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Use templated letters to take action on payment and regulatory issues impacting your practice.

APTA comments are made on behalf of our membership and profession on federal regulations and draft guidance based on the Public Policy Priorities of the American Physical Therapy Association.

We encourage members and nonmembers to provide feedback: Your perspectives are critical to policy development.

Immediate Opportunities

2023 Home Health Prospective Payment System Proposed Rule

The Centers for Medicare & Medicaid Services has issued its 2023 Home Health Prospective Payment System Proposed Rule. The proposal includes a payment reduction of 4.2% (an estimated $810 million) over 2022. CMS held off making big changes to the Prospective Payment System 2020-2022 but acknowledged that the Patient-Driven Groupings Model introduced in 2019 has cost more than expected, and it can’t further postpone offsetting payment reductions to reach budget-neutrality goals. The agency notes in the proposed rule that it seeks public comment on how to make up the difference. CMS is also updating the home health value-based purchasing model and the quality reporting program, and is soliciting comments on health equity and the use of telecommunications in home health and health equity.

APTA will provide comments on the proposed rule and encourages interested members to do the same.

Review Proposed Rule Review Fact Sheet 

Deadline for Comments: Aug. 16
Take Action: Submit Comments

General Template Letter

If a specific template letter above does not apply, use our standard template letter to submit comments.

Simply insert your individual information where indicated.

Your comments represent only you and your situation; they should not imply representation of the association.

Other Ways to Engage

Federal agencies frequently seek input from stakeholders and national experts on proposed payment and coverage policies, research agendas, quality measures, and more. The selection process for federal committees, task forces, panels, and commissions is competitive.

Participation in these groups demonstrates both expertise in your field and a commitment to your profession, which will be reflected on your CV for years to come. Serving on such a committee allows you to make invaluable contributions to your area of expertise and raise recognition of the physical therapy profession. While serving requires a small time commitment, the time is well spent and is a great way to develop networks and make contacts with fellow experts from across the nation.

If you are interested in serving on a federal committee, task force, or advisory panel, please contact the advocacy team at and provide your name, contact information, and a brief biographical sketch.