Virginia Regulatory Town Hall
Agency
Department of Medical Assistance Services
 
Board
Board of Medical Assistance Services
 
chapter
Amount, Duration, and Scope of Medical and Remedial Care and Services [12 VAC 30 ‑ 50]
Action Inpatient and Outpatient Rehabilitation Update
Stage Fast-Track
Comment Period Ended on 12/16/2015
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Next Comment     Back to List of Comments
11/24/15  3:39 pm
Commenter: Keith Richardson

inquiry about the proposed text
 

In reference , to home health agencies the
the proposed text of regulations does not reference any of the following 12-VAC30-60-70
12VAC30-60-300
Any {onsite} visit supposedly will not be eligible for payment 

12VAC30-60-70
As a covered service lists nursing services and home health aides

Payment meaning reimbursement
A visit is defined as the duration of a time a nurse, home health aide, or rehabilatitive therapist is with a client
Visits aren't measured in increments of time

Would the proposed text not allow registred nurses or home health aides the ability to be paided by DMAS or its acting third party?

Registered nurses or home health aids are not qualified physical therapy assistants to my kn9owledge

As well as this text of 12VAC30-50-200 see below:

"When physical therapy services are provided by a qualified physical therapy assistant, such services shall be provided under the supervision of a qualified physical therapist who makes an onsite supervisory visit at least once every 30 days and documents the findings of the visit in the medical record. The supervisory visit shall not be reimbursable."

The thirty day time standard is defined by who9m and what authority?

 

Which leads me to this question...
Is home health services not consider a "Inpatient and Outpatient Rehabilitation operation"?

12VAC30-60-300
Lists nursing facility criteria
would any this fall under 12VAC30-50-200?

CommentID: 42633