Mental health services cover occupational therapy in multiple practice areas. Which of the following excludes occupational therapy as an initial qualifying service for home health?

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Funding for CMH includes private insurance, Medicare, and Medicaid; budget allocations from state and local governments; and private and federal grants. All can include payment for occupational therapy. Programs that provide employment and training services (i.e., supported education, vocational rehabilitation, and supported employment) can also receive funds from One-Stop Centers and the TTW program (Ringeisen et al., 2017; SSA, 2018). Home-based and PHP occupational therapy is covered by Medicare and third-party payers; private insurance coverage varies (Craig, 2012). Medicare home health coverage excludes occupational therapy as an initial qualifying service. This constraint and limited knowledge about the profession's role in home health may contribute to its underutilization (Craig, 2012). Medicare PHP benefits specify occupational therapy as an included, but not mandated, service. Since 2000, a prospective payment system has reimbursed PHPs according to a daily rate based on an average of all patients. Occupational therapy is bundled into this rate (CMS, 2012).

Mental Health Services Cover Occupational Therapy in Multiple Practice Areas