3. Maintenance therapy

Generally, the repetitive services required to maintain function do not involve the use of complex and sophisticated physical therapy procedures, and consequently the judgement and skill of a qualified physical therapist are not required for the safe and effective rendition of such services. However, the specialized knowledge and judgment of a qualified physical therapist may be required to establish a maintenance program if the program is to be safely carried out and the treatment aims of the physician achieved. In such situations, the initial evaluation of the patient's needs, the designing by the qualified physical therapist of a maintenance program which is appropriate to the capacity and tolerance of the patient and the treatment objectives of the physician, the instruction of the patient or supportive personnel, e.g., aides or nursing personnel (or family members where physical therapy is being furnished on an outpatient basis) in the carrying out of such program and such infrequent reevaluations as may be required would constitute physical therapy under the program.