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(5) Occupational Therapy LUPA Add-On Factor In order to implement Division CC, section 115, of CAA, 2021, in the CY 2022 HH PPS final rule (86 FR 62289) CMS finalized changes to regulations at § 484.55(a)(2) and (b)(3) that allowed occupational therapists to conduct initial and comprehensive assessments for all Medicare beneficiaries under the home health benefit when the plan of care does not initially include skilled nursing care, but either PT or SLP (86 FR 62351)
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