The Department is adopting the final portion of the medical fee schedule rule proposed on December 18, 2000 (see 32 N.J.R. Filed: June 22, 2001 as R. 2001 d. 253, with substantive and technical changes not requiring additional public notice and comment (see N.J.A.C. See a summary of proposed provisions . The only way to know for sure if you qualify is to apply. Anesthesia Reimbursement Guidelines - Horizon NJ Health Exhibit1A Final EO2 Version. not contained in this product/file. Under managed care, beneficiaries enroll in a health plan or managed care organization (MCO) which coordinates their members' healthcare and offers special services in addition to the regular NJ FamilyCare Medicaid benefits enrollees receive.Five health plans (also known as MCOs) participate in New Jersey's NJ FamilyCare Medicaid program. Also in the interest of clarity of presentation, as proposed Exhibit 5 contains a number of CPTs for which the new and used amounts were inadvertently reversed, as discussed in the comment above. Current Dental Terminology (CDT or CDTTM) codes, nomenclature, descriptions and By clicking the box I agree, Locality Key | CMS - Centers for Medicare & Medicaid Services PDF State of New Jersey Department of Human Services Division of Medical Combined Agreement for use of CPT and CDT codes. These periodic adjustments should help ensure that the fees reflect appropriate levels of reimbursement. All rights reserved (About Us). Ambulance Services Fee Schedule. 2023 Advance Local Media LLC. 11:3-29.4(m), which permits insurers to reimburse at higher than the fee schedule amount for injured persons with traumatic injuries to different parts of the body, applies to home physical therapy. Therapy Comply does not claim copyright over US Federal and State materials. Coding & Addendum to Care Paths, Adopted Amendments to Medical Protocols Rule, Notice of Extension of Operative Date regarding Amendments to Medical Protocols Rule, Proposed Amendments to Medical Protocols Rule, Proposed Substantial Changes upon Adoption to Medical Protocols Rule, Appendix A - Notification A fee schedule is a complete listing of fees used by Medicare to pay doctors or other providers/suppliers. Note that these rates apply to fee-for-service, rates may be differentif the patient is enrolled in a Medicaid managed care plan. Rate Change - irecord.dhs.state.nj.us Summary of Hearing Officer Recommendations and Agency Responses: See the Summary of Hearing Officer Recommendations and Agency Responses on the partial adoption of the proposal at 33 N.J.R. 11:3-29.3 and 29.4 . CMS is releasing the 2023-2024 Medicaid Managed Care Rate Development Guide for states to use when setting rates with respect to any managed care program subject to federal actuarial soundness requirements during rating periods starting between July 1, 2023 and June 30, 2024. 11:3-29 Appendix, Exhibits 1 through 5, incorporated herein by reference, shall not apply to inpatient services provided by acute care hospitals, trauma centers, rehabilitation facilities, other specialized hospitals, residential alcohol treatment facilities and nursing homes, reimbursement of which shall be limited to the providers usual, customary and reasonable fees. In other cases, a state Medicaid program will accept a providers Medicaid enrollment in the state where the provider practices. PDF Mental Health Fee-for-Service Program Provider Manual Version 4.9.1 Current Procedural Terminology (CPT) codes, descriptions and other data only are The fee schedules set forth at N.J.A.C. Form for Providers, Appendix B - Reporting The commenters attributed the disparity to the inclusion of Medicare, Medicaid and managed care fee information in the database. Involved with DHS! The physiciansfees adopted cover the CPT codes that are the most commonly used for treatment of auto accident injuries and represent approximately 85 percent of all codes billed for PIP reimbursement. Other states with fee schedules for auto insurance PIP medical expenses have similarly not experienced a dearth of providers willing to treat accident victims, nor a decline in the quality of care. Operations Manual Updated: May 2020 Scope of Manual: This document provides a detailed description of New Jersey's implementation of the NJ Medicaid Access to Physician Services (MAPS) Program for Managed Care as well as Fee-for- Service payments within the New Jersey Medicaid program. The commenters believed that fees in Region 1 should not be higher than those in Region 3 because the cost of living is generally higher in northern New Jersey than in the southern regions. Excel, MS (c) Recodified as Appendix, Exhibit 3 with no change in text. Asked Questions. Home, Services Either you pay this or get a fine. Response: The Department has confirmed with its vendor that no data identified as Medicaid was included in the database used to develop the fee schedule. Applicable FARS/DFARS apply. Second, the fees were developed from Ingenixs allowed fee database comprised of information reported by group health payers. ). . PDF Horizon NJ Health Provider Administrative Manual For those CPT codes that are no longer on the fee schedule, the insurers limit of liability is the providers usual, reasonable and customary fee as provided at N.J.A.C. EFFECTIVE: January 1, 2021 (Guidance updated April 12, 2021) PURPOSE: To supply additional guidance to fee-for-service providers and MCOs concerning compliance with EVV requirements between January 1, 2021 - June 30, 2021 and from July 1, 2021 onwards. Response: The prior fee schedule for durable medical equipment was based on 1993 Medicare fees. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. This is a one-stop shop for all your fee schedule needs. Department of Human Services | NJ FamilyCare/Medicaid Fee NJ FamilyCare, which covers . As indicated above, some states require that out-of-state providers enroll in their states Medicaid program in order to be reimbursed. The proposed home care fee schedule will not be adopted and a new schedule will be reproposed in future rulemaking. Ambulance Services - Horizon NJ Health you violate the terms. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. You should enroll in that states Medicaid program before submitting the claim. (a) Every policy of automobile insurance and motor bus insurance issued in this State shall provide that the automobile insurers limit of liability for medically necessary expenses payable under PIP coverage, and the motor bus insurers limit of liability for medically necessary expenses payable under medical expense benefits coverage, is the fee set forth in this subchapter. Fee Schedules - General Information | CMS - Centers for Medicare Notice of Adoption that appeared in 11/05/12 New Jersey Register, Document showing all changes to text of rules from Proposal, Notice of Substantial Change and Adoption, Proposed Substantial Changes to Medical Fee Schedule Rule, Proposed Amendments to Medical Fee Schedule Rule, In the Matter of Changes to the Uniform Attending Provider Plan Form and Decision Point Review and Precertification in Personal Injury Protection, Implementation of Internal Appeal Rule Changes, In the Matter of the Establishment of Uniform Pre-Service and Post-Service Internal Appeal Forms, Exhibits 9 and 10 - Care Path Diagnosis Services A to Z, Consumers & Clients Unless there is a surviving spouse, a minor child or a surviving child of any age who is blind or disabled, Medicaid will place a lien on property after the death of the Medicaid beneficiary if the amount to be recovered is in excess of $500 and the estate is in excess of $3,000, she said. These commenters noted that New Jersey Medicaid reimbursement is among the lowest in the nation and that providers accept reimbursement for government sponsored programs as a public service. If acting on behalf of an organization you, See the chart above in this notice for a summary of the provisions of this adoption. Choose a state Locality. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. The National Committee for Quality Assurance (NCQA) updates a report card for New Jersey health plans. Toggle menu. Managed care health plans are also able to provide a comprehensive package of preventive health services that, combined with the full range of Medicaid benefits, allows for the best healthcare possible.The public is invited to view the current NJ FamilyCare Managed Care Contract. The commenters suggested that the fees in Region 1 were higher than those in Regions 3 because of a higher penetration of HMOs and PPOs in Region 3. People determined blind or disabled by the Social Security Administration or by the State of NJ. Physician Fee Schedule; Local Coverage Determination; Medically Unlikely Edits; Telehealth; Covid-19; CMS.gov main menu. Welcome to New Jersey Medicaid 1 Under both federal and New Jersey law, Medicaid is required to recover funds from the estate of an individual receiving or who has received Medicaid benefits on or after age 55. Medicaid Reimbursement and Billing the following authorized materials of the Center for Medicare and Medicaid Services Find NJMoneyHelp on Facebook. Response: The commenter did not supply any information about the CPT codes that are used by home physical therapists. Comment: Several suppliers of durable medical equipment stated that basing the proposed fees on Medicare fees was not in accordance with N.J.S.A. If you are contracted with Horizon NJ Health, your Medicaid rates will only apply for services provided to Horizon NJ Health members. Dynamic List Data. Aetna Better Health of New Jersey Don't lose your benefits We don't want you to risk losing your benefits. If home physical therapists use the CPT codes that are subject to the $90.00 daily maximum, then the daily maximum and related rule provisions would apply. Click here to view the provider enrollment requirements for states where BCBS Plans offer Medicaid products. Ingenix did not find that there was any major difference between the percentage of HMO and PPO fees between Region 1 and Region 3. Staff, Disaster & Emergency One commenter states that there is no distinction in the proposal between a care giver who makes a limited care visit to change a dressing or do an evaluation versus the eight hour shift care giver needed for catastrophic injuries or elderly patients and designed to make admission to an acute care facility unnecessary. 