This section sets forth the qualifications that must be met, as a condition of participation, under § 485.58, and as a condition of coverage of services under § 410.100 of this chapter.
(a)
A facility physician must be a doctor of medicine or osteopathy who—
(1)
Is licensed under State law to practice medicine or surgery; and
(2)
Has had, subsequent to completing a 1-year hospital internship, at least 1 year of training in the medical management of patients requiring rehabilitation services; or
(3)
Has had at least 1 year of full-time or part-time experience in a rehabilitation setting providing physicians' services similar to those required in this subpart.
(b)
A licensed practical nurse must be licensed as a practical or vocational nurse by the State in which practicing, if applicable.
(c)
An occupational therapist and an occupational therapy assistant must meet the qualifications in § 484.4 of this chapter.
(1)
Be licensed by the State in which practicing, if applicable;
(2)
Have successfully completed a training program in orthotics that is jointly recognized by the American Council on Education and the American Board for Certification in Orthotics and Prosthetics; and
(3)
Be eligible to take that Board's certification examination in orthotics.
(e)
A physical therapist and a physical therapist assistant must meet the qualifications in § 484.4 of this chapter.
(1)
Be licensed by the State in which practicing, if applicable;
(2)
Have successfully completed a training program in prosthetics that is jointly recognized by the American Council on Education and the American Board for Certification in Orthotics and Prosthetics; and
(3)
Be eligible to take that Board's certification examination in prosthetics.
(g)
A psychologist must be certified or licensed by the State in which he or she is practicing, if that State requires certification or licensing, and must hold a masters degree in psychology from and educational institution approved by the State in which the institution is located.
(h)
A registered nurse must be a graduate of an approved school of nursing and be licensed as a registered nurse by the State in which practicing, if applicable.
(i)
A rehabilitation counselor must—
(1)
Be licensed by the State in which practicing, if applicable;
(2)
Hold at least a bachelor's degree; and
(3)
Be eligible to take the certification examination administered by the Commission on Rehabilitation Counselor Certification.
(j)
A respiratory therapist must complete one the following criteria:
(1) Criterion 1.
All of the following must be completed:
(i)
Be licensed by the State in which practicing, if applicable.
(ii)
Have successfully completed a nationally-accredited educational program for respiratory therapists.
(iii)
(A)
Be eligible to take the registry examination administered by the National Board for Respiratory Care for respiratory therapists; or
(B)
Have passed the registry examination administered by the National Board for Respiratory Care for respiratory therapists.
(2) Criterion 2:
All of the following must be completed:
(i)
Be licensed by the State in which practicing, if applicable.
(ii)
Have equivalent training and experience as determined by the National Board for Respiratory Care.
(k)
A respiratory therapy technician must—
(1)
Be licensed by the State in which practicing, if applicable;
(2)
Have successfully completed a training program accredited by the Committees on Allied Health Education and Accreditation (CAHEA) in collaboration with the Joint Review Committee for Respiratory Therapy Education; and
(i)
Be eligible to take the certification examination for respiratory therapy technicians administered by the National Board for Respiratory Therapy, Inc,; or
(ii)
Have equivalent training and experience as determined by the National Board for Respiratory Therapy, Inc.
(l)
A social worker must—
(1)
Be licensed by the State in which practicing, if applicable;
(2)
Hold at least a bachelor's degree from a school accredited or approved by the Council on Social Work Education; and
(3)
Have 1 year of social work experience in a health care setting.
(m)
A speech-language pathologist must meet the qualifications set forth in part 484 of this chapter.
[48 FR 56293, Dec. 15, 1982. Redesignated and amended at 50 FR 33034, Aug. 16, 1985; 51 FR 41352, Nov. 14, 1986; 60 FR 2327, Jan. 9, 1995; 72 FR 66408, Nov. 27, 2007; 73 FR 69941, Nov. 19, 2008; 74 FR 62014, Nov. 25, 2009]