Medicare_Benefit_Policy_Manual / Chapter_15 / 230.2

Why This Topic Matters

Occupational therapy billing and coverage decisions depend on understanding who may furnish services, what settings and supervision arrangements apply, and which activities fall within Medicare-covered therapy policy. This section helps readers identify the policy framework that governs those determinations.

Article Sections

1. A - General

   Introduces occupational therapy within Medicare policy and describes the broad types of services discussed in the manual section. It also notes the role of qualified practitioners in evaluating and planning therapy services.

2. B - Qualified Occupational Therapist Defined

   Summarizes the requirements referenced for recognizing a qualified occupational therapist for coverage purposes. The section cites related federal regulation material and outlines the general qualification framework.

3. C - Services of Occupational Therapy Support Personnel

   Addresses occupational therapy assistants, their relationship to supervising therapists, and how support personnel services are handled under Medicare coverage policy. It also discusses supervision, billing, and non-covered assistance concepts in general terms.

4. D - Application of Medicare Guidelines to Occupational Therapy Services

   Explains how Medicare guidelines are applied to certain occupational therapy services across different clinical and functional contexts. The section covers general policy considerations for therapy furnished in relation to psychiatric, vocational, and everyday functional needs.