Federation of State Boards of Physical Therapy Jurisdiction Licensure Reference Guide Topic: PTA Supervision Requirements
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1 These tables provide information on what type of supervision is required for PTAs in various practice settings. Definitions Onsite Supervision General Supervision Indirect Supervision The supervisor is physically present and immediately available to direct and supervise tasks that are related to patient/client management. The supervisor shall be in the same building or, where physical therapy is rendered in several contiguous buildings, in one of the contiguous buildings, while the physical therapist assistant is rendering care. The supervisor shall be constantly available through electronic communications for consultation or for recall to the immediate area. The supervisor is available on a regularly scheduled basis to review the practice of the PTA and support the PTA in the performance of his/her services. The supervising therapist is on call and readily available physically or through direct telecommunication for consultation, and written or oral instructions for treatment of the patient has been given. There is predetermined plan for emergency situations, including the designation of an alternate PT in the absence of the regular licensed PT. The supervising physical therapist maintains verbal and written contact with supportive personnel, including being on call, when physical therapy services are being provided. Summary: Types of PTA Supervision Required in Jurisdictions: Category Home Health Schools Inpatient Independent PT Practice Skilled Nursing Facility Rehab Agency Comprehensive Rehab Facility (CORF) Other Onsite Supervision General Supervision Indirect Supervision Reported Total FSBPT
2 STATE Home Health Schools Inpatient Independent PT Practice Skilled Nursing Facility Rehab Agency AL Indirect Indirect General General General General General General AK Indirect Indirect Indirect Indirect Indirect Indirect Indirect Indirect Comprehensive Rehab Facility (CORF) AZ AR General General General General General General General General CA Other If you checked other, please specify the setting: Do not identify practice settings that require onsite or general supervision. CO Onsite Onsite Onsite Onsite Onsite Onsite Onsite Onsite Onsite CT DE DC Onsite Onsite Onsite Onsite Onsite Onsite Onsite Onsite FL General Onsite General GA General General General General General General General General HI Onsite ID General General General General General General General General General IL IN Onsite Onsite Onsite Onsite Onsite Onsite Onsite Onsite IA General General General General General General General General KS Onsite Onsite Onsite Onsite Onsite Onsite Onsite Onsite KY General General General General General General General General LA General General Onsite Onsite Onsite Onsite Onsite Onsite ME Onsite supervision for all settings. FSBPT
3 MD Indirect Indirect Indirect Indirect Indirect Indirect Indirect Indirect Indirect MA MI MN Indirect Indirect Indirect Indirect Indirect Indirect Indirect Indirect Indirect MS General General General General General General General General MO General General General General General General General General General MN General General General General General General General General NE Indirect Indirect Indirect Indirect Indirect Indirect Indirect Indirect NV Onsite Onsite Onsite Onsite Onsite Onsite Onsite Onsite NH General General General General General General General General NJ NM General General General General General General General General The PT Act and its regulations are not setting specific. It applies to anywhere limited physical therapy is practiced. Indirect supervision for all settings. However the PT must provide direct supervision at least every 6th treatment session by the PTA. e: general can be used when the PTA has reached a documented 2000 hours of supervised work. The PT must do the initial eval and plan of care and follow-up with reeval and care in the timeframe established by law. FSBPT
4 NY Onsite Onsite Onsite NC Indirect Indirect Indirect Indirect Indirect Indirect Indirect Indirect ND General General Onsite Onsite Onsite General Onsite Onsite Onsite OH General General General General General General General General Onsite OK General General General General General General General General OR General General General General General General General General General PA Indirect Indirect Onsite PR RI Indirect Indirect SC General Onsite Onsite Onsite Onsite Onsite Onsite Onsite SD TN Treating outpatients in a nursing home setting Under the state's Medicaid rules (OAC 5101: ), onsite ("direct") supervision is required whenever the PTA is providing "skilled therapy." Regardless of the setting, general supervision is required of physical therapist assistants All of the above vary with the registration the PTA holds- we now have the PTA and the PTA-indirect supervision registration. FSBPT
5 TX Indirect Indirect Indirect Indirect Indirect Indirect Indirect Indirect Indirect UT General General General General General General General General In addition to the measures included in the description of Indirect Supervision, a PTA treat only on the basis of a written plan of care, that a PT be readily available to respond to the PTA in person when the PTA is treating, and that the PT hold documented conferences with the PTA as necessary. I checked other because the supervision requirements are the same in all settings, and if there are OTHER settings, they would apply there too. FSBPT
6 VT VI Federation of State Boards of Physical Therapy VA General General General General General General General General 3.4 SUPERVISION STANDARDS (1) For physical therapist assistants, the supervisor makes regular visits at reasonable frequency to the place where the assistant is providing service to observe the assistant provide the patient treatment and adjust the treatment plan as needed. The physical therapist documents the visits in the patient's medical record. The physical therapist re-evaluates and renders personal treatment to a patient at least every fifth visit or every 30 days, whichever occurs first. FSBPT
7 WA General WV General General Onsite Onsite Onsite General Onsite WI General General General General General General General General General WY General General General General General General General General Licensed PTAs can work under direct or indirect supervision. The supervising licensed PT determines the appropriate supervision for their assistive personnel which includes assistants and aides. PT and PTAs must meet face to face every 14 days FSBPT
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