(a) The occupational therapist shall determine the frequency and manner of supervision of an occupational therapy assistant performing intervention procedures delegated pursuant to §148.6430, based on the condition of the patient or client, the complexity of the intervention procedure, and the service competency of the occupational therapy assistant.
(b) Face-to-face collaboration between the occupational therapist and the occupational therapy assistant must occur, every ten intervention days or every 30 days, whichever comes first, during which time the occupational therapist is responsible for:
(1) planning and documenting an initial intervention plan and discharge from treatment;
(2) reviewing intervention goals, therapy programs, and client progress;
(3) supervising changes in the intervention plan;
(4) conducting or observing intervention procedures for selected clients and documenting appropriateness of intervention procedures. Clients must be selected based on the occupational therapy services provided to the client and the role of the occupational therapist and the occupational therapy assistant in those services; and
(5) ensuring the service competency of the occupational therapy assistant in performing delegated intervention procedures.
(c) Face-to-face collaboration must occur more frequently if necessary to meet the requirements of paragraph (a) or (b).
(d) The occupational therapist must document compliance with this subdivision in the client's file or chart.
(1) works in an activities program; and
(2) does not perform occupational therapy services.
