Outpatient Physical Therapy or Speech Language Pathology Services Provider

Important Information for Medicaid Providers: Please read carefully

In accordance with 42 CFR, 485.717 A,B, an Outpatient Physical Therapy (OPT), Outpatient Occupational Therapy (OOT), or Outpatient Speech Therapy (OSP) provider provides physical therapy, occupational therapy and/or speech therapy services and a rehabilitation program that in addition to PT, OT and/or ST services, it offers either social or vocational adjustment services by making provision for special, qualified staff to evaluate the social or vocational factors involved in a patient's rehabilitation, to counsel and advise on social or vocational problems arising from the patient's illness or injury, and to make appropriate referrals for required services.  Therefore, applicants must notify this agency of which services they intend to provide.

Extension Location

A location or site from which a rehabilitation agency provides services within a portion of the total geographic area served by the primary site. The extension location is part of the rehabilitation agency. The extension location should be located sufficiently close to share administration, supervision, and services in a manner that renders it unnecessary for the extension location to independently meet the conditions of participation as a rehabilitation agency.

An OPT/OOT/OSP provider may provide services from multiple locations that it controls (e.g., buildings or spaces it owns or rents). However, you must designate one location as your primary site for certification purposes and this primary site must provide the services that are provided at any extension location.  Prior to relocating an office or extension unit, a facility must contact this agency for a determination of whether the new location meets the pertinent Medicare requirements.  Each primary site and extension unit must have approval from the Office of the State Fire Marshal.

NOTE: The Outpatient Physical Therapy and Speech Language Pathology Services Provider Program is a Federally Certified only program. The Outpatient Physical Therapy and Speech Language Pathology Services Provider Program is not licensed by the state of Louisiana, and there are no Louisiana licensing regulations linked to this provider. The link to the Electronic Code of Federal Regulations – eCFR: Subpart H - § 485.701-  Conditions of Participation for Clinics, Rehabilitation Agencies, and Public Health Agencies as Providers of Outpatient Physical Therapy and Speech-Language Pathology Services is provided below.

NOTE: Federal Regulations require your building to have a fire alarm system.  At a minimum, this system needs a pull station that activates an internally audible alarm that can be heard throughout the building. You will need to submit documentation of either its existence or an invoice for its installation.  If a system has to be installed, the office of the State Fire Marshal must approve your plans for installation.  You must contact the office of the State Fire Marshal for an on-site inspection.

Louisiana Office of State Fire Marshal
225-925-4920
Website

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Electronic Code of Federal Regulations – eCFR

Conditions of Participation for Clinics, Rehabilitation Agencies, and Public Health Agencies as Providers of Outpatient Physical Therapy and Speech-Language Pathology Services

• Initial Certification
• Memo: Emergency Preparedness: Attestation Requirements for Certified Providers
• Assurance of Compliance
• CMS 1893
• CMS 1856
• S&C:17-22-ALL
• Locations
• Providers in Microsoft Excel in Spreadsheet Format
• Criminal Background Check Information
• Federal Regulations