11:3-29 Appendix, Exhibit 6. (PDF File), New Jersey FIDE SNP Model MIPPA Contract (PDF File). The Departments vendor determined that home health care services were more often performed by RNs than LPNs and recommended fees for RNs. Services -, Durable However, depending on payroll taxes assessed on the wage increase, the . 1590(a), 1590-1592. Durable Medical Equipment, Prosthetics, Orthotics Supplies. Get In particular, the change from hourly fees to per visit fees without a clear definition of the term "visit" is problematic. If you have a question about a specific matter, you should contact a professional advisor directly. MEDICAL FEE SCHEDULES: AUTOMOBILE INSURANCE PERSONAL INJURY PROTECTION AND MOTOR BUS MEDICAL EXPENSE INSURANCE COVERAGE, 11:3-29.4 Application of Medical Fee Schedules. Provider Enrollment Requirements Another commenter stated that it did not believe that it could retain a home health aide for the longer hours necessary in a per-visit fee environment and urged the Department to retain the hourly and overnight rate. PDF Aetna Better Health of New Jersey Nothing in this subchapter shall, however, compel the PIP insurer or a motor bus insurer to pay more for any service or equipment than the providers usual, customary and reasonable fee, even if such fee is well below the automobile insurers or motor bus insurers limit of liability as set forth in the fee schedules. Q. I was told if youre over 55 and on Medicaid and you earn more than the earning limits, they want money back for the benefits you used, plus capitation, when you die. and ASC Fee Schedule -, Ambulance The Department notes that the statute requires the fee schedule to be updated at least every two years, and its contract with the current vendor contemplates annual revision to update CPT codes and revise fees based on more current information. terms and conditions contained in this agreement. Therapy Comply is a healthcare compliance firm that seeks to bring high quality web-based compliance guidance and one-on-one consulting services to small and medium size physical, occupational, and speech therapy practices. and fitness for a particular purpose. medicaid fee for services: update december 1, 2021 c1766 introducer/sheath, guiding, in c1767 generator, neurostimulator (im c1768 graft, vascular c1769 guide wire c1770 imaging coil, magnetic resonan c1771 repair device, urinary, incont c1772 infusion pump, programmable (i c1773 retrieval device, insertable - Individuals and Families, Important Therapy rates for adults can be found in the Medicaid Fee Schedule, rates for children can be found in Childrens Rates. use by yourself, your employees, the organization you are authorized to represent 11:3-4.2, Et Seq. NJ FamilyCare Aged, Blind, Disabled (ABD) Programs, which cover MEDICAID FEE FOR SERVICES: UPDATE DECEMBER 1, 2021 Codes for - NJMMIS A to Z. Medicaid Billing Data Requirements COVID-19 Information ; Coverage for Out-of-Network COVID-19 Testing Ending Coverage for Out-of-Network COVID-19 Testing Ending; Code Terminations as the PHE Ends Code Terminations as the PHE Ends; PHE Update: Prescription Limitation Change for Braven Health, HMO D-SNP and Medicare Part D . All Fee-For-Service Providers | CMS - Centers for Medicare & Medicaid Releases, Public and Legislative Affairs, & Publications, Providers & Stakeholders: 39:6A-4. Notice, Accessibility conditions set forth in this agreement. Since the fees in this database are what providers are actually receiving for the services, they are not further adjusted for cost of living. The Department disagrees that these commenters prediction will result from promulgation of a fee schedule that provides a similar level of reimbursement for treatment of injuries sustained in auto accidents as from other causes. Automobile Insurance Personal Injury Protection and Health Insurance. Staff, Disaster & Emergency Medicaid Provider Vaccine Billing Updates | Wellcare All rights reserved. The Department thereafter expects to review these and other CPT codes on a continuing basis and update them periodically as required by N.J.S.A. When you provide services to a Medicaid member from another state, you must accept that states Medicaid allowance (less any member responsibility such as copay) as payment in full. Except for the schedule of nursing and allied professional health services, which remains in effect as Appendix, Exhibit 3, the existing fee schedules set forth at N.J.A.C. Rate Review and Rate Guides | Medicaid CPT codes are copyright 1995-2023American Medical Association. After