Program Director - Master of Occupational Therapy (MSOT) Baker CollegeProgram Director - Master of Occupational Therapy (MSOT)Royal Oak, MIFull timeThis highly influential role offers the opportunity to lead long-range strategic initiatives, foster academic innovation, and guide the continued growth of a program that prepares future occupational therapy professionals to meet the evolving needs of healthcare and the communities they serve. Founded in 1911, Baker College is committed to embracing technology, sparking innovation, and fostering a supportive learning environment where students can get the real-world knowledge, skills, and experiences they need to pursue the life and career they want.
NewTravel Occupational Therapist (OT) - $1,884 to $1,941 per week in Garden City, MI AlliedTravelCareersTravel Occupational Therapist (OT) - $1,884 to $1,941 per week in Garden City, MIGARDEN CITY, MI$1,884–$1,941At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable. occupational therapist, occupational therapy, OT, therapist, patient care, healthcare, health care, acute care occupational therapist, acute occupational therapist, acute, occupational therapy assistant
Travel Certified Occupational Therapist Assistant (COTA) - $1,539 per week in Taylor, MI AlliedTravelCareersTravel Certified Occupational Therapist Assistant (COTA) - $1,539 per week in Taylor, MITaylor, MI$1,539AlliedTravelCareers is working with Towne U.S. LLC to find a qualified Certified Occupational Therapist Assistant (COTA) in Taylor, Michigan, 48180! Active state licensure or eligibility for licensure in multiple states (assistance provided for travel placements).
NewTravel Occupational Therapist (OT) - $1,851 per week in Garden City, MI AlliedTravelCareersTravel Occupational Therapist (OT) - $1,851 per week in Garden City, MIGarden City, MI$1,851Advantis Medical, the #1 rated travel nurse agency, is currently seeking an experienced Occupational Therapy clinician for an exciting new travel job in Garden City, MI 48135. As a Occupational Therapy travel clinician, you will provide compassionate and high-quality care to patients ensuring their well-being and recovery.
NewTravel Occupational Therapist (OT) - $2,234 per week in Westland, MI AlliedTravelCareersTravel Occupational Therapist (OT) - $2,234 per week in Westland, MIWestland, MI$2,234This travel assignment is a great opportunity for an experienced Occupational Therapist (OT) professional to work in a clinical setting while gaining new experience and earning competitive pay. Anders Group supports allied healthcare professionals with dedicated recruiters, transparent communication, and travel opportunities across the United States.
NewOccupational Therapist Birch AgencyOccupational TherapistDearborn, MIYoull work in a collaborative, studentcentered environment with access to a dedicated sensory room, supporting students motor, sensory, and functional needs to help them fully access their learning environment. This school-based opportunity allows you to support student growth, promote independence, and collaborate with a dedicated educational team, all while enjoying a consistent part-time schedule throughout the school year.
NewTravel Occupational Therapist (OT) - $1,890 per week in Garden City, MI AlliedTravelCareersTravel Occupational Therapist (OT) - $1,890 per week in Garden City, MIGarden City, MI$1,890AlliedTravelCareers is working with Triage Staffing LLC to find a qualified Occupational Therapist (OT) in Garden City, Michigan, 48135! Length: 13 WEEKS 13 weeks Apply for specific facility details.
NewTravel Occupational Therapist (OT) - $2,035 per week in Garden City, MI AlliedTravelCareersTravel Occupational Therapist (OT) - $2,035 per week in Garden City, MIGarden City, MI$2,035Nurses and allied healthcare professionals are in high demand nationwide, and our team of industry-leading, traveler-favorite recruiters can get you where you want to go — personally and professionally. In addition to providing the industry’s best recruiters, we offer tons of high-paying jobs, clinical support, and incredible benefits, including: A compensation package that reflects your goals!
NewTravel Occupational Therapist (OT) - $1,920 per week in Garden City, MI AlliedTravelCareersTravel Occupational Therapist (OT) - $1,920 per week in Garden City, MIGarden City, MI$1,920In addition to providing the industry’s best recruiters, we offer tons of high-paying jobs, clinical support, and incredible benefits, including: A compensation package that reflects your goals! AlliedTravelCareers is working with Medical Solutions to find a qualified Occupational Therapist (OT) in Garden City, Michigan, 48135!
