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The analysis of any legal or medical billing is dependent on numerous specific facts — including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

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Michigan PT Aides

What is an aide expressly prohibited from doing?

A physical therapist shall not delegate the performance of a physical therapy intervention to an unlicensed individual.

What are the responsibilities of the PT when delegating to an aide?

A physical therapist who delegates acts, tasks, or functions shall also comply with all of the following:

    • Ensure the qualifications of the unlicensed individual under the physical therapist's direct supervision, including verification of the unlicensed individual's training and education.
    • Examine and evaluate the patient or client before delegating acts, tasks, or functions to be performed by an unlicensed individual.
    • Supervise an unlicensed individual to whom acts, tasks, or functions have been delegated.
    • Provide predetermined procedures and protocols for acts, tasks, or functions that have been delegated.
    • Maintain a record of the names of the unlicensed individuals to whom acts, tasks, or functions have been delegated.
    • Monitor an unlicensed individual's practice and provision of assigned acts, tasks, or functions.
    • Meet regularly and in person with the unlicensed individual to whom acts, tasks, or functions have been delegated to evaluate the individual's performance, review records, and educate the unlicensed individual on the acts, tasks, or functions that have been delegated.

What type of supervision is required?

A physical therapist who delegates acts, tasks, or functions to an unlicensed individual shall provide direct supervision of the unlicensed individual.

"Direct supervision" means that the physical therapist is physically present and immediately available for direction and supervision when patients or clients are present at the time the act, task, or function is performed, and that the physical therapist has direct contact with the patient or client during each visit.

What is the ratio between supervising PTs and aides?

A physical therapist shall not supervise more than three (3) unlicensed individuals at the same time.

Citations

Mich. Admin. Code R. 338.7139

 
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