R432-100-21. Rehabilitation Therapy Services

  (1) If rehabilitation therapy services are provided by the hospital, the services may include physical therapy, speech therapy, and occupational therapy.

  (a) Rehabilitation therapy services shall be directed by a qualified, licensed provider who shall have clinical responsibility for the specific therapy service.

  (b) Patient services performed by support personnel, shall be commensurate with each person's documented training and experience.

  (c) Rehabilitation therapy services may be initiated by a member of the medical staff or by a licensed rehabilitation therapist.

  (i) A physician's written request for services must include reference to the diagnosis or problems for which treatment is planned, and any contraindications.

  (ii) The patient's physician shall retain responsibility for the specific medical problem or condition for which the referral was made.

  (2) Rehabilitation therapy services provided to the patient shall include evaluation of the patient, establishment of goals, development of a plan of treatment, regular and frequent assessment, maintenance of treatment and progress records, and periodic assessment of the quality and appropriateness of the care provided.