NewTravel Occupational Therapist (OT) - $1,837 per week in Garden City, MI AlliedTravelCareersTravel Occupational Therapist (OT) - $1,837 per week in Garden City, MIGarden City, MI$1,837AlliedTravelCareers is working with GetMed Staffing to find a qualified Occupational Therapist (OT) in Garden City, Michigan, 48135! Traveling with GetMed Staffing offers the unique opportunity to gain diverse experiences, both personally and professionally.
NewTravel Occupational Therapist (OT) - $1,783 to $1,932 per week in Garden City, MI AlliedTravelCareersTravel Occupational Therapist (OT) - $1,783 to $1,932 per week in Garden City, MIGarden City, MI$1,783.29–$1,932.50Host Healthcare is an award-winning travel healthcare company with an immediate opening for this Occupational Therapist position in Garden City, MI. AlliedTravelCareers is working with Host Healthcare to find a qualified Occupational Therapist (OT) in Garden City, Michigan, 48135!
NewTravel Occupational Therapist (OT) - $2,043 per week in Garden City, MI AlliedTravelCareersTravel Occupational Therapist (OT) - $2,043 per week in Garden City, MIGarden City, MI$2,043Coast is featured on Blue Pipes' 2023 Best Travel Agencies and named a 2022 Top Rated Healthcare Staffing Firm & 2023 First Half Top Rated Healthcare Staffing Firm by Great Recruiters. Coast Medical Service is a nationwide travel nursing & allied healthcare staffing agency dedicated to providing an elite traveler experience for the experienced or first-time traveler.
Travel Occupational Therapist (OT) - $2,190 per week in Dearborn Heights, MI AlliedTravelCareersTravel Occupational Therapist (OT) - $2,190 per week in Dearborn Heights, MIDearborn Heights, MI$2,190Coast is featured on Blue Pipes' 2023 Best Travel Agencies and named a 2022 Top Rated Healthcare Staffing Firm & 2023 First Half Top Rated Healthcare Staffing Firm by Great Recruiters. Coast Medical Service is a nationwide travel nursing & allied healthcare staffing agency dedicated to providing an elite traveler experience for the experienced or first-time traveler.
NewTravel Occupational Therapist (OT) - $2,000 per week in Garden City, MI AlliedTravelCareersTravel Occupational Therapist (OT) - $2,000 per week in Garden City, MIGarden City, MI$2,000Once a nurse selects an assignment of their choice, we then empower the nurses with an easy profile generator allowing nurses to submit themselves for an interview with confidence knowing they've booked an open job with the pay and location of their choice. Stability displays to their nurses the best travel nursing jobs allowing for faster submissions, scheduling of Interviews, and ultimately landing our nurses their preferred assignment.
NewTravel Occupational Therapist (OT) - $1,749 to $3,054 per week in Detroit, MI AlliedTravelCareersTravel Occupational Therapist (OT) - $1,749 to $3,054 per week in Detroit, MIDetroit, MI$1,749–$3,054Includes estimated taxable wages of $21.23 - $41.35 per hour and estimated tax-free reimbursements for meals, incidentals, and housing of $900 - $1,400 per week based on GSA guidelines (subject to eligibility, location, and seasonal adjustment). AlliedTravelCareers is working with CompHealth to find a qualified Occupational Therapist (OT) in Detroit, Michigan, 48201!
NewTravel Physical Therapist (PT) - $1,798 to $2,166 per week in Farmington Hills, MI AlliedTravelCareersTravel Physical Therapist (PT) - $1,798 to $2,166 per week in Farmington Hills, MIFarmington Hills, MI$1,798–$2,166Educate patients and caregivers on home exercise programs, proper body mechanics, injury prevention strategies, and self-management techniques to promote long-term functional recovery. Working in settings such as hospitals, clinics, and rehabilitation centers, they create personalized, evidence-based treatment plans using exercise and manual therapy to help patients recover and become independent.
