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May, 2001

Health Care Financing Administration

ShareQuestions and Answers Regarding Payment for the Services of Therapy Students Under Part B of Medicare

This Program Memorandum (PM) is being issued in the form of questions and answers to respond to numerous inquiries regarding payment for the services of therapy students under Part B of the Medicare program.

1. Q. Can services provided by a student be reimbursed under Medicare Part B?

A. No, services performed by a student are not reimbursed under Medicare Part B. Medicare pays for services of physicians and practitioners authorized by statute. Students do not meet the definition of practitioners listed in 1861 of the statute.

2. Q. Can a physical or occupational therapist assistant serve as a clinical instructor (CI) for a physical therapist or occupational therapy assistant student while providing services to a Medicare patient that is within their scope of work, and performed under the direction and supervision of the licensed physical or occupational therapist?

A. Physical therapist assistants and occupational therapy assistants are not precluded from serving as CIs for therapy students while providing services within their scope of work, and performed under the direction and supervision of a licensed physical or occupational therapist to a Medicare beneficiary.

3. Q. Can services provided by a student with the supervising therapist "in the room" be reimbursed?

A. Only the services of the therapist can be billed to Medicare and paid. However, the fact that the student is "in the room" would not make the service un-billable. Medicare would pay for the services of the therapist.

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