November 05, 2020

The election results are final - Julie Rogers, PT, MPT, was elected to represent the 60th District in the Michigan House of Representatives.  Congratulations Julie!!!! 

This will be the first time EVER that a physical therapy professional has held an elected office at the state level.  We look forward to working with Julie on issues important to the profession. 

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October 23, 2020

Earlier this year BCBSM disseminated the Michigan Quality Improvement Consortium’s guideline on management of low back pain in adults. Download file

APTA Michigan was provided the opportunity to provide feedback on the guidelines. That feedback can be found here. Download file

 

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October 14, 2020

APTA Michigan met with BCBSM yesterday to continue to advocate for a variety of ongoing payment policy issues, including direct access, dry needling, prior authorization/alternatives to prior authorization, and telehealth. BCBSM informed APTA Michigan that the “Experimental Modalities Policy” did not reflect a new policy change, but that they appreciated our feedback and are re-reviewing the policy.

BCBSM also stated that they will be continuing to support telehealth in 2021.

Lastly, APTA Michigan members may be aware of a recently announced policy to pay Athletic Trainers for athletic training services according to their scope of practice. APTA Michigan provided a significant number of questions which BCBSM has taken under consideration. We will keep members informed as we learn more.

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October 08, 2020

On Wednesday, October 7, APTA Legislative Director, Jena Colon, provided testimony in support of SB 22 - Legislation to enact the PT Compact.

To view the written statement CLICK HERE.   

APTA Michigan will continue to advocate for participation in the PT Compact.  

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September 28, 2020

Senate Bill (SB) 612, which seeks to reform prior authorization practices in Michigan, has passed the Senate Health Policy Committee! This bill is the result of our collaboration with a large provider and consumer advocacy group coalition called Health Can’t Wait. The legislation is but one component of this campaign that also includes consumer education and collection of patient stories.

The bill is sponsored by Senator Curt Vanderwall (Benzie, Crawford, Kalkaska, Lake, Leelanau, Manistee, Mason, Missaukee, Ogemaw, Osceola, Roscommon and Wexford). The most important parts of the bill that impact physical therapy include:

  • Requiring payers to post prior authorization requirements on their public website and be readily available to providers at the point of care
  • Using criteria that are based on peer-reviewed clinical review criteria which must be:
    • Based on peer-reviewed clinical review criteria based on either:
      • Working directly with clinicians who do not have a stake in clinical review decisions/outcomes
      • Working with specialty societies
    • Able to account for individual patient variation
    • Evidenced-based
    • Publicly available
    • Reviewed and updated annually
    • Developed in consultation with actively practicing, non-employee physicians and other health professionals when the criteria apply to that other health profession
  • Requiring payers to “conspicuously” post statistics about denials and appeals, including the top 10 reasons for denial, on their public website

Please be ready to contact your State Senator when APTA Michigan calls upon you to do so!

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September 16, 2020

As some of you may know, the CDC and MDHHS has recently updated recommendations for PPE for all healthcare providers regardless of setting. They recommend that all healthcare providers wear eye protection in addition to their facemask to ensure the eyes, nose, and mouth are all protected from exposure to respiratory secretions during patient care encounters when working in facilities located in areas with moderate to substantial community transmission based on the following definitions:

  • Substantial community transmission: Large scale community transmission, including communal settings (e.g., schools, workplaces)
  • Minimal to moderate community transmission: Sustained transmission with high likelihood or confirmed exposure within communal settings and potential for rapid increase in cases
  • No to minimal community transmission: Evidence of isolated cases or limited community transmission, case investigations underway; no evidence of exposure in large communal setting

However, terminology for transmission risk is when using the Michigan Safe Start Map (https://www.mistartmap.info/) uses the terms Low, Low-Medium, Medium, Medium-High, High, and Very High. APTA Michigan has received the following clarification from MDHHS: “All of Michigan is either in medium, medium-high, or high risk areas right now (as outlined in the MI Safe Start Map) and considered to have moderate to substantial transmission right now. We are recommending all HCP wear eye protection for patient encounters due to the level of risk of asymptomatic/pre-symptomatic transmission.” There are not specific guidelines for specific types/brands of eye protection (face shield, goggles, safety glasses etc) other than providers should select equipment that minimizes gaps above, below, and on the sides.

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September 02, 2020

Congratulations to Bana Odeh who was selected to represent APTA Michigan in the APTA Centennial Scholar Program.  

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August 13, 2020

https://www.apta.org/contentassets/15ad5dc898a14d02b8257ab1cdb67f46/impact-of-covid-19-on-physical-therapy-profession.pdf

Between April 24 and May 11, 2020, APTA surveyed a representative sample of physical therapists and physical therapist assistants to gauge the impact of the COVID-19 pandemic on the physical therapy profession.

This report is based on responses by more than 5,400 PTs and 1,100 PTAs — members and nonmembers, across practice settings and jurisdictions. The survey findings represent a snapshot in time. It is expected that situations for PTs and PTAs will continue to change according to fluctuations in COVID-19 cases and changes in state and federal guidance.

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July 01, 2020

The Chart found HERE is a complete, up to date listing of payer policies.

April 30 Update  - Telehealth Services now covered for Medicare Beneficiaries - see additional information in the Chart. https://www.cms.gov/files/document/covid-19-physicians-and-practitioners.pdf

Additional BCBSM Resources:

Legislative Action:

Senate Bill 898 to amend the insurance code (1956 PA 218) requiring that a service provided through telemedicine will provide the same coverage and reimbursement as if the service involved face-to-face contact was introduced by Senator Adam Hollier on April 29, 2020 and was referred to the Health Policy Committee. This bill would also require insurers to continue to provide the same reimbursement for physical therapy provided via telehealth beyond the COVID-19 pandemic.

