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  • Proposed Rule Would Align Medicaid Definition of 'Qualified' PT With Medicare

    Yesterday, the Centers for Medicare and Medicaid Services (CMS) released the proposed rule Medicare and Medicaid Program; Regulatory Provisions to Promote Program Efficiency, Transparency, and Burden Reduction , which "identifies and proposes reforms in Medicare and Medicaid regulations that CMS has identified as unnecessary, obsolete, or excessively burdensome on health care providers and beneficiaries." The proposed rule aims to "increase the ability of health care professionals to devote resources to improving patient care, by eliminating or reducing requirements that impede quality patient care or that divert providing high quality patient care.” The proposal also recommends aligning Medicaid's definition of "qualified" physical therapist with Medicare’s definition, which is the position APTA has strenuously urged CMS to adopt over the past year. This would clarify confusion for states that have misinterpreted Medicaid's definition in state directives which has resulted in decreased access to care.

    APTA will be submitting comments, which are due 60 days from the October 24 publication date.


    • Medicaide clients will not benefit from access to care until Medicaide rates for physical therapy even begin to reach industry standards.

      Posted by Melissa Littlefield on 10/24/2011 2:17 AM

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