New SNF Rules Allow SLPs to Order Therapy, Play Role in Mental Health Care Under new Medicare rules, speech-language pathologists in skilled nursing facilities (SNFs) may provide rehabilitative services to residents with mental disorders and intellectual disabilities and may, if legal in their state, write therapy orders for residents. These and other changes—including new compliance and ethics requirements—were issued by the Centers for Medicare ... News in Brief
Free
News in Brief  |   December 01, 2016
New SNF Rules Allow SLPs to Order Therapy, Play Role in Mental Health Care
Author Notes
Article Information
Special Populations / Older Adults & Aging / Healthcare Settings / News in Brief
News in Brief   |   December 01, 2016
New SNF Rules Allow SLPs to Order Therapy, Play Role in Mental Health Care
The ASHA Leader, December 2016, Vol. 21, 10. doi:10.1044/leader.NIB1.21122016.10
The ASHA Leader, December 2016, Vol. 21, 10. doi:10.1044/leader.NIB1.21122016.10
Under new Medicare rules, speech-language pathologists in skilled nursing facilities (SNFs) may provide rehabilitative services to residents with mental disorders and intellectual disabilities and may, if legal in their state, write therapy orders for residents.
These and other changes—including new compliance and ethics requirements—were issued by the Centers for Medicare and Medicaid Services (CMS) in a final rule for long-term care facilities.
Under the new rules, effective Nov. 28, 2016:
  • Attending physicians may delegate dietary orders to qualified dietitians or other clinically qualified nutrition professionals and therapy orders to therapists. SLPs should confirm with their facility and state board if they may develop orders independently.

  • If rehabilitative services (including speech-language services) for a mental disorder and intellectual disability are required in a resident’s comprehensive plan of care, the facility must provide or obtain these required specialized services.

  • Each facility operator must have in effect a compliance and ethics program that includes written compliance and ethics standards, and policies and procedures capable of reducing criminal, civil and administrative violations.

  • Facilities must develop and implement a care plan within 48 hours of admission (a change from 21 days under previous regulations) that focuses on effective and person-centered care.

Other rules address residents’ quality of life; abuse, neglect and exploitation; and admission, transfer and discharge rights.
Further information is available from CMS.
0 Comments
Submit a Comment
Submit A Comment
Name
Comment Title
Comment


This feature is available to Subscribers Only
Sign In or Create an Account ×
FROM THIS ISSUE
December 2016
Volume 21, Issue 12