Skip to main content

After delaying its plans for three months, commercial insurer Aetna has now implemented the 15% PTA payment differential that mirrors the policy adopted by the U.S. Centers for Medicare & Medicaid Services. The new payment system began March 1.

Initially, Aetna announced that the differential would be put in place beginning Dec. 1, 2023, but the insurer put the rollout on hold after APTA and the American Occupational Therapy Association asked that the decision be reconsidered. Aetna described its decision as a delay only.

APTA will continue to engage with Aetna to pursue potential mitigation strategies to reduce the negative impact of the differential.


You Might Also Like...

News

Get Regular Insights on Regulatory, Legislative, and Payment Issues From APTA

Apr 17, 2024

Free to members, APTA's webinar series delivers crucial information in an easy-to-understand format. Register now for upcoming sessions.

News

APTA Wins AMA Award for Education on Caregiver Training Codes

Apr 2, 2024

After helping create the CPT codes and advocate for their adoption, APTA launched an education campaign featuring a practice advisory.

News

CMS Clears Up Inconsistent Information on New Caregiver Training Codes

Mar 29, 2024

A new FAQ resource from CMS confirms that information in an APTA Practice Advisory is correct.