{"data":{"id":"us/42-cfr-484.75","jurisdiction":"us","citation":"42 CFR 484.75","heading":"Condition of participation: Skilled professional services.","body":"Skilled professional services include skilled nursing services, physical therapy, speech-language pathology services, and occupational therapy, as specified in § 409.44 of this chapter, and physician or allowed practitioner and medical social work services as specified in § 409.45 of this chapter. Skilled professionals who provide services to HHA patients directly or under arrangement must participate in the coordination of care.\n(a) Standard: Provision of services by skilled professionals. Skilled professional services are authorized, delivered, and supervised only by health care professionals who meet the appropriate qualifications specified under § 484.115 and who practice according to the HHA's policies and procedures.\n(b) Standard: Responsibilities of skilled professionals. Skilled professionals must assume responsibility for, but not be restricted to, the following:\n(1) Ongoing interdisciplinary assessment of the patient;\n(2) Development and evaluation of the plan of care in partnership with the patient, representative (if any), and caregiver(s);\n(3) Providing services that are ordered by the physician or allowed practitioner as indicated in the plan of care;\n(4) Patient, caregiver, and family counseling;\n(5) Patient and caregiver education;\n(6) Preparing clinical notes;\n(7) Communication with all physicians involved in the plan of care and other health care practitioners (as appropriate) related to the current plan of care;\n(8) Participation in the HHA's QAPI program; and\n(9) Participation in HHA-sponsored in-service training.\n(c) Supervision of skilled professional assistants. (1) Nursing services are provided under the supervision of a registered nurse that meets the requirements of § 484.115(k).\n(2) Rehabilitative therapy services are provided under the supervision of an occupational therapist or physical therapist that meets the requirements of § 484.115(f) or (h), respectively.\n(3) Medical social services are provided under the supervision of a social worker that meets the requirements of § 484.115(m).","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER G—STANDARDS AND CERTIFICATION","PART 484—HOME HEALTH SERVICES","Subpart B—Patient Care"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-42.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:11Z","sha256":"615bbb537d978622d7caf1e84e21600900458235d1a8eb613faaf015123c9e3a","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-484.70","next":"us/42-cfr-484.80"},"notice":"GroundRules: Original legal text. Not legal advice."}