R90-01 AUTHORIZING AGREEMENT - CARLE CLINIC ASSOCIATION, P.C.

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licensed nurse (R.N., L.P.N. or L.V.N.) to assure the safety of the participant and to achieve the medically desired result according to the physician's treatment plan. Other Medicare cziteria cuch as the intermittent care and homebcund zequirements do not apply. See 24 CFR 409.a2(b) (1)-(3). 2. Rehabilitation Nursing Services Rehabilitation nuzsing services are those cervices designed to assist in carrying out a � physician • s plan of tzeatment for rehabilitation. These services include skilled nursing services, i.e., those services that can only be performed by a licensed nurse, cuch as assistance in performing skilled therapy services and 6killed observation, raintenance and evaluation of the need for �aodification of the � treatment plan. These services �ust be performed by a zegistered nurse vith specialized traininq in rehabilitation services. �. Thera�v Services Therapy services is treatment to restore, improve , or �aaintain impaired functions, which is aimed at fncreasing or maintaining tAe participant•s ability to perform those tasks tequired tor • independent functioning. The �ervices aust be , performed by a qualified cpeech, physical or �ccupational therapist or therapist assistant under the supervision of a qualified 6peech, physical or occupational therapist. - �. Home Health �ide Services The primary functions of a Aome health aide are to perform tAerapeutic, supportive and/or compensatory health and personal care tesks and activities for participants in tt,eir ?�omes. Home ?�ea1tA aide services �u�t be provided by a certified �ome Aealth aqency and assigned and performea under the cupervision of a tegistered professional nurce or other appropriate professional in accordance vith tt,e approved plan of care. For home health aide services, the apptoved plan of care vill be developed in consultation vith appropriate staff of the certified l�ome health agency. B-5