For additional assistance with payment and reimbursement issues, contact APTA's Payment Policy & Advocacy department at 800/999-2782, ext. 8511 or firstname.lastname@example.org.
Insurance Plan Design
Joint Habilitation/Rehabilition Benefit Coverage Statement: Guide to Assessing Adequacy of Benefits (.pdf)
APTA, the American Occupational Therapy Association, and the American Speech-Language-Hearing Association developed this statement to encourage public and private insurers to advance the best value for their health care dollar while improving the quality of patient-centered health care services. Insurers, employers, individual insurance plan subscribers, and public policymakers can use this tool when considering any modifications to insurance benefit plan design. Rather than call for a specific number of rehabilitation/habilitation visits, this statement of guidance sets forth a set of principles that enable payers to deliver access to and coverage of appropriate habilitative and rehabilitative services for their patients.
Audits, Denials & Appeals
APTA Template Letters: Appeals