Services and interventions specifically designed to improve cognitive functions.
Therapists must be employed/contracted by a Medicare-Certified Home Health Agency enrolled with MHCP.
Services may be provided by:
*Payment is at 65% of therapist rate when the assistant provides the service and the therapist is not on the premises.
Recipients must be eligible under one of the following programs:
To qualify for payment, services must be provided to an eligible recipient who is confined to the home or it takes “considerable effort” to depart. The functional status is expected to progress toward or achieve the goals specified in the recipient’s plan of care within a 60-day period.
An assessment is not required for physician ordered, medically necessary rehabilitation therapies.
Providers are required to document the following in the recipient’s record:
Authorization is not required for physician ordered, medically necessary rehabilitation therapies.
Rehabilitation therapy services are daily, per visit codes, with the exception of Respiratory Therapy which may be provided more than once per day, for services provided in the recipient’s home. All therapies must be specified in the recipient’s plan of care.
These home care therapy services are not subject to the one-time rehabilitative service thresholds:
Type of Therapy
Certified Occupational Therapy Assistant (COTA) services
Occupational Therapy (OT)
Physical Therapy (PT)
Physical Therapy Assistant (PTA) services
Respiratory Therapy (RT)
Speech Therapy (ST)
If the service is a Medicare covered service, and is provided to a recipient who is eligible for Medicare, the plan of care must be reviewed at the intervals required by Medicare.
Restorative therapy is:
Specialized maintenance therapy is:
MS 256B.0625 subd 8(Covered Services)
MS 256B.0651 (Home care services)
MS 256B.0653 (Home Health Agencies)
MN Rule 9505.0295 (Home Health Services)