registering, you will receive a confirmation email containing information about joining the webinar. State of New Jersey . NJ United States. Provider staff will help you figure out how to pay your medical bills. In addition to our guides and FAQs we provideongoing and comprehensive supportfor our members. New Jersey Providers. Providers should also bill using National Drug Codes (NDC) on applicable claims. The term came from the CPT Manual where it was used to designate a group of CPT codes. New Jersey Dynamic List Information. This prediction was also made when the Department proposed its original fee schedule, and the result never occurred. programs administered by CMS. NJ FamilyCare/Medicaid is New Jerseys public health care coverage program. https://us02web.zoom.us/webinar/register/WN_pGY17SjESKKl4maBJZuTlw, https://us02web.zoom.us/webinar/register/WN__4RT7lIMShuWJh6mlHVhvw, https://www.nj.gov/humanservices/dmahs/home/index.html, https://nj.gov/humanservices/coronavirus.shtml, https://www.nj.gov/comptroller/resources/. Scope: Products included: NJ FamilyCare/Medicaid Fully Integrated Dual Eligible Special Needs Program (FIDE-SNP) Definitions: NJDOBI | PIP Information for Health Care Providers 11:3-29.4(e). 4332(a)). Home, DHS and its employees and agents. This category of waivers allows states to provide . PDF Appendix Exhbit 1 Physicians' and ASC Fee Schedules In 1995, New Jersey began moving Medicaid beneficiaries from a traditional fee-for-service health coverage program, where providers bill Medicaid directly, to managed care. Under both federal and New Jersey law, Medicaid is required to recover funds from the estate of an individual receiving or who has received Medicaid benefits on or after age 55. Welcome to New Jersey Medicaid 2 Certain Pharmacy claims, which were submitted to the NJMMIS POS system between the dates of Tuesday 8/1/2023 and Wednesday 8/2/2023 and between Tuesday 8/8/2023 and Wednesday 8/9/2023, were not completely processed through those weekly payment cycles. By browsing this site, we may share your information with our social media partners in accordance with our Privacy Policy. Unless the provider contract states otherwise, claims will be paid on the lesser of billed charges or the contracted rate (fee schedule). Schedule Rule Text, Physicians' Email your questions to Ask@NJMoneyHelp.com. Medicare Advantage: 1-866-805-4589 As noted above, the remaining textual amendments to the rule have been adopted and take effect immediately. The AMA, ADA and CMS disclaim responsibility for any consequences or liability attributable Therapy rates for adults can be found in the Medicaid Fee Schedule, rates for children can be found in Children's Rates. 2023 Horizon Blue Cross Blue Shield of New Jersey, Three Penn Plaza East, Newark, New Jersey 07105. CPT and CDT are provided as is without warranty of any kind, either expressed Comment: An association of occupational therapists requested that references in the rule to "physical therapy and rehabilitation" be clarified to include occupational therapy. New Jersey Medicaid Therapy Fee Schedules. Are you sure you want to leave this website. Home, Services Combined Agreement for use of CPT and CDT codes Agency Note: The following concludes the adoption of the proposal published December 18, 2000 at 32 N.J.R. NJ Medicaid & Managed Care In 1995, New Jersey began moving Medicaid beneficiaries from a traditional fee-for-service health coverage program, where providers bill Medicaid directly, to managed care. Providers should always include their National Provider Identifier (NPI) on Medicaid claims, unless the provider is considered atypical. 11:3-29.4(a) upon adoption to clarify that the exemption from the physicians fee schedule is restricted to emergency care in Level I and Level II trauma hospitals. Immediately PURPOSE: To inform FFS providers and Managed Care Organizations about the process for, and requirements of, Electronic Visit Verification (EVV) for Home Health Care Services Phase II. The Department has reviewed the frequency that individual CPT codes are billed for PIP reimbursement and has determined that by adoption of a physicians fee schedule at this time that contains the 92 most commonly used CPT codes, the Department is minimizing the regulatory burden while carrying out the the cost containment objectives of the Automobile Insurance Cost Reduction Act of 1998 ("AICRA"). You, your employees, the organization you have the authority to represent and it Some of these states may accept a providers Medicaid enrollment in the state where they practice to fulfill this requirement. All rights reserved. Us, Privacy The changes made in this adoption are summarized in this chart. Webinar: Medicare and Tricare DMEPOS Coverage, Webinar: Tricare and CHAMPVA Therapy Services, Webinar: Medicare Documentation for Therapy Practices, Webinar: Medicare Advantage Compliance and Therapy Services, Webinar: Scheduling to Increase Revenue and Reduce Cancellations