On October 1 significant changes will occur regarding the Medicare therapy cap exceptions process that will impact physical therapists (PTs) and their patients. In order to help make the transition as smooth as possible, APTA has developed a Medicare Therapy Cap Resources webpage. This webpage compiles relevant information available from APTA and the Centers for Medicare and Medicaid Services (CMS) in 1 place. The resource page includes: 

• a frequently-asked-questions sheet, a webinar that reviews the new exceptions process, and a podcast on the therapy cap
• links to Medicare Administrative Contractor websites where information on manual medical review is posted
• manual medical review complaint form
• CMS resources, including a fact sheet, a frequently- asked-questions sheet, open door forum transcript and transmittals
• information for Medicare beneficiaries
• medical necessity and documentation resources
• advocacy information

Share this information and new resource with your colleagues and staff.

E-mail questions to advocacy@apta.org. Questions regarding the therapy cap also can be e-mailed directly to CMS at therapycapreview@cms.hhs.gov.