This article provides an overview of various job categories, codes, titles, descriptions, and services associated with each role per CMS rules and regulations.

Code 1: Administrator

Administrators and Assistant Administrators, licensed by the state.

Code 2: Medical Director

A physician designated as responsible for implementation of resident care policies and coordination of medical care in the facility.

Code 3: Other Physician

A salaried physician, other than the medical director, who supervises the care of residents when the attending physician is unavailable, and/or a physician(s) available to provide emergency services 24 hours a day.

Code 4: Physician Assistant

A graduate of an accredited educational program for physician assistants who provides healthcare services typically performed by a physician, under the supervision of a physician.

Code 5: Registered Nurse Director of Nursing

Professional registered nurse(s) administratively responsible for managing and supervising nursing services within the facility. Do not additionally reflect these hours in any other category.

Code 6: Registered Nurse with Administrative Duties

Nurses (RN) who, as either a facility employee or contractor, perform the Resident Assessment Instrument function in the facility and do not perform direct care functions. Also include other RNs whose principal duties are spent conducting administrative functions. For example, the Assistant Director of Nursing conducting educational/in-service.

Code 7: Registered Nurse

Those persons licensed to practice as registered nurses in the State where the facility is located. Includes geriatric nurse practitioners and clinical nurse specialists who primarily perform nursing, not physician-delegated tasks. Do not include Registered Nurses' hours reported elsewhere.

Code 8: Licensed Practical/Vocational Nurse with Administrative Duties

Those persons licensed to practice as licensed practical/vocational nurses in the State where the facility is located, and do not perform direct care functions. Also include other nurses whose principal duties are spent conducting administrative functions. For example, the LPN Charge Nurse conducting educational/in-service, or other duties which are not considered to be direct caregiving.

Code 9: Licensed Practical/Vocational Nurse

Those persons licensed to practice as licensed practical/vocational nurses in the State where the facility is located. Do not include those hours of LPN/LVNs reported elsewhere.

Code 10: Certified Nurse Aide

Individuals who have completed a State-approved training and competency evaluation program, or competency evaluation program approved by the State, or have been determined competent as provided in 483.150 and who are providing nursing or nursing-related services to residents. Do not include volunteers.

Code 11: Nurse Aide in Training

Individuals who are in the first 4 months of employment and who are receiving training in a State-approved Nurse Aide training and competency evaluation program and are providing nursing or nursing-related services for which they have been trained and are under the supervision of a licensed or registered nurse. Do not include volunteers.

Code 12: Medication Aide/Technician

Individuals, other than a licensed professional, who fulfill the State requirement for approval to administer medications to residents.

Code 13: Nurse Practitioner

A registered nurse with specialized graduate education who is licensed by the state to diagnose and treat illness, independently or as part of a healthcare team.

Code 14: Clinical Nurse Specialist

A registered nurse with specialized graduate education who provides advanced nursing care.

Code 15: Pharmacist

The licensed pharmacist(s) who a facility is required to use for various purposes, including providing consultation on pharmacy services, establishing a system of records of controlled drugs, overseeing records, and reconciling controlled drugs, and/or performing a monthly drug regimen review for each resident.

Code 16: Dietitian

A person(s), employed full, part-time or on a consultant basis, who is either registered by the Commission of Dietetic Registration of the American Dietetic Association or is qualified to be a dietitian on the basis of experience in identification of dietary needs, planning, and implementation of dietary programs.

Code 17: Paid Feeding Assistant

Person who meets the requirements specified in C.F.R. Section 483.60(h)(1)(i) and 483.60(h)(1)(ii) and who is paid to feed residents by a facility, or who is used under an arrangement with another agency or organization. Paid feeding assistants can only feed residents who do not have complicated feeding problems that would require the training of a nurse or nurse aide. Paid feeding assistants must not feed any residents with complicated feeding problems or perform any other nursing or nursing-related tasks. A feeding assistant must work under the supervision of an RN or an LPN.

Code 18: Occupational Therapist

Persons licensed/registered as occupational therapists according to State law in the State in which the facility is located. Include OTs who spend less than 50 percent of their time as activities therapists.

Code 19: Occupational Therapy Assistant

Person(s) who, in accord with State law, have licenses/certification and specialized training to assist a licensed/certified/registered Occupational Therapist (OT) to carry out the OT's comprehensive plan of care, without the direct supervision of the therapist. Include OT Assistants who spend less than 50 percent of their time as Activities Therapists.

