Therapist Caregiver Training

<aside> ✅ Definition of caregiver to be “an adult family member or other individual who has a significant relationship with, and who provides a broad range of assistance to, an individual with a chronic or other health condition, disability, or functional limitation” and “a family member, friend, or neighbor who provides unpaid assistance to a person with a chronic illness or disabling condition”.

</aside>

Identify a few ICD codes to use

Conditions include, but are not limited to,

[ ] various forms of dementia;
[ ] stroke;
[ ] traumatic brain injury (TBI); traumatic injury
[ ] autism spectrum disorders; individuals with other intellectual or cognitive disabilities
[ ] physical mobility limitations; necessary use of assisted devices or mobility aids; use of mobility devices
[ ] cell therapy, stem cell transplants
[ ] cancer; ESRD; lymphedema; rare diseases; and/or chronic conditions

<aside> 📢 For example, patients with dementia, autism spectrum disorder, or individuals with other intellectual or cognitive disabilities may require assistance with challenging behaviors to carry out a treatment plan, patients with mobility issues may need help with safe transfers in the home to avoid post-operative complications, patients with persistent delirium may require guidance with medication management, patients with certain degenerative conditions or those recovering from stroke may need assistance with feeding or swallowing.

</aside>

Requirements

[ ] Payment may be made for CTS when the treating practitioner identified a need to involve and train one or more caregivers to assist the patient in carrying out a patient centered treatment plan.
[ ] Treating practitioner must obtain the patient's (or representative's) consent for the caregiver to receive the CTS. We believed it would be important to make the patient aware, out of concern for patient privacy, that the service is furnished outside their presence and that any applicable cost-sharing would be their responsibility. In cases of an Alzheimer’s or dementia diagnosis, we encourage providers to obtain consent from the patient or their representative for CTS as early as possible in the diagnosis.
[ ] The identified need for CTS and the patient's (or representative's) consent for one or more specific caregivers to receive CTS must be documented in the patient's medical record.