42 C.F.R. § 440.110

Physical therapy, occupational therapy, and services for individuals with speech, hearing, and language disorders

Read at: eCFRecfr.gov CornellLII GovInfogovinfo.gov CasesGoogle Scholar

(a) Physical therapy—(1) Physical therapy means services prescribed by a physician or other licensed practitioner of the healing arts within the scope of his or her practice under State law and provided to a beneficiary by or under the direction of a qualified physical therapist. It includes any necessary supplies and equipment.

(2) A “qualified physical therapist” is an individual who meets personnel qualifications for a physical therapist at § 484.115.

(b) Occupational therapy—(1) Occupational therapy means services prescribed by a physician or other licensed practitioner of the healing arts within the scope of his or her practice under State law and provided to a beneficiary by or under the direction of a qualified occupational therapist. It includes any necessary supplies and equipment.

(2) A “qualified occupational therapist” is an individual who meets personnel qualifications for an occupational therapist at § 484.115.

(c) Services for individuals with speech, hearing, and language disorders—(1) Services for individuals with speech, hearing, and language disorders means diagnostic, screening, preventive, or corrective services provided by or under the direction of a speech pathologist or audiologist, for which a patient is referred by a physician or other licensed practitioner of the healing arts within the scope of his or her practice under State law. It includes any necessary supplies and equipment.

(2) A “speech pathologist” is an individual who meets one of the following conditions:

(i) Has a certificate of clinical competence from the American Speech and Hearing Association.

(ii) Has completed the equivalent educational requirements and work experience necessary for the certificate.

(iii) Has completed the academic program and is acquiring supervised work experience to qualify for the certificate.

(3) A “qualified audiologist” means an individual with a master's or doctoral degree in audiology that maintains documentation to demonstrate that he or she meets one of the following conditions:

(i) The State in which the individual furnishes audiology services meets or exceeds State licensure requirements in paragraph (c)(3)(ii)(A) or (c)(3)(ii)(B) of this section, and the individual is licensed by the State as an audiologist to furnish audiology services.

(ii) In the case of an individual who furnishes audiology services in a State that does not license audiologists, or an individual exempted from State licensure based on practice in a specific institution or setting, the individual must meet one of the following conditions:

(A) Have a Certificate of Clinical Competence in Audiology granted by the American Speech-Language-Hearing Association.

(B) Have successfully completed a minimum of 350 clock-hours of supervised clinical practicum (or is in the process of accumulating that supervised clinical experience under the supervision of a qualified master or doctoral-level audiologist); performed at least 9 months of full-time audiology services under the supervision of a qualified master or doctoral-level audiologist after obtaining a master's or doctoral degree in audiology, or a related field; and successfully completed a national examination in audiology approved by the Secretary.

[43 FR 45224, Sept. 29, 1978, as amended at 45 FR 24888, Apr. 11, 1980; 56 FR 8854, Mar. 1, 1991; 60 FR 19861, Apr. 21, 1995; 69 FR 30587, May 28, 2004; 77 FR 29031, May 16, 2012; 82 FR 4578, Jan. 13, 2017]

Notes of Decisions

Cited in 5 cases, 1985–2012 · leading case: Conley v. Dep't of Health, Div. of Health Fin., 2012 UT App 274 (Utah Ct. App. 2012).

Sort: Relevance Newest Treatment

Conley v. Dep't of Health, Div. of Health Fin., 2012 UT App 274 (Utah Ct. App. 2012). · cites it 7× “See 42 C.F.R. § 440.110 (c)(1). 2. Speech-Related Services and Equipment Under the Utah Medicaid Program 1 36 Utah has opted to provide coverage of certain therapy services akin to those described in the federal physical therapy and related services category.”

Koenning v. Suehs, 897 F. Supp. 2d 528 (S.D. Tex. 2012). “42 C.F.R. § 440.110 (c)(1). Thus Iowa cannot arbitrarily exclude electronic speech devices from coverage under its Medicaid program.”

Meyers v. Reagan, 776 F.2d 241 (8th Cir. 1985). “Iowa’s Medicaid plan includes the optional service of “physical therapy and related services.” 42 U.S.C. § 1396d(a)(ll); Iowa Code § 249A.”

William T. Ex Rel. Gigi T. v. Taylor, 465 F. Supp. 2d 1267 (N.D. Ga. 2000). “” 42 C.F.R. § 440.110 (c) (1998). Plaintiffs assert that ACDs clearly match the criteria for SLP services, as these services have been recognized in the practice of SLP since 1981.”

Ago (Fla. Att'y Gen. 2005). · cites it 10× “0176 , Florida Administrative Code equivalent to the requirements of 42 C.F.R. 440.110 (c)(2) and section 468.”

— 42 C.F.R. § 440.110(c) — 1 case

Conley v. Dep't of Health, Div. of Health Fin., 2012 UT App 274 (Utah Ct. App. 2012). “See 42 C.F.R. § 440.110 (c)(1). 2. Speech-Related Services and Equipment Under the Utah Medicaid Program 1 36 Utah has opted to provide coverage of certain therapy services akin to those described in the federal physical therapy and related services category.”

— 42 C.F.R. § 440.110(c)(1) — 1 case

Annotations are extracted automatically from the opinions in the Syfert caselaw corpus and ranked by authority, recency, and treatment. Dots show Syfertize treatment of the citing case itself.