Conditions & Treatments

Direct Admissions Program

Qualifying conditions for Spaulding's Direct Admission Program include:

  • Parkinson’s disease and/or movement disorder
  • Recent stroke with functional decline
  • Gait disorders due to a known cause
  • Recurrent falls due to a known cause
  • Multiple sclerosis exacerbation (flare-up) with loss of function
  • Brain or spinal cord injury with a need for specific skill training
  • Post-polio syndrome
  • Spasticity
  • Other diagnoses considered on a case-by-case basis


Direct Admission Program Criteria

Criteria for Spaulding’s Direct Admission Program include:

  • Patient meets Medicare criteria for medical necessity, which includes:
    • Needs to be seen by a physician at least three times per week
    • Requires, and is able to participate in, about three hours of therapy per day for at least five days per week
    • Is expected to make measurable improvement in functional capacity or adapting to impairment that is of practical value
  • Decline in function is related to a known condition or diagnosis
  • Patient is motivated to participate
  • Payment is available for program
  • Community physician is in agreement with the referral
  • Patient is age 15 or older



The Direct Admissions Program is available in the following locations:

Spaulding Rehabilitation Hospital Cape Cod