NewTravel Speech Language Pathologist (SLP) - $2,462 per week in Detroit, MI AlliedTravelCareersTravel Speech Language Pathologist (SLP) - $2,462 per week in Detroit, MIDetroit, MI$2,462In this role, you’ll work alongside a supportive and collaborative rehab team, helping patients improve their communication and swallowing abilities while making a real difference in their daily lives. This is a fantastic opportunity for SLPs who enjoy flexibility, variety, and meaningful work—whether you're a seasoned traveler or looking to begin your travel therapy journey.
Occupational Therapy Assistant - Cherry Hospital Health & Human ServicesOccupational Therapy Assistant - Cherry HospitalWayne, North CarolinaThe State of North Carolina/Office of State Human Resources uses the National Association of Credential Evaluation Services (NACES) as a referral resource for applicants who need to have their credentials certified as equivalent. The state provides reasonable accommodation to employees and applicants with disabilities; known limitations related to pregnancy, childbirth, or related medical conditions; and for religious beliefs, observances, and practices.
Certified Occupational Therapy Assistant - Bonus Pay Healing HavenCertified Occupational Therapy Assistant - Bonus PayClinton Township, MichiganFreedom to Innovate – Opportunities to help develop and expand occupational therapy programming aligned with your interests and expertise, particularly in the areas of sensory processing, self-regulation, and behavior support. Our unique services include a 3-month parent training program, speech therapy, occupational therapy, and day-time center based ABA therapy services for children between the ages of 2 to 12.
Certified Occupational Therapy Assistant (COTA) - Bilingual Spanish Remote All Care TherapiesCertified Occupational Therapy Assistant (COTA) - Bilingual Spanish RemoteDetroit, MIRemote$41–$46 / hourYou will collaborate with licensed Occupational Therapists to assess and implement appropriate treatment plans, monitor progress, and provide guidance to clients through virtual platforms. Intervention: Provide remote occupational therapy services, including exercises, activities, and interventions to help patients achieve their goals and improve their functional abilities.
Certified Occupational Therapy Assistant (COTA) - Per Diem Select Specialty Hospital - Grosse PointeCertified Occupational Therapy Assistant (COTA) - Per DiemDetroit, MichiganSSH-Grosse Pointe is a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who require extended healing and recovery. We help patients during some of the most vulnerable, painful moments of their lives – and Certified Occupational Therapy Assistants (COTA) play a central role in providing compassionate, excellent care every step of the way.
NewTravel Certified Occupational Therapy Assistant - $1,371 per week Centra Healthcare AlliedTravel Certified Occupational Therapy Assistant - $1,371 per weekDetroit, MICentra Healthcare Solutions is seeking an experienced Certified Occupational Therapy Assistant (COTA) that is licensed or in the immediate process, and qualifies, of obtaining Certified Occupational Therapy Assistant (COTA) licensure in the state of MI to work in the specialty area of SNF / LTC. We have many dynamic positions with cutting edge programs throughout the entire United States and various settings to meet each healthcare professional`s criteria.
NewTravel Certified Occupational Therapy Assistant - $1,422 per week Centra Healthcare AlliedTravel Certified Occupational Therapy Assistant - $1,422 per weekTaylor, MICentra Healthcare Solutions is seeking an experienced Certified Occupational Therapy Assistant (COTA) that is licensed or in the immediate process, and qualifies, of obtaining Certified Occupational Therapy Assistant (COTA) licensure in the state of MI to work in the specialty area of SNF / LTC. We have many dynamic positions with cutting edge programs throughout the entire United States and various settings to meet each healthcare professional`s criteria.
Certified Occupational Therapy Assistant (COTA) Per Diem Select Medical CorpCertified Occupational Therapy Assistant (COTA) Per DiemDetroit, MISSH-Grosse Pointe is a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who require extended healing and recovery. We help patients during some of the most vulnerable, painful moments of their lives - and Certified Occupational Therapy Assistants (COTA) play a central role in providing compassionate, excellent care every step of the way.
