Except for services identified in Occ 406.02 above, the following shall apply:

1. (a) Treatment of individuals with medically related conditions shall be initiated only after:

   1. (1) A referral from a licensed physician, a licensed physician assistant, a licensed advanced registered nurse practitioner, a licensed chiropractor, a licensed optometrist, or any other licensed health care professional who has authority to refer for healthcare services; and
   2. (2) An evaluation by an occupational therapist.

2. (b) For any client, the occupational therapist shall:

   1. (1) Develop the client's initial plan for treatment, including identified treatment goals;
   2. (2) Ensure that the initial treatment plan and any revision in the treatment plan are documented;
   3. (3) Revise the treatment plan throughout the treatment process;
   4. (4) Document changes in the client’s needs, goals, and performance; and

   5. (5) Maintain overall responsibility for the following aspects of the treatment plan:

      1. a. Its development;
      2. b. Any revision;
      3. c. Its documentation; and
      4. d. Its implementation.
3. (c) An initial treatment plan shall be based on the evaluation, client goals, current best evidence, and clinical reasoning.

4. (d) An occupational therapist or an occupational therapy assistant shall review the treatment plan with the client, and others authorized by the client, regarding the plan’s:

   1. (1) Rationale;
   2. (2) Safety issues; and
   3. (3) Relative benefits and risks.
5. (e) Either an occupational therapist or an occupational therapy assistant shall implement the client’s treatment plan.

6. (f) An occupational therapy assistant shall select, implement, and modify therapeutic activities and interventions only if doing so is consistent with:

   1. (1) The occupational therapy assistant’s demonstrated competency;
   2. (2) The occupational therapy assistant's delegated responsibilities; and
   3. (3) The client's treatment plan.

7. (g) An occupational therapy assistant shall contribute to the modification of the treatment plan by:

   1. (1) Exchanging information with the occupational therapist as part of direct on-site supervision by the occupational therapist; and
   2. (2) Providing documentation to the occupational therapist about the client’s responses to and communications throughout the intervention.

Source. #8896, eff 6-7-07; ss by #10902, eff 7-29-15; renumbered by #13417 (formerly Occ 408.04); ss by #14478, eff 3-13-26, EXPIRES: 3-13-36 (formerly Occ 407.04)