This change request is a re-organization of sections 220 and
230. It clarifies policies concerning orders, visits, plans of care,
certifications, and private practice. It manualizes the information in the
Final Rule of November 15, 2004 concerning the definition of therapy services,
the qualifications of therapists, therapy services provided incident to a
physician must meet the standards for therapists, except licensure, and
supervision in private practice settings. It makes instructions in all
sections conform. It omits the requirement for a physician visit prior to
certification.
