practice Setting
July 25, 2016
Under Medicare Part B, what are the supervision requirements of a physical therapist assistant (PTA) and occupational therapy assistant (OTA) in the non-private practice setting (i.e. hospital, skilled nursing facility, rehab agency, CORF)?
The content here is for members only log in here or sign up.
All material posted on our website is the intellectual property of Gawenda Seminars & Consulting, Inc. and can’t be used, reproduced, or posted as your own material without the prior written approval of Gawenda Seminars & Consulting, Inc.
This article is not intended to and does not serve as legal advice or as consultative services, but is for general information purposes only.
This appears to only address assistants, not students. Please clarify supervision for therapist and assistant students and Part B. Thank you!
I wrote and published an article on July 18, 2016 on therapy students treating Medicare beneficiaries. You can access the article at:
Does the Medicare program have a rationale for having stricter supervisory requirements for private-practice setting versus non-private practice setting? Essentially a PTA could treat the same Medicare recipient in both settings only the rules for supervision are different if the setting is “Part B” vs “Part A” (Rehab or CORF settings) depending upon the certification of the facility. Does not seem to make sense.
I do not know why CMS has different supervision requirements for assistants based on practice settings. CMS has never clarified their rationale.
Does United Healthcare have coverage for PTAs? If so, is it general or direct supervision? I searched the policy and could not locate it.
UHC does pay for services provided by a physical therapist assistant or occupational therapy assistant. If UHC does not state the supervision requirements in their policies or your contract, you would then defer to your practice act.