Certified Occupational Therapy Assistant PACE Southeast MichiganCertified Occupational Therapy AssistantDetroit, MichiganThe broad function is to assist the Occupational Therapist in the clinical implementation of treatment programs by carrying out and modify treatment plans as outlined in the Occupational Therapy evaluation and assist the PACE Southeast Michigan rehabilitation department with exercise/ADL/IADL and participant care related functions as needed. Effectively communicates with department staff, company personnel, patients, caregivers and department head.
Occupational Therapy Assistant UnitedHealth Group IncOccupational Therapy AssistantFarmington Hills, MI$30.88–$46.32 / hourThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve.
NewTravel Certified Occupational Therapy Assistant (COTA) - $1,779 per week Focus StaffTravel Certified Occupational Therapy Assistant (COTA) - $1,779 per weekDetroit, MIFocus Staff is a traveler-first healthcare staffing agency connecting talented travel nurses and allied health professionals with top assignments nationwide, prioritizing your unique needs and giving you complete control over your journey. Our mission is to help you create the life you love while exploring the country, advancing your healthcare career with competitive pay, and doing what you do best, providing exceptional patient care that makes a difference.
NewTravel Certified Occupational Therapy Assistant (COTA) - $1,260 per week Jackson Therapy PartnersTravel Certified Occupational Therapy Assistant (COTA) - $1,260 per weekDetroit, MIDelivering a lifetime of opportunities in both contract and permanent positions, Jackson Therapy Partners™ connects highly skilled therapy and education professionals with rewarding careers at more than 1,300 rehab facilities, schools, outpatient clinics, hospitals, and skilled nursing facilities every year. Choose from a variety of career options including direct hire, temp-to-hire, and travel contracts using ProVenture, our AI-enhanced career app designed for therapy professionals like you.
Certified Occupational Therapy Assistant / CLT Miller VeinCertified Occupational Therapy Assistant / CLTMacomb, MIThis position offers a unique opportunity to work alongside Certified Lymphedema Therapists, physicians, and clinical staff in a physician-owned practice dedicated to improving the lives of patients suffering from lymphedema, lipedema, venous disease, chronic swelling, and related conditions. COTA — SOUTHEAST MICHIGAN ABOUT THE OPPORTUNITY Miller Vein is seeking a compassionate, motivated, and patient-focused Certified Occupational Therapy Assistant (COTA) to join our growing Swelling & Lymphedema Program in Southeast Michigan.
Certified Occupational Therapy Assistant (COTA): Facility Opportunity Link Rehab and WellnessCertified Occupational Therapy Assistant (COTA): Facility OpportunityDearborn, Michigan35 - $44 an hour We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. Led by therapists and driven to improve patient outcomes, our team is fueled by compassion and the autonomy to impact the lives of our patients.
Certified Occupational Therapy Assistant Purposelink RecruitmentCertified Occupational Therapy AssistantClinton, MichiganAs a Certified Occupational Therapy Assistant, you will work closely with our team of Occupational Therapists to provide high-quality care to our pediatric patients. The ideal candidate will have at least 2 year of experience working in pediatric care and hold a valid Occupational Therapist Assistant license in the state of Michigan.
Occupational Therapy Assistant Lab Supervisor Macomb Community CollegeOccupational Therapy Assistant Lab SupervisorMI$16.56–$17.88 / hourMust be a graduate of an accredited occupational therapy or occupational therapy assistant program and hold a current NBCOT certification and state licensure/registration. Part-time employees are eligible for some Macomb Community College benefits including retirement with the Michigan Office of Retirement Services, as well as voluntary options for retirement.
Adjunct Faculty-Occupational Therapy Assistant Program Macomb Community CollegeAdjunct Faculty-Occupational Therapy Assistant ProgramMI$969–$1,180.35Documented expertise in teaching and advising in the transition from academia to clinical practice, service delivery as a credentialed, entry-level practitioner, role delineation and professional development, service advocacy, and the application of management principles to serve individuals, organizations, and communities in the current healthcare environment. This includes role delineation and professional responsibilities of service advocacy, management principles and ethics, service delivery to a variety of individuals and organizations in the current healthcare environment.
