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Medicare Plan of Care

9 Sep 2019 5:36 PM | Zachary Edgar (Administrator)

Physical or occupational therapy services must relate directly and specifically to a written treatment plan. The plan, (also known as a plan of care or plan of treatment) must be established before treatment is begun.

The plan is established when it is developed (e.g., written or dictated). The signature and professional identity (e.g., MD, OTR/L) of the person who established the plan, and the date it was established must be recorded with the plan.

Establishing the Plan of Care

  • Who may create the POC?
  • When treatment can begin under a POC
  • Multiple Plans of Care

Contents of the Plan

  • Diagnosis
  • Long Term Goals (LTGs)
  • Type of Treatment
  • Multiple Disciplines
  • Amount of Treatment
  • Frequency of Treatment
  • Duration of Treatment

Changing the Plan

  • Who may make “significant” changes to the POC?
  • What is considered a “significant change”?
  • What changes are considered “insignificant”?

Certification and Re-certification of the Plan


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