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December 30, 2019

The Physical Therapy Administrative Rules, which have the weight of law, have been revised and were officially adopted late December 2019. Click here for the new Rules.  Administrative rules are an interpretation and implementation of statute, and are periodically reviewed and revised, even when there has not been a change in statute.

This most recent revision included a variety of clarifications .  Click here for the summary provided by LARA.   One clarification has important implications for supervision of and delegation to an athletic trainer by a physical therapist in a physical therapist practice. The MPTA and the Michigan Athletic Trainers’ Society (MATS) have jointly written an informational memorandum to inform our respective members about this important clarification.

 

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April 24, 2017

The Physical Therapy Section of the Public Health Code has been amended to allow Advanced Practice Registered Nurses to prescribe physical therapy:

 

PUBLIC HEALTH CODE (EXCERPT)
Act 368 of 1978

***** 333.17820.amended THIS AMENDED SECTION IS EFFECTIVE APRIL 9, 2017 *****



333.17820.amended Practice of physical therapy or physical therapist assistant; license or authorization required; engaging in treatment with or without prescription of certain license holders; use of words, titles, or letters.

Sec. 17820.

(1) An individual shall not engage in the practice of physical therapy or practice as a physical therapist assistant unless licensed or otherwise authorized under this part. Except as otherwise provided in this subsection, a physical therapist or physical therapist assistant shall engage in the treatment of a patient if that treatment is prescribed by a health care professional who is an advanced practice registered nurse as that term is defined in section 17201, or who holds a license issued under part 166, 170, 175, or 180, or an equivalent license issued by another state. A physical therapist or a physical therapist assistant may engage in the treatment of a patient without the prescription of a health care professional who is an advanced practice registered nurse as that term is defined in section 17201, or who holds a license issued under part 166, 170, 175, or 180, or an equivalent license issued by another state, under either of the following circumstances:

(a) For 21 days or 10 treatments, whichever first occurs. However, a physical therapist shall determine that the patient's condition requires physical therapy before delegating physical therapy interventions to a physical therapist assistant.

(b) The patient is seeking physical therapy services for the purpose of preventing injury or promoting fitness.

 

 

(2) The following words, titles, or letters or a combination of words, titles, or letters, with or without qualifying words or phrases, are restricted in use only to those persons authorized under this part to use the terms and in a way prescribed in this part: "physical therapy", "physical therapist", "doctor of physiotherapy", "doctor of physical therapy", "physiotherapist", "physiotherapy", "registered physical therapist", "licensed physical therapist", "physical therapy technician", "physical therapist assistant", "physical therapy assistant", "physiotherapist assistant", "physiotherapy assistant", "p.t. assistant", "p.t.", "r.p.t.", "l.p.t.", "c.p.t.", "d.p.t.", "m.p.t.", "p.t.a.", "registered p.t.a.", "licensed p.t.a.", "certified p.t.a.", "c.p.t.a.", "l.p.t.a.", "r.p.t.a.", and "p.t.t.".

Section 17201:

Sec. 17201. (1) As used in this part:

(a) “Advanced practice registered nurse” or “a.p.r.n.” means a registered professional nurse who has been granted

a specialty certification under section 17210 in 1 of the following health profession specialty fields:

(i) Nurse midwifery.

(ii) Nurse practitioner.

(iii) Clinical nurse specialist.

PUBLIC HEALTH CODE (EXCERPT)
Act 368 of 1978

***** 333.17820.amended THIS AMENDED SECTION IS EFFECTIVE APRIL 9, 2017 *****

 


333.17820.amended Practice of physical therapy or physical therapist assistant; license or authorization required; engaging in treatment with or without prescription of certain license holders; use of words, titles, or letters.

 

Sec. 17820.

(1) An individual shall not engage in the practice of physical therapy or practice as a physical therapist assistant unless licensed or otherwise authorized under this part. Except as otherwise provided in this subsection, a physical therapist or physical therapist assistant shall engage in the treatment of a patient if that treatment is prescribed by a health care professional who is an advanced practice registered nurse as that term is defined in section 17201, or who holds a license issued under part 166, 170, 175, or 180, or an equivalent license issued by another state. A physical therapist or a physical therapist assistant may engage in the treatment of a patient without the prescription of a health care professional who is an advanced practice registered nurse as that term is defined in section 17201, or who holds a license issued under part 166, 170, 175, or 180, or an equivalent license issued by another state, under either of the following circumstances:

(a) For 21 days or 10 treatments, whichever first occurs. However, a physical therapist shall determine that the patient's condition requires physical therapy before delegating physical therapy interventions to a physical therapist assistant.

(b) The patient is seeking physical therapy services for the purpose of preventing injury or promoting fitness.

(2) The following words, titles, or letters or a combination of words, titles, or letters, with or without qualifying words or phrases, are restricted in use only to those persons authorized under this part to use the terms and in a way prescribed in this part: "physical therapy", "physical therapist", "doctor of physiotherapy", "doctor of physical therapy", "physiotherapist", "physiotherapy", "registered physical therapist", "licensed physical therapist", "physical therapy technician", "physical therapist assistant", "physical therapy assistant", "physiotherapist assistant", "physiotherapy assistant", "p.t. assistant", "p.t.", "r.p.t.", "l.p.t.", "c.p.t.", "d.p.t.", "m.p.t.", "p.t.a.", "registered p.t.a.", "licensed p.t.a.", "certified p.t.a.", "c.p.t.a.", "l.p.t.a.", "r.p.t.a.", and "p.t.t.".

 

 

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