June 11, 2021

View the OHSA requirements here: https://www.osha.gov/coronavirus/ets

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June 10, 2021

It has been announced today that Rep. Ryan Berman is sponsoring HB 4992, which is an alternative narrow fix to the 55% reimbursement cap for post-acute services without a corresponding payable Medicare code.

Unlike current HB 4486, which proposes a reimbursement structure based on a 200% of Medicare fee schedule, HB 4992 provides a reimbursement structure based on “the average amount charged for the treatment or training in the relevant geographic region as determined by the 3 most recent market surveys…However, if the person had a charge description master in effect on January 1, 2019, the person is not eligible for payment or reimbursement of more than the amount payable for the treatment or training under the person’s charge description master on January 1, 2019.”

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June 09, 2021

On June 1, the Department of Licensing and Regulatory Affairs (LARA) announced new requirements for over 400,000 health care professionals licensed in Michigan.  Licensees who have email addresses listed with the Bureau of Health Professions/LARA should have received an email outlining the new requirement.  That message is copied below.  Licensees renewing in 2021 will not be impacted.  Those renewing in 2022 will need 2 hours of implicit bias training.  APTA Michigan is developing course content to meet this new requirement and we hope to offer both sessions at our conferences along with live webinars. 

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Dear Licensee –

The Bureau of Professional Licensing (BPL) within the Department of Licensing and Regulatory Affairs (LARA) would like to inform you that the Public Health Code – General Rules have been revised which will require implicit bias training for your profession, effective June 1, 2022.

The new training requirements are the product of numerous workgroup meetings over the past year and represent feedback from 86 organizations including our health professional boards, insurance providers, health systems, health care associations, legislators, state agencies, higher education, and community and advocacy groups. The requirements apply to both new applicants as well as those renewing their existing licenses or registrations.

Below are the changes in the rules that pertain to the new training requirements:

  • The term “implicit bias” is defined as:

(A)n attitude or internalized stereotype that affects an individual’s perception, action, or decision making in an unconscious manner and often contributes to unequal treatment of people based on race, ethnicity, nationality, gender, gender identity, sexual orientation, religion, socioeconomic status, age, disability, or other characteristic. (R 338.7001 (c) )

  • Specifically, the new rule (R 338.7004) requires the following:

Rule 4. (1) Beginning 1 year after promulgation of this rule, an applicant for licensure or registration under article 15 of the code, MCL 333.16101 to 333.18838, except those seeking to be licensed under part 188 of the code, MCL 333.18801 to 333.18838, shall have completed a minimum of 2 hours of implicit bias training within the 5 years immediately preceding issuance of the license or registration.

(2) Beginning 1 year after promulgation of this rule and for every renewal cycle thereafter, in addition to completing any continuing education required for renewal, an applicant for license or registration renewal under article 15 of the code, MCL 333.16101 to 333.18838, except those licensed under part 188 of the code, MCL 333.18801 to 333.18838, shall have completed a minimum of 1 hour of implicit bias training for each year of the applicant’s license or registration cycle.

(3) The implicit bias training must be related to reducing barriers and disparities in access to and delivery of health care services and meet all of the following requirements:

(a) Training content must include, but is not limited to, 1 or more of the following topics:

(i) Information on implicit bias, equitable access to health care, serving a diverse population, diversity and inclusion initiatives, and cultural sensitivity.
(ii) Strategies to remedy the negative impact of implicit bias by recognizing and understanding how it impacts perception, judgment, and actions that may result in inequitable decision making, failure to effectively communicate, and result in barriers and disparities in the access to and delivery of health care services.
(iii) The historical basis and present consequences of implicit biases based on an individual’s characteristics.
(iv) Discussion of current research on implicit bias in the access to and delivery of health care services.

(b) Training must include strategies to reduce disparities in access to and delivery of health care services and the administration of pre- and post-test implicit bias assessments.

(c) Acceptable sponsors of this training include any of the following:

(i) Training offered by a nationally-recognized or state-recognized health-related organization.
(ii) Training offered by, or in conjunction with, a state or federal agency.
(iii) Training obtained in an educational program that has been approved by any board created under article 15 of the code, MCL 333.16101 to 333.18838, except under part 188 of the code, MCL 333.18801 to 333.18838, for initial licensure or registration or for the accumulation of continuing education credits.
(iv) Training offered by an accredited college or university.
(v) An organization specializing in diversity, equity, and inclusion issues.

(d) Acceptable modalities of training include any of the following:

(i) A teleconference or webinar that permits live synchronous interaction.
(ii) A live presentation.
(iii) Interactive online instruction.

