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D.C. Municipal Regulations (Last Updated: September 13, 2017) |
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Title 29. PUBLIC WELFARE |
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Chapter 29-71. MEDICAID REIMBURSEMENT FOR EARLY INTERVENTION SERVICES |
Section 29-7107. PHYSICAL THERAPY
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7107.1 In accordance with 42 C.F.R. § 440.110(a), Medicaid reimbursable physical therapy (PT) services shall be provided by a qualified physical therapist or PT assistant and shall also 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.
7107.2 Each provider of Medicaid reimbursable PT services shall:
(a) Be a licensed physical therapist or be a physical therapy assistant working under the direct supervision of a licensed physical therapist, and have a Bachelor’s Masters, and/or Doctorate degree in Physical Therapy; and
(b) Undergo an annual purified protein derivative (PPD) skin test to confirm that he or she is free from tuberculosis.
7107.3 Each provider of Medicaid reimbursable individual and group PT services shall:
(a) Provide a comprehensive screening, evaluation, and assessment to measure the child’s strength, range of motion, balance and 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 promotion of sensorimotor function through enhancement of musculoskeletal status, neurobehavioral organization, perceptual and motor development, cardiopulmonary status, and effective environmental adaptation;
(d) Obtain, interpret, and integrate information appropriate to program planning, that is intended to prevent, alleviate, and/or mitigate movement dysfunction and related functional problems;
(e) Provide individual and group services intended to prevent, alleviate, and/or mitigate movement dysfunction and related functional problems; 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 PT services and enhancing the child’s development.