Section R. 338.1229 - Delegation of limited assessments, tasks or interventions to an occupational therapy assistant; supervision of an occupational therapy assistant; requirementsRule 29.
(1) An occupational therapist who delegates the performance of limited assessments, tasks, or interventions to an occupational therapy assistant as allowed under section 16215 of the code, MCL 333.16215, shall supervise the occupational therapy assistant consistent with section 16109(2) of the code, MCL 333.16109, and satisfy the requirements of this rule. As used in this rule, "limited assessment" means those parts of an evaluation that an occupational therapy assistant is qualified by education and training to perform while under the supervision of an occupational therapist.(2) Before an occupational therapist delegates limited assessments, tasks, or interventions to an occupational therapy assistant, the occupational therapist shall evaluate the qualifications of the occupational therapy assistant, including verification of the occupational therapy assistant's training, education, and licensure.(3) An occupational therapist who delegates limited assessments, tasks, or interventions to an occupational therapy assistant shall determine and provide the appropriate level of supervision required for the occupational therapy assistant's performance of the delegated limited assessment, task, or intervention. The appropriate level of supervision must be determined based on the occupational therapy assistant's education, training, and experience. The level of supervision must be either general supervision or direct supervision.(4) An occupational therapist who delegates limited assessments, tasks, or interventions under this rule shall also comply with all of the following: (a) Initiate and direct the evaluation of the patient or client before delegating limited assessments.(b) Complete the evaluation of the patient or client before delegating tasks or interventions to be performed by an occupational therapy assistant.(c) Supervise an occupational therapy assistant to whom limited assessments, tasks, or interventions are delegated.(d) Provide predetermined procedures and protocols for limited assessments, tasks, or interventions that are delegated.(e) Monitor an occupational therapy assistant's practice of assigned limited assessments, tasks, or interventions.(f) Maintain a record of the names of the occupational therapy assistants to whom limited assessments, tasks, or interventions have been delegated pursuant to section 16215 of the code, MCL 333.16215.(g) Meet using live, synchronous contact at least once per month with the occupational therapy assistant to whom limited assessments, tasks, or interventions have been delegated to accomplish all of the following:(i) Evaluate the occupational therapy assistant's performance.(ii) Review the patient or client.(iii) Educate the occupational therapy assistant on the limited assessments, tasks, or interventions that have been delegated to facilitate professional growth and development.(h) The occupational therapist shall maintain documentation of the meeting, which must be signed by both the occupational therapist and occupational therapist assistant. Compliance with this subdivision must not be used as a substitute for the ongoing supervision required under this subrule and subrule (3) of this rule.(5) An occupational therapist shall not delegate the performance of either of the following to an occupational therapy assistant:(a) The sole development of a treatment plan.(b) The sole evaluation and interpretation of evaluation results.(6) An occupational therapist shall not supervise more than 4 occupational therapy assistants who are providing services to patients at the same time.Mich. Admin. Code R. 338.1229
2014 AACS; 2017 AACS; 2021 AACS; 2023 MR 8, Eff. 4/26/2023