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News & Press: TNPTA News

Federal Affairs Update

Thursday, June 7, 2018   (0 Comments)
Posted by: Amy Breedlove
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·         PT interstate Compact: legislation has been signed adding Oklahoma; Louisiana and West VA have both passed legislation that is awaiting signature by their governors.  Once LA and WV bills are signed there will be 20 state that joined the Compact


·         FY 2019 IRF PPS Proposed rule

o   CMS is proposing to eliminate the FIM part of the IRF Patient Assessment Instrument beginning 10/1/2019

o   Possible elimination

§  Measures related to MRSA infection and the percent of pts assessed and given the seasonal flu vaccine. Reporting changes 10/1/2018

§  Reporting requirements related to rehabilitation physician conducting team meetings remotely

o   0.9% payment increase for 2019

o   Allowance for post-admission physician evaluation to count as one of the fact to face physician visits

·         FY 2019 SNF PPS Prosed rule

o   Replace Resource Utilization Groups Version IV with the Patient – Driven Payment Model (PDPM). Would go into effect 10/1/2019

o   PDPM payments would be based on a resident’s classification among 5 componets

§  Physical therapy

§  Occupational therapy

§  Speech-language therapy

§  Nursing

§  Non-therapy ancillary services

o   CMS would add 2 new therapy reporting requirements to the DC assessment

o   SNF payments would increase by 2.4%

Palmetto and Therapy Cap Denials

·         It has been reported that Medicare Administrative Contractor Palmetto is denying recent therapy claims that have the KX modifier. If you expericne this please contac Kara Gainer at

New Regulatory Advocacy Webpage

·         APTA has updated its Federal Advocacy webpage and also launced a new Regulatory Advocacy wevpage



·         House Ways and Means Committee passed 7 pieces of legislation related to opioids to send to House floor. APTA is providing feedback in the form of report language to ensure nonpharmacological solutions are included

·         Bills are expected to be brought to the House floor June 11-15


·         PTA and TRICARE. Senate Armed Services Committee believes the implementation will take approximately 15 months

Prosper Act

·         APTA is working with 4 other groups to get rid fo the capped aggregate loan amount a student can take out from the federal government, to get rid of the graduate lan amount cap at $28,500 per year. The path forward is very unclear

Sports Licensure Clarity Act

·         Currently APTA has worked with the Senate HELP committee to discuss this bill and the path forward. 

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