HI 00610.380 Outpatient Occupational Therapy Services
Outpatient occupational therapy services are covered under Part B only under the outpatient
hospital benefit, the home health benefit, or as part of CORF services. These services
are subject to the Part B deductible. In addition, outpatient hospital services and
CORF services are subject to the 20 percent coinsurance.
Medicare will pay for occupational therapy services provided to a beneficiary under
these benefits if the services are prescribed by a physician, performed by a qualified
occupational therapist or a qualified occupational therapy assistant under the general
supervision of a qualified occupational therapist, and are reasonable and necessary
for the treatment of the beneficiary's illness or injury. Payment may also be made
for the cost of supplies, e.g., looms, ceramic tiles, leather, which the occupational
therapist uses in the course of therapy.