Code 20: Occupational Therapy Aide

Person(s) who have specialized training to assist an OT to carry out the OT's comprehensive plan of care under the direct supervision of the therapist, in accord with State law.

Code 21: Physical Therapist

Persons licensed/registered as physical therapists, according to State law where the facility is located.

Code 22: Physical Therapy Assistant

Person(s) who, in accord with State law, have licenses/certification and specialized training to assist a licensed/certified/registered Physical Therapist (PT) to carry out the PT's comprehensive plan of care, without the direct supervision of the PT.

Code 23: Physical Therapy Aide

Person(s) who have specialized training to assist a PT to carry out the PT's comprehensive plan of care under the direct supervision of the therapist, in accordance with State law.

Code 24: Respiratory Therapist

Person(s) who are licensed under state law (except in Alaska) as respiratory therapists.

Code 25: Respiratory Therapy Technician

Person(s) who provide respiratory care under the direction of respiratory therapists and physicians.

Code 26: Speech/Language Pathologist

Persons licensed/registered, according to State law where the facility is located, to provide speech therapy and related services (e.g., teaching a resident to swallow).

Code 27: Therapeutic Recreation Specialist

Person(s) who, in accordance with State law, are licensed/registered and are eligible for certification as a therapeutic recreation specialist by a recognized accrediting body.

Code 28: Qualified Activities Professional

Person(s) who meet the definition of activities professional at 483.24(c)(2)(i) and 483.24 (c)(2)(ii) (A) or (B) or (C) or (D) and who are providing an on-going program of activities designed to meet residents' interests and physical, mental, or psychosocial needs. Do not include hours reported as Therapeutic Recreation Specialist, Occupational Therapist, OT Assistant, or other categories listed above.

Code 29: Other Activities Staff

Persons providing an on-going program of activities designed to meet residents' needs and interests. Do not include volunteers or hours reported elsewhere.

Code 30: Qualified Social Worker

Person licensed to practice social work in the State where the facility is located, or if licensure is not required, persons with a bachelor's degree in social work, a bachelor's degree in a human services field including but not limited to sociology, special education, rehabilitation counseling and psychology, and one year of supervised social work experience in a health care setting working directly with elderly individuals.

Code 31: Other Social Worker

Person(s) other than the qualified social worker who are involved in providing medical social services to residents. Do not include volunteers.

Code 32: Dentist (NOT REQUIRED/OPTIONAL)

Persons licensed as dentists, according to State law where the facility is located, to provide routine and emergency dental services.

Code 33: Podiatrist (NOT REQUIRED/OPTIONAL)

Persons licensed/registered as podiatrists, according to State law where the facility is located, to provide podiatric care.

Code 34: Mental Health Service Worker

Staff (excluding those included under therapeutic services) who provide programs of services targeted to residents' mental, emotional, psychological, or psychiatric well-being and which are intended to:

- Diagnose, describe, or evaluate a resident's mental or emotional status

- Prevent deviations from mental or emotional well-being from developing

- Treat the resident according to a planned regimen to assist him/her in regaining, maintaining, or increasing emotional abilities to function.

Among the specific services included are psychotherapy and counseling, and administration and monitoring of psychotropic medications targeted to a psychiatric diagnosis.

Code 35: Vocational Service Worker (NOT REQUIRED/OPTIONAL)

Evaluation and training aimed at assisting the resident to enter, re-enter, or maintain employment in the labor force, including training for jobs in integrated settings (i.e., those which have both disabled and non-disabled workers) as well as in special settings such as sheltered workshops.

Code 36: Clinical Laboratory Service Worker (NOT REQUIRED/OPTIONAL)

Entities that provide laboratory services and are approved by Medicare as independent laboratories or hospitals.

Code 37: Diagnostic X-ray Service Worker (NOT REQUIRED/OPTIONAL)

Radiology services, ordered by a physician, for diagnosis of a disease or other medical condition.

Code 38: Blood Service Worker (NOT REQUIRED/OPTIONAL)

Blood bank and transfusion services.

Code 39: Housekeeping Service Worker (NOT REQUIRED/OPTIONAL)

Services, including those of the maintenance department, necessary to maintain the environment. Includes equipment kept in a clean, safe, functioning and sanitary condition. Includes housekeeping services supervisor and facility engineer.

Code 40: Other Service Worker (NOT REQUIRED/OPTIONAL)

Record total hours worked for all personnel not already recorded (For example, librarian).