Home Health Occupational Therapy

Home health occupational therapy is covered when provided by or under the supervision of a qualified occupational therapist and when services are skilled, medically necessary, and documented in a physician- and therapist‑signed plan of treatment that specifies diagnoses, goals, and type/amount/duration/frequency. Skilled OT may be restorative or maintenance in nature if therapist skills are required to achieve safe and effective care; specific modalities and procedures (e.g., casts/splints, vasopneumatic devices, therapeutic exercise, manual lymphatic drainage) are covered when their clinical indications and objective documentation are met. Certain modalities (e.g., infrared devices) are noncovered and non-skilled treatments (e.g., routine paraffin or whirlpool) are not covered unless they are part of a skilled OT procedure or the patient’s condition requires therapist skill.

"Home health occupational therapy (OT) is covered when provided by or under the supervision of a qualified occupational therapist to prevent, improve, or restore physical and/or cognitive impairment..."