The Centers for Medicare and Medicaid Services (CMS) today issued a long-awaited transmittal (2457) implementing certain provisions of the Middle Class Tax Relief and Job Creation Act of 2012 (HR 3630) related to the therapy cap.
Physical therapists should be aware of the following dates and requirements:
CMS will issue a Medlearn Matters article on these instructions shortly.
Transmittal 2457 does not provide information on the medical review process. CMS is still in the process of determining how to proceed with implementation of manual medical review for claims that exceed $3,700.
Patients in Alabama will soon be able to be evaluated and, in certain cases, treated by physical therapists (PTs) without first having to obtain a physician referral. With the enactment of Alabama House Bill 163, Alabama becomes the 47th state to achieve some form of direct access.
HB 163, sponsored by state Rep Ed Henry and signed by Gov Robert Bentley yesterday, goes into effect July 1. Prior to implementation of HB 163, PTs were prohibited from performing a physical therapy evaluation unless the patient had a referral. The new law provides for direct access to evaluation, fitness, wellness, and prevention services, and for treatment under certain conditions.
The legislation, which faced significant opposition, primarily from physician groups, is the culmination of many years of difficult work by the Alabama Chapter. Despite numerous obstacles, fierce and well-financed opponents, and the devastation of the April 27, 2011, tornado, the chapter was able to obtain a compromise from opponents on the bill that allowed its passage by the legislature. Per APTA's Strategic Plan, the chapter was provided direct access grants in 2011 and 2012 from the association.
Read more about the chapter's advocacy efforts in APTA's press release.
Emmett Parker, PT, MS, ATC, legislative chair for the Alabama Chapter, addresses attendees at a rally in 2011 at the Alabama State House in support of direct access to physical therapist services.
APTA encourages physical therapist members to consider serving on a Federation of State Boards of Physical Therapy (FSBPT) examination committee. Under the 1989 Transfer Agreement of the physical therapy licensing examination and a more recent settlement agreement, APTA is entitled to seat candidates for at least 40% of the positions on the FSBPT Examination Development Committees. This year APTA will be providing 1 nominee for the Examination Development Committee-PTA (EDC-PTA), and 1 nominee for the Item Bank Review Committee-PT (IBRC-PT).
APTA nominees to all committees must be physical therapists and active APTA members. Experience as National Physical Therapy Examinations (NPTE) item writers or American Board of Physical Therapy Specialties (ABPTS) writers is desired but not required. For the EDC-PTA, the nominees must have expertise in neuromuscular, cardiovascular/pulmonary, musculoskeletal, or pediatrics; for the IBRC-PT, the nominees must have expertise in pediatrics, musculoskeletal or neuromuscular.
To apply for nomination, complete and submit a Personal Information Form and a current résumé/CV by May 30 to Brandy Bradley in the Clinical Practice Department.
If you missed the association's recent Board of Directors meeting, APTA President Scott Ward, PT, PhD, provides a recap on the Moving Forward blog. Ward's summary includes information about the governance review, a report presented to the Board on models of service delivery, APTA's research pipeline, and APTA's proposed alternative payment system.
The Centers for Disease Control and Prevention's (CDC) Weight of the Nation conference, to be held May 7-9 in Washington, DC, will emphasize how communities; educators; health care providers; workplaces; and states, territories, and tribes can be game changers by improving healthy eating and increasing active living for all Americans.
The conference also will provide a "sneak peek" of 4 HBO documentaries that examine pressing issues of obesity as they relate to children, communities, policies, and systemic challenges. The 4-part documentary series—Consequences, Choices, Children in Crisis, and Challenges—will air May 14-15.
DVD kits are available for organizations to host screenings of the films in their communities. The kits include the video series and discussion guides in English and Spanish that can be used to delve deeper into the concepts presented and spur individual and community action.
The Weight of the Nation is a presentation of HBO and the Institutes of Medicine, in association with CDC and the National Institutes of Health, and in partnership with the Michael & Susan Dell Foundation and Kaiser Permanente.