NewTravel Certified Occupational Therapy Assistant - $1,375 per week SkyBridge Healthcare TherapyTravel Certified Occupational Therapy Assistant - $1,375 per weekDetroit, MI$26.40–$31.20 / hourWhether you are an experienced traveler, or this is your first travel position, SkyBridge Healthcare puts our Travelers first and ensures a seamless travel experience. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined.
NewTravel Certified Occupational Therapy Assistant - $1,539 per week Towne U.S. LLCTravel Certified Occupational Therapy Assistant - $1,539 per weekLivonia, MIActive state licensure or eligibility for licensure in multiple states (assistance provided for travel placements). Pay package is based on 8 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined.
Occupational Therapist | Shelby & Cut Bank Physical Therapy Logan Health Medical CenterOccupational Therapist | Shelby & Cut Bank Physical TherapyShelby, MichiganExhibits effective communication skills in regards to all aspects of care, i.e. communication with patients, peers, family members, students and team members regarding OT related information. Completes all required documentation in a timely manner according to payer guidelines (Medicare, private insurance, Medicaid) and Montana practice guidelines for occupational therapy.
Certified Occupational Therapy Assistant Back to You Rehab, PLLCCertified Occupational Therapy AssistantSt Clair Shores, MIAs a Certified Occupational Therapy Assistant (COTA) at [Company Name], you will play a crucial role in assisting our occupational therapists in providing high-quality care to our clients. Our core values of compassion, excellence, and integrity drive everything we do, and we take pride in fostering a welcoming and inclusive work environment where every team member is valued and supported.
NewTravel Certified Occupational Therapy Assistant - $1,322 per week Pioneer Healthcare ServicesTravel Certified Occupational Therapy Assistant - $1,322 per weekDetroit, MI$1,301.93–$1,342.20 / weekPioneer Healthcare Services is seeking a travel Skilled Nursing Facility (SNF) Certified Occupational Therapy Assistant for a travel job in Detroit, Michigan. Our credentialing and compliance team is known for being the fastest and most communicative in the industry, and you'll have a dedicated recruiter and mentorship resources in your corner from day one, so you always have the support you need, when you need it.
NewTravel Certified Occupational Therapy Assistant (COTA) - $1,170 per week Skyline Med Staff TherapyTravel Certified Occupational Therapy Assistant (COTA) - $1,170 per weekDetroit, MISkyline Med Staff was named as the #1 Best Travel Healthcare Company in 2025 by BluePipes, a recognition driven by glowing reviews from travel healthcare professionals. We are a Woman Owned Agency providing clinicians with Health Insurance through Blue Cross Blue Shield, along with Dental and Vision coverage, plus $500 referral bonuses!
NewTravel Certified Occupational Therapy Assistant - $1,481 per week Synergy Medical StaffingTravel Certified Occupational Therapy Assistant - $1,481 per weekTaylor, MIWhatever your preference, you can be sure there are plenty of Nursing Jobs, Allied Jobs and Physical Therapy Jobs, Occupational Therapy Jobs, Speech Therapy Jobs and Rehab Therapy jobs anywhere you want to go. Synergy Medical Staffing professionals have been in the Medical staffing employment and staffing industry for over 12 years, and have developed solid relationships with numerous healthcare facilities nationwide.
NewTravel Certified Occupational Therapy Assistant - $1,214 per week Skyline Med Staff TherapyTravel Certified Occupational Therapy Assistant - $1,214 per weekTaylor, MISkyline Med Staff was named as the #1 Best Travel Healthcare Company in 2025 by BluePipes, a recognition driven by glowing reviews from travel healthcare professionals. We are a Woman Owned Agency providing clinicians with Health Insurance through Blue Cross Blue Shield, along with Dental and Vision coverage, plus $500 referral bonuses!
NewTravel Certified Occupational Therapy Assistant - $1,170 per week Skyline Med Staff TherapyTravel Certified Occupational Therapy Assistant - $1,170 per weekDetroit, MISkyline Med Staff was named as the #1 Best Travel Healthcare Company in 2025 by BluePipes, a recognition driven by glowing reviews from travel healthcare professionals. We are a Woman Owned Agency providing clinicians with Health Insurance through Blue Cross Blue Shield, along with Dental and Vision coverage, plus $500 referral bonuses!
