The Affordable Care Act states for Home Health Care that the provider have a face-to-face with the patient 90 days prior to the service or 30 days after the service. I understand that but does this also apply to outpatient rehab services? We have a patient that received care at an outpatient rehab facility in another state per our provider's orders. The rehab facility sent the Plan of Treatment for the provider to sign and she wouldn't sign it because she said that she has to have a face-to-face visit with the patient either 90 days prior to the service or 30 days after the service. I think she is wrong. I feel this is the requirements for Home Hlth Care and not Outpt Rehab Services. Please give me your thoughts and help in this matter. Thanks as always