As part of its Patients Over Paperwork initiative and as a way to make home health requirements more consistent with other settings of care, the Centers for Medicare & Medicaid Services (CMS) is proposing to allow therapist assistants to furnish maintenance therapy.

Under current home health rules, only physical therapists (PTs), occupational therapists (OTs) and speech therapists are allowed to perform maintenance therapy, broadly defined as periodic monitoring or adjustments of patient care plans to ensure health status doesn’t decline.

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