What level of supervision is required for PTAs and OTAs?

General supervision is required for PTAs/OTAs in all settings except private practice (which requires direct supervision) unless state practice requirements are more stringent, in which case state or local requirements must be followed.

Depending on the setting, the levels include personal supervision (in the room), direct supervision (in the office suite), and general supervision (physician/NPP is available but not necessarily on the premises).

Are services provided by SLPA covered?

No.

Can PTAs and OTAs perform services incident to a physician/NPP?

No.  PTAs/OTAs can only be supervised by respective therapists and bill under their NPIs.

What role can PTAs and OTAs take part in the progress report?

PTAs or OTAs may write elements of the progress report dated between clinician reports. Reports written by assistants are not complete progress reports. The clinician must write a progress report during each progress report period regardless of whether the assistant writes other reports.

Reference

Medicare Benefit Manual Chapter 15 § 230