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that for the initial ordering of home health services (nursing services and home health aide services), the physician must document that a face-to-face encounter that is related to the primary reason the beneficiary requires home health services occurred no more than 90 days before or 30 days after the start of services. For the initial ordering of medical supplies,
A mental health professional and the recipient must approve and sign the treatment plan. If the recipient refuses to approve and sign the plan, note the refusal and the reason(s) for the refusal in the treatment plan. Give a copy of the plan to the recipient.ive a copy of the treatment plan to the recipient. If services continue 24 hours after the beginning of the face-to-face intervention: 1  A mental health professional must contact the recipient face-to-face, on the second day, to provide services and update the crisis treatment plan.