Medicare Benefit Policy Manual (Pub. 100-02), Ch. 12 § 40.7

Social and/or Psychological Services

Last amended: 2009Year: 2009Length: 201 wordsOfficial source
40.7 - Social and/or Psychological Services (Rev. 111, Issued: 09-25-09; Effective Date: 07-07-08; Implementation Date: 10-26- 09) Social and psychological services are covered CORF services if physical therapy services represent the predominate rehabilitation services provided in the CORF. Social and psychological services must be included as part of, or directly relate to, the rehabilitation plan of treatment. Social and psychological services must contribute to the improvement of the individual’s rehabilitation condition and may not relate to a mental health diagnosis. Social and psychological services include the assessment and treatment of a CORF patient’s mental health and emotional functioning and the response to, and rate of progress of the patient’s rehabilitation plan of treatment including physical therapy services, occupational therapy services, speech-language pathology services and respiratory therapy services. • CORF social and/or psychological covered services are the same, regardless of whether they are provided by a qualified social worker, as defined at 42CFR485.70(l), or a psychologist, as defined at 42CFR485.70(g). Therefore, a CORF may elect to provide these services when they are indicated. Qualifications for individuals providing CORF social and psychological services are, at a minimum, a Bachelors of Science Degree for a social worker and a Masters-level degree for a psychologist.
Medicare Benefit Policy Manual (Pub. 100-02), Ch. 12 § 40.7: Social and/or Psychological Services | Justis AI