Gold Claire
Gentiva Health Services, Carlsbad, California, USA.
Home Healthc Nurse. 2008 Nov-Dec;26(10):641-3. doi: 10.1097/01.NHH.0000341228.17769.b5.
Together with the updated Medicare Physician Fee Schedule Final Rule published in the Federal Register, November 27, 2007, the Center for Medicare and Medicaid Services (CMS) revised the personnel qualification standards for therapy services by amending Medicare Regulation 42 Code of Federal Regulations (CFR), Section 484.4. These new qualifications and grandfathering provisions applied to home health January 1, 2008 and will apply to all settings by December 31, 2009. As stated by CMS, these changes were necessary to have consistent standards for personnel providing therapy services in all settings, to correct outdated terminology related to relevant professional organizations, and to update the licensure, training, and education requirements for all therapists, whether trained in the United States or in a foreign setting. It is important for agencies to review the requirements now because some therapy staff may need the next year to fulfill certain educational and national examination requirements, depending on their state of practice, and to be considered qualified based on the grandfathering provisions.
2007年11月27日，医疗保险和医疗补助服务中心（CMS）连同在《联邦公报》上发布的最新医疗保险医师费率表最终规则，通过修订《医疗保险法规》（联邦法规汇编第42编，即42 CFR）第484.4节，对治疗服务的人员资格标准进行了修订。这些新的资格要求和祖父条款于2008年1月1日适用于家庭健康领域，并将于2009年12月31日前适用于所有环境。正如CMS所述，这些变化对于在所有环境中提供治疗服务的人员设定一致标准、纠正与相关专业组织有关的过时术语以及更新所有治疗师（无论在美国还是国外接受培训）的执照、培训和教育要求而言是必要的。各机构现在审查这些要求很重要，因为根据其执业所在州的情况，一些治疗人员可能需要在明年满足某些教育和国家考试要求，以便根据祖父条款被认定为合格。
