is pleased with the decision of the federal court to approve the final
settlement in the class action 'Improvement Standard' lawsuit (Jimmo vs Kathleen Sebelius), which
upheld the right of patients to continue to receive reasonable and necessary
care to maintain their medical conditions and prevent or slow decline,"
President Paul A. Rockar Jr, PT, DPT, MS, in a statement issued today. "We look
forward to working with the Centers for Medicare and Medicaid Services (CMS)
and its contractors to ensure the appropriate and equitable application of
patient care as outlined in the settlement. We believe this final settlement
reinforces the fundamental right established in the Medicare statute that
affords patients the right to receive the services necessary to treat their
diagnoses or illnesses."
final settlement directs CMS to revise its Medicare Benefits Policy Manual to
set a maintenance coverage standard and launch a national educational campaign
to explain the clarified benefit to its contractors, providers, and
beneficiaries. "APTA is eager to serve as an active partner as the agency
begins this work. Over the next several months, we will provide clinical and
professional expertise to CMS to define appropriate treatment in accordance
with our professional standards," Rockar says.
CMS works to publicize changes and new resources, APTA will actively educate
members on how to give appropriate care as defined by this final settlement.