Primary Skilled Services – can initiate plan of care.

Skilled Nurse

• Observation and Assessment
• Management and Evaluation of a Patient Care Plan
• Teaching and Training Activities 
  • that require the skills of the nurse
• Administration of Medications
  • not oral, eye medications, or topicals
• Tube Feedings
• Nasopharyngeal and Tracheostomy Aspirations
• Catheters
• Wound Care
  • Observation and Assessment
  • Teaching and Training
  • Direct Care
• Ostomy Care
• Heat Treatments
• Medical Gases
• Rehabilitation/Restorative Nursing
• Psychiatric Evaluation and Therapy

Physical Therapist

• Assessment
• Therapeutic Exercises
• Gait Training
• Range of Motion
• Maintenance Therapy
• Ultrasound, Short-wave, and Microwave
• Diathermy Treatments
• Hot Packs, Infrared Treatments, Paraffin Baths, and Whirlpool Baths

Speech Therapist

• Assessment
• Speech/Voice Production
• Communicative Activities of Daily Living
• Speech/Language Communication
• Establish Maintenance Program
• Develop Control of Vocal/Respiratory Systems for Voice Production
• Aural Rehabilitation
• Treatment of Swallowing Disorders

Qualified Skilled Service – may continue as qualifying skilled service after primary skilled service has established the need for Medicare services. May not initiate a Plan of Care.

Occupational Therapist

• Assessment
• Planning, Implementation, and Supervision of Therapeutic Programs:
• To restore physical function.
• To restore sensory/integrative function.
• To improve level of independence in activities of daily living.
• To design, fabricate, and fit orthotic or self-help device.
• Vocational and pre-vocational assessment and training.
• Active treatment program for psychiatric patients.

Dependent Services – can only be provided if receiving a skilled service.

• Medical Social Services
• Home Health Aide
• Supplies
• DME