Section 29-7106. OCCUPATIONAL THERAPY

 

7106.1 In accordance with 42 C.F.R. § 440.110(b), Medicaid reimbursable occupational therapy (OT) services shall be provided and delivered by an occupational therapist or OT assistant and shall comply with the requirements set forth in the District of Columbia Health Occupations Revisions Act of 1985, effective March 25, 1986, as amended, (D.C. Law 6-99; D.C. Official Code §§ 3-1201 et seq.), implementing rules, and any subsequent amendments thereto.

 

7106.2 Each provider of Medicaid reimbursable OT services shall:

 

(a) Be a licensed occupational therapist or be an OT assistant working under the direct supervision of a licensed occupational therapist; and

 

(b)  Undergo an annual purified protein derivative (PPD) skin test to confirm that he or she is free from tuberculosis.

 

7106.3 Each provider of individual and group Medicaid reimbursable OT services shall:

(a) Prepare reports that measure the child’s strength, range of motion, balance, coordination, posture, muscle performance, respiration, and motor functions;

 

(b) Develop and describe treatment plans that explain the treatment strategies including direct therapy and monitoring requirements, instruments, instructions, and anticipated outcomes;

 

(c) Address the functional needs of a child related to adaptive development, adaptive behavior and play, and sensory, motor, and postural development;

 

(d) Assist with selection, design, fabrication, and adaptation of assistive and orthotic devices to facilitate development and promote the acquisition of functional skills;

 

(e) Provide individual and group services intended to prevent or minimize the impact of initial or future impairment, delay in development, or loss of functional ability; and

 

(f) Provide family training, education, and support provided to assist the family of the child in understanding the special needs of the child as related to OT services and the enhancement of the child’s development.

 

authority

An Act to enable the District of Columbia to receive federal financial assistance under Title XIX of the Social Security Act for a medical assistance program, and for other purposes, approved December 27, 1967 (81 Stat. 744; D.C. Official Code § 1-307.02 (2012 Repl.)) and Section 6(6) of the Department of Health Care Finance Establishment Act of 2007, effective February 27, 2008 (D.C. Law 17-109; D.C. Official Code § 7-771.05(6) (2012 Repl.)).

source

Final Rulemaking published at 61 DCR 8122 (August 8, 2014).