Form Cms-360 - Corf Survey Report printable pdf download

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Form Approved

CENTERS FOR MEDICARE & MEDICAID SERVICES

OMB No. 0938-0267

COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY SURVEY REPORT

§485.70 Personnel qualifications.

(e) A physical therapist and a physical therapist

(j) A respiratory therapist must—

assistant must meet the qualifications set forth

This section sets forth the qualifications that must be

(1) Be licensed by the State in which practicing,

in §484.4 of this chapter.

met, as a condition of participation, under §485.58,

if applicable; and

and as a condition of coverage of services under

(f) A prosthetist must—

(2) Have successfully completed a nationally-

§410.100 of this chapter.

(1) Be licensed by the State in which practicing,

accredited educational program that confers

(a) A facility physician must be a doctor of medicine

if applicable;

eligibility for the National Board for

or osteopathy who—

Respiratory Care (NBRC) registry examina

(2) Have successfully completed a training

tion administered by the NBRC, or

(1) Is licensed under State law to practice

program in prosthetics that is jointly

medicine or surgery; and

recognized by the American Council on

(3) Has equivalent training and experience as

Education and the American Board for

determined by the National Board for

(2) Has had, subsequent to completing a 1-year

Certification in Orthotics and Prosthetics; and

Respiratory Care (NBRC) and passed the

hospital internship, at least 1 year of training

registry examination administered by the

in the medical management of patients requiring

(3) Be eligible to take the Board’s certification

NBRC.

rehabilitation services; or

examination in prosthetics.

(k) A social worker must—

(3) Has had at least 1 year of full-time or

(g) A psychologist must be certified or licensed by

part-time experience in a rehabilitation setting

the State in which he or she is practicing, if that

(1) Be licensed by the State in which practicing,

providing physicians’ services similar to those

State requires certification or licensing, and

if applicable;

required in this subpart.

must hold a master’s degree in psychology from

(2) Hold at least a bachelor’s degree from a

an educational institution approved by the State

(b) A licensed practical nurse must be licensed as a

school accredited or approved by the

in which the institution is located.

practical or vocational nurse by the State in which

Council on Social Work Education; and

practicing, if applicable.

(h) A registered nurse must be a graduate of an

(3) Have 1 year of social work experience in a

approved school of nursing and be licensed as a

health care setting.

registered nurse by the State in which practicing,

therapy assistant must meet the qualifications set

(l) A speech-language pathologist must meet the

if applicable.

forth in §484.4 of this chapter.

qualifications set forth in this chapter.

(i) A rehabilitation counselor must—

(d) An orthotist must—

(1) Be licensed by the State in which practicing,

if applicable;

(2) Have successfully completed a training

(2) Hold at least a bachelor’s degree; and

program in orthotics that is jointly

(3) Be eligible to take the certification

recognized by the American Council on

examination administered by the Commission

Education and the American Board for

on Rehabilitation Counselor Certification.

Certification in Orthotics and Prosthetics; and

(3) Be eligible to take that Board’s certification

examination in orthotics.

Form CMS-360 (12/08)

Form Cms-360 - Corf Survey Report

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