Can a therapy assistant provide maintenance therapy visits?

No. The new therapy maintenance HCPCS codes, G0159, G0160 and G0161, are described in Change Request (CR) 7182 as services performed by a qualified physical therapist, occupational therapist and speech-language pathologist in the home health setting within the establishment or delivery of a safe and effective maintenance program.

Additionally, CR7182 revises the current descriptions for existing HCPCS G-codes for physical therapists (G0151), occupational therapists (G0152) and speech-language pathologists (G0153) to include in the descriptions that they are intended for the reporting of services provided by a qualified physical or occupational therapist or speech language pathologist.

A qualified therapist is one who meets the personnel requirements in the Conditions of Participation (CoPs) which is available in the Code of Federal Regulations (42 CFR) Section 484.4.

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