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

APTA comments on federal regulations and draft guidance based on the Public Policy Priorities of the American Physical Therapy Association, established every two years with extensive input from members.

APTA's comments are made on behalf of the membership and the physical therapy profession as a whole. However, there is strength in numbers!

We encourage members and nonmembers to provide their individual feedback, as these perspectives are critical to policy development.

Regulatory Advocacy Template Letter

We have created this template letter for you to use in submitting comments. Simply insert your individual information where indicated.

As a reminder, your comments represent only you and your situation; they should not imply representation of the association. Access template letter (.doc).

Hot Topics in Regulatory Advocacy

APTA is currently reviewing and submitting comments on the following proposed regulations.

If you wish to submit individual comments, click the applicable proposal and use the Regulatory Advocacy Template Letter as a guide.

As issues come up, they will be posted here with templated letters and guidance to make taking action on behalf of your profession easy.

CMS Proposed 2021 Home Health Prospective Payment System, Quality Reporting Requirements, and Home Infusion Therapy Services Requirements

The Centers for Medicare & Medicaid Services seeks comments on its proposed rule for the home health prospective payment system payment rates and wage index for 2021. The rule also proposes to make permanent the temporary changes regarding the use of technology in providing services that were enacted in response to the COVID-19 health emergency. In addition, CMS proposes to remove obsolete provisions related to test transmission of OASIS data by a new HHA, and to implement Medicare enrollment policies for qualified home infusion therapy suppliers. 

APTA will provide comments, and individuals may submit comments independently using APTA’s specific template letter. Review Proposed Rule | Review Fact Sheet.

Deadline for Comments: August 24, 2020
Take ActionSubmit comments | Submit comments using APTA's template letter

CMS Inpatient and Long-Term Acute Care Hospital Proposed Prospective Payment System Proposed Rule for FY 2021

The Centers for Medicare & Medicaid Services seeks comments on its proposed rule for the inpatient and LTCH prospective patient system that would become effective October 1, 2020. CMS estimates a 1.6% increase in overall inpatient PPS payments, and a 0.9% decrease in overall LTCH-PPS payments. CMS is proposing to collect a summary of hospitals’ median payer-specific negotiated inpatient services charges for Medicare Advantage organizations and third-party payers—data already required by the agency’s 2019 price transparency rule. In addition, CMS is requesting information regarding the potential use of this data to set relative Medicare payment rates for hospital procedures. CMS is proposing changes for the new technology add-on payment, which is an additional payment to hospitals for cases using eligible high-cost technologies. CMS is not proposing to add or remove measures from the hospital value-based purchasing program. APTA will provide comments, and individuals may submit comments independently using APTA’s specific template letter. Review Proposed Rule
. Review Fact Sheet.    

Deadline for Comments: Friday, July 10, 2020
Take ActionSubmit comments | Submit comments using APTA's template letter

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 advocacy@apta.org and provide your name, contact information, and a brief biographical sketch.