(4) Submission of an application for licensure, registration, or renewal constitutes an applicant’s certificate of compliance with the requirements of this rule. A licensee or registrant shall retain documentation of meeting the requirements of this rule for a period of 6 years from the date of applying for licensure, registration, or renewal. The department may select and audit a sample of a licensees or registrants and request documentation of proof of compliance with this rule. If audited by the department, a licensee or registrant shall provide the proof of completion of training, including either of the following:

(a) A completion certificate issued by the training program that includes the date of the training, the program sponsor’s name, the title of the program, and licensee’s or registrant’s name.

(b) A self-attestation by the licensee or registrant that includes the date of the training, the program sponsor’s name, the title of the program, and licensee’s or registrant’s name.

Please send any questions you may have about these revised rules to BPLHelp@michigan.gov .

Thank you,

Debra Gagliardi, Director
Bureau of Professional Licensing
Department of Licensing and Regulatory Affairs


LARA is an equal opportunity employer/program.

Auxiliary aids, services and other reasonable accommodations are available upon request to individuals with disabilities.

BUREAU OF PROFESSIONAL LICENSING
P.O. BOX 30670· LANSING, MICHIGAN 48909
www.michigan.gov/bpl

For more information about LARA, please visit www.michigan.gov/lara

Follow us on Twitter www.twitter.com/michiganLARA

Like” us on Facebook or find us on YouTube www.youtube.com/michiganLARA

 


 

 


Update your subscriptions, modify your password or email address, or stop subscriptions at any time on your Subscriber Preferences Page. You will need to use your email address to log in. If you have questions or problems with the subscription service, please contact subscriberhelp.govdelivery.com.

This service is provided to you at no charge by Michigan Department of Licensing and Regulatory Affairs.


This email was sent to shoemami@gvsu.edu using GovDelivery Communications Cloud on behalf of: Michigan Department of Licensing and Regulatory Affairs · P.O. Box 30004 · Lansing, MI 48909

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June 09, 2021

Important Announcements and provider webinars:

Meridian Announcement  Download file

Prior Authorization Webinars Download file

Utilization Management Webinars  Download file

 

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June 04, 2021

Beginning with July 2021 data, eviCore will no longer mail paper copies of the Practice Profile Summary, which includes information about your assigned category, to health care providers. Instead, eviCore will post category updates on the first business day of February and August each year beginning in August 2021.

Click HERE for more information.  

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May 27, 2021

2021 Elections – The following will start their terms of office January 1, 2022.  To nominate yourself or a peer complete this form:  Candidate Nomination Form

Secretary – 2-year term

Treasurer – 2-year term

Director for Conferences – 2-year term

Director for Legislative Affairs – 2-year term

Director for Membership and Academic Engagement – 2-year term

Chief Delegate – 2-year term

Delegate– 2-year term  -  5 elected in 2021

Nominating Committee – Eastern District – 2-year term

Nominating Committee – UP District – 2-year term

 

District Offices:

Eastern District Chair

Eastern District Director

Northern District Vice Chair

UP District Chair

UP District Vice Chair

Western District Vice Chair

Note:  Individuals interested in running for an officer or director position may also run for a delegate position.

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May 27, 2021

SB18 - Legislation to enact the PT Compact passed out of committee May 27 and will now go to the full house for a vote.  This legislation was passed in the Senate earlier this year so the next step is the Governor's desk!

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May 20, 2021

On May 19, Reps Hauck and Yaroch introduced HB 4880 to add PTs and PTAs as mandatory reporters to the Child Protection Law.  We hope to move this legislation forward quickly.  

For the full text of the legislation CLICK HERE.  

 

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May 18, 2021

New guidance effective June 1:  https://www.michigan.gov/leo/0,5863,7-336-100207---,00.html

May 15 Gatherings and Face Mask Order:  https://www.michigan.gov/documents/coronavirus/FINAL__-_Masks_and_Gatherings_order_-_5-14-21_signed_725417_7.pdf

This order remains in effect until June 1

Provisions that apply to outpatient settings:

