Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 30.3
Under the Care of a Physician or Allowed Practitioner
30.3 - Under the Care of a Physician or Allowed Practitioner
(Rev. 10438, Issued: 11-06-20, Effective: 03-01-20, Implementation: 01- 11-21)
The patient must be under the care of a physician or allowed practitioner who is qualified
to sign the certification and plan of care in accordance with 42 CFR 424.22.
A patient is expected to be under the care of the physician or allowed practitioner who
signs the plan of care. It is expected that in most instances, the physician or allowed
practitioner who certifies the patient’s eligibility for Medicare home health services, in
accordance with §30.5 below, will be the same physician or allowed practitioner who
establishes and signs the plan of care.