PT and OT Benefits to Change for Home Health for Texas Medicaid
PT, OT, and ST Benefits to Change for Acute Services for Texas Medicaid
PT, OT, and ST Benefits to Change for CCP for Texas Medicaid Effective January 1, 2014
Providers Beware: Exchange Products May Mean Increased Risk for Your Business
Medicare therapy cap.
Efforts to reform the Medicare Physician Fee Schedule (MPFS) are underway in Congress and gaining momentum. Help build support for the inclusion of therapy cap reform by asking your elected officials to cosponsor The Medicare Access to Rehabilitation Services Act of 2013 (S.367/H.R.713) and insisting that any legislation reforming the MPSF also address the therapy cap. More than ever, we must work to gather strong Congressional support for repealing the Medicare therapy cap.
Special education funding.
In April, as a result of mandatory funding cuts known as sequestration, federal spending on special education and general education was cut by 5%. As schools gear up for the new year and the effects of these cuts become more apparent, take this opportunity to describe the effects of these cuts on the services your students receive.
Cuts to Medicare reimbursement.
As of April 1, 2013, occupational therapy practitioners reimbursed under Medicare were subject to a 2% cut as a result of sequestration and an estimated 7% gross reduction in outpatient therapy services as a result of the outpatient Multiple Procedure Payment Reduction. Additionally CMS issued a draft rule in late June that proposes to reduce Medicare payments for home healthcare services by an extraordinary 14 percent (3.5 percent per year in 2014-2017). Continued cuts to Medicare reimbursement will put senior's access to care at risk in all states, including rural, minority and underserved communities.
Mental health legislation.
AOTA Federal Affairs is focused on expanding opportunities for occupational therapy in mental health. Our current bill, H.R. 1037, the Occupational Therapy in Mental Health Act, would allow certain practitioners who go into mental health to qualify for student loan forgiveness. Between health care reform expanding access to mental health services for millions of people, and a new Congressional focus on providing behavioral health services in the schools, now is the time to help lawmakers understand occupational therapy's role in helping people with mental and behavioral health disorders participate in everyday life, and to gain support for H.R. 1037.
AOTA Capitol Hill Day
Want to do more? Make plans to join us for AOTA Capitol Hill Day on September 30th, 2013 to advocate for the future of our profession!
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Download the Update
Frequently Asked Questions
New from MedPAC: June 2013 Report to the Congress.
Frequently asked questions are posted on the Texas Medicaid Healthcare Partnership website.
AOTA Legislative Action Center
• Medicare Learning Network Matters 8005
• CMS Transmittal 165-Documentation
• CMS Transmittal 2622-Billing Requirements
• CMS Transmittal 2600-Therapy Cap
Texas Medicaid Healthcare Partnership (TMHP) offers an excellent resource. Please note that you will have to create an account to use this site.
Download the file
Download the file
Quarterly Update to Correct Coding Initiative
• CMS Frequently Asked Questions
• HHS Letter to Governors 12/10/12
Representative Assembly Update (Powerpoint)
Feedback Form (Word Document)
The TOTA Bookstore is now available at Amazon.com, stocked with books and supplies selected just for your education and to support your practice. Take a look! TOTA @ Amazon.com
Based on feedback received on the proposed rates presented at the November 21, 2011, rate hearing, the Texas Health and Human Services Commission (HHSC) modified the proposed rates and presented them at the January 18, 2012, rate hearing. The modified proposed rates presented at the January 18, 2012, rate hearing will be implemented effective March 1, 2012. Rate information can be found at:
Texas Health and Human Services Commission website (.pdf format document)
The rates to be implemented on March 1, 2012 are a more modest reduction then the rates originally proposed. Thank you for all your letters, e-mails, phone calls and testimony on this issue.
Frequently Asked Questions About Medicare Outpatient Services
October 5, 2013 Rio Grande District will host a workshop. See the Rio Grande District home page for more information.
October 15, 2013 Capital Centex District will host a workshop. See the Capital Centex District home page for more information.
October 16, 2013 Gulf Coast East District will host a workshop. See the Gulf Coast East District home page for more information.
January 22, 2014 Gulf Coast East District will host a workshop. See the Gulf Coast East District home page for more information.
February 19, 2014 Gulf Coast East District will host a workshop. See the Gulf Coast East District home page for more information.
March 19, 2014 Gulf Coast East District will host a workshop. See the Gulf Coast East District home page for more information.
April 16, 2014 Gulf Coast East District will host a workshop. See the Gulf Coast East District home page for more information.
May 21, 2014 Gulf Coast East District will host a workshop. See the Gulf Coast East District home page for more information.