However, it looks increasingly likely that the PHE will be extended into 2023. If that is the case, the use of A/V communications to achieve direct supervision will be in place until December 31, 2023. Unless the policy is changed, the pre-PHE rules for supervision will return on January 1, 2024, at the latest.
It is important to note that the ability to use A/V communications to achieve direct supervision is close but not equal to general supervision because current general supervision policy only requires the supervising provider to be available through “telecommunications” and doesn’t include a visual component.
This is an advocacy opportunity! Take action now to tell your Representatives to cosponsor the Stabilizing Medicare Access to Rehabilitation and Therapy (SMART) Act (HR 5536) which would permanently change Medicare’s supervision standard for outpatient therapy settings.
Together we can make a difference.