Comprehensive Outpatient Rehabilitation Facility (CORF) Services
Chapter 12 is revised based on the changes made in the 2008 Medicare Physician Fee Schedule regulation. Defines that all CORF services must be directly related to the physical therapy (PT), occupational therapy (OT), speech language pathology (SLP) or respiratory therapy (RT) rehabilitation plan of treatment. This Change Request (CR) clarifies that the physician must wholly develop the RT rehabilitation plan of treatment, only a respiratory therapist (not a respiratory technician) can provide
respiratory therapy service, which does not include diagnostic or physiological monitoring services. This CR clarifies that social and psychological services (not mental health services) are core CORF services, which must be reasonable and medically necessary and directly related to the PT, OT, SLP, or RT therapy plan of treatment. This CR clarifies that incident-to physician services cannot be provided in a CORF.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: October 25, 2009
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