NewTravel Certified Occupational Therapy Assistant - $1,065 per week Ardor Health SolutionsTravel Certified Occupational Therapy Assistant - $1,065 per weekTaylor, MIWhether you're a registered nurse providing skilled care in a patient's home, a physical therapist working in an outpatient clinic, or a speech-language pathologist in an acute care setting, Ardor Health is committed to matching you with assignments that align with your clinical expertise and personal goals. Our opportunities span a wide range of specialties and settings — including home health, acute care, skilled nursing facilities, outpatient clinics, and more — giving you the flexibility to grow your career while exploring new locations.
NewTravel Certified Occupational Therapy Assistant - $983 per week Ardor Health SolutionsTravel Certified Occupational Therapy Assistant - $983 per weekLivonia, MIWhether you're a registered nurse providing skilled care in a patient's home, a physical therapist working in an outpatient clinic, or a speech-language pathologist in an acute care setting, Ardor Health is committed to matching you with assignments that align with your clinical expertise and personal goals. Our opportunities span a wide range of specialties and settings — including home health, acute care, skilled nursing facilities, outpatient clinics, and more — giving you the flexibility to grow your career while exploring new locations.
NewTravel Long Term Care (LTC) Certified Occupational Therapy Assistant - $1,310 per week CoreMedical GroupTravel Long Term Care (LTC) Certified Occupational Therapy Assistant - $1,310 per weekTaylor, MIEstimate of weekly payments is intended for informational purposes and includes hourly wages, as well as reimbursements for meal & incidental expenses, and housing expenses incurred on behalf of the Company. In addition to dedicated, personalized support from your recruiter, when you work with CoreMedical Group you'll receive: Access to an extensive benefits package, including day 1 health, dental, and vision insurance, employer paid life insurance, a health reimbursement account, and more!
Certified Occupational Therapist Assistant Beaumont Home Health and HospiceCertified Occupational Therapist AssistantDetroit, MichiganMinimize Patient Risk: Assesses functional problems and provides intervention and, in conjunction with the occupational therapist works toward goals to improve patient functional statusFamily Educator/Advocate: Counsel patient and family on the disease/injury and how to manage in all phases of occupational therapy. Instruct patient and family members on proper use of equipment such as wheelchairs, braces, walkers, crutches, canes, and other prosthetic/orthotic devicesPolicies: Completes all clinical documentation following agency protocol and Medicare/Federal guidelines.
Occupational Therapist Assistant Beaumont Home Health and HospiceOccupational Therapist AssistantDetroit, MichiganMinimize Patient Risk: Assesses functional problems and provides intervention and, in conjunction with the occupational therapist works toward goals to improve patient functional statusFamily Educator/Advocate: Counsel patient and family on the disease/injury and how to manage in all phases of occupational therapy. Instruct patient and family members on proper use of equipment such as wheelchairs, braces, walkers, crutches, canes, and other prosthetic/orthotic devicesPolicies: Completes all clinical documentation following agency protocol and Medicare/Federal guidelines.
Charter School - Occupational Therapist (OT) The Stepping Stones Group LLCCharter School - Occupational Therapist (OT)Detroit, MICenter-Based ABA Therapy. Summer Intensive Program.
Occupational Therapist (OT) The Stepping Stones Group LLCOccupational Therapist (OT)Detroit, MICenter-Based ABA Therapy. Summer Intensive Program.
Certified Occupational Therapist Assistant Alternate Solutions Health NetworkCertified Occupational Therapist AssistantDetroit, MichiganMinimize Patient Risk: Assesses functional problems and provides intervention and, in conjunction with the occupational therapist works toward goals to improve patient functional statusFamily Educator/Advocate: Counsel patient and family on the disease/injury and how to manage in all phases of occupational therapy. Instruct patient and family members on proper use of equipment such as wheelchairs, braces, walkers, crutches, canes, and other prosthetic/orthotic devicesPolicies: Completes all clinical documentation following agency protocol and Medicare/Federal guidelines.