  1. Gathering restrictions for other facilities.
  1. Gatherings in waiting rooms at outpatient health care facilities, veterinary clinics, and other businesses are prohibited unless the facility implements a system to ensure that persons not of the same group maintain 6 feet of distance. To the extent possible, this system must include a policy that patients wait in their cars for their appointments to be called.
  1. Indoor face mask requirement.
    1. Except as specified in section 7, all persons participating in indoor gatherings are required to wear a face mask.
    2. A person responsible for an establishment, or an agent of such person, must prohibit gatherings of any kind at their establishment unless the person makes a good faith effort to ensure that all persons at their establishment (including employees) comply with section 6(a). For purposes of this section, a "good faith effort" may include any of the following: posting a sign notifying people that wearing a mask is required unless a person falls into a specified exception; asking patrons not wearing masks whether they fall into a specified exception; requiring face masks of all patrons and employees; or any other policy designed to ensure compliance with section 6(a).
  2. Exceptions to face mask requirement. The requirement to wear a face mask at indoor gatherings does not apply to individuals who:
    1. Are fully vaccinated persons;
    2. Are younger than 2 years old;
    3. Cannot medically tolerate a face mask;
    4. Are eating or drinking while seated in a designated area or at a private residence;
    5. Are swimming;
    6. Are receiving a medical or personal care service for which removal of the face mask is necessary;
    7. Are asked to temporarily remove a face mask for identification purposes;
    8. Are communicating with someone who is deaf, deafblind, or hard of hearing and whose ability to see the mouth is essential to communication;
    9. Are actively engaged in a public safety role, including but not limited to law enforcement, firefighters, or emergency medical personnel, and where wearing a face mask would seriously interfere in the performance of their public safety responsibilities;
    10. Are engaging in a religious service;
    11. Are giving a speech for broadcast or to an audience, provided that the audience is at least 12 feet away from the speaker; or
    12. Are engaging in an activity that requires removal of a mask not listed in another part of this section, and are in a facility that provides ventilation that meets or exceeds 60 ft3/min of outdoor airflow per person.
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March 03, 2021

Representative Julie Rogers, PT and APTA Michigan member, is pictured here turning in her House Resolution honoring the 100th anniversary of the American Physical Therapy Association.

Click here to see Julie Rogers reading the resolution.  

To view the resolution click here:  Download file 

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February 24, 2021

APTA is communicating with CMS about an issue impacting rehab agencies, hospital outpatient departments, and CORFs' therapy claims across the Medicare Administrative Contractors. Therapy codes are receiving Reason Codes 36136 and 36381 in error, resulting in claims being suspended. A fix has been identified and is scheduled to be loaded into the claims processing system in coming weeks. The MACs are working with CMS to see if they can move more quickly, and APTA is pushing for a faster resolution.

APTA also encourages impacted providers to alert their CMS Regional Office with their concerns about the impact of the delay on claims processing, and to contact their members of Congress. Please monitor your MAC's open claims issues webpage for updates. APTA will share more information with providers as it becomes available.

If you are an institutional provider whose therapy claims are being suspended, contact APTA at advocacy@apta.org.

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February 16, 2021

Humana will adopt the new CMS edit files which have deleted many problematic edits for PTs. Humana will apply the edits retroactive to 1/1/20. They will not automatically reprocess claims but they will reprocess if claims are resubmitted.

Summary of current NCCI Edits status with insurers:

  • CIGNA will not retroactively process claims but will acknowledge the NCCI edits deletions starting 1/1/2021.
  • Aetna will retroactively reprocess claims to 1/1/2020. However, providers DO NOT need to resubmit their claims. Aetna will auto-process the claims. Aetna has indicated this could take several month.
  • Humana will retroactively reprocess claims to 1/1/2020. However, providers DO need to resubmit their claims.
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January 29, 2021

Continuing Education Requirements  - Waiver is no longer in effect

Under Executive Order 2020-61 (rescinded and replaced by Executive Order 2020-150 the continuing education requirements for renewing the license were waived at the time of renewal, if the renewal was completed while the state of emergency declaration is in effect.  Governor Whitmer issued executive orders declaring a state of emergency - the most recent being Executive Order-186 which extended the state of emergency until October 27.  As the EO is no longer valid, licensees renewing in 2021 are required to earn the full 24 PDR credits.

PDR Credits:  Executive Order 2020-13, issued March 17, included the following:   

  1. Effective immediately and continuing through April 14, 2020 at 11:59 pm, LARA may recognize hours worked responding to the COVID-19 emergency as hours toward continuing education courses or programs required for licensure.

Subsequent Executive Orders extended the provision. LARA posted an update for licensees that clarifies licensing issues, including PDR credits for hours worked in response to the COVID emergency.  Hours worked March 17 - June 9, 2020, can be counted as PDR credits for those renewing in 2021.  Unfortunately, LARA has not provided any further clarification as to what specific activities can be counted or how many hours can be counted.  If COVID hours are used for PDR credits, licensees must be able to provide supporting documentation.  The document below provides more detail and outlines what will suffice for documentation. 

BPL Clarification for Licensees  Download file

 

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January 15, 2021

On January 13, Senator Dale Zorn introduced legislation to allow Michigan physical therapy professionals to participate in the PT Compact.  This continues to be a legislative priority for APTA Michigan and a primary focus of our advocacy efforts.  

Click here for more information  SB 0018

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January 11, 2021

The Chart found HERE is a complete, up to date listing of payer policies.  Last update: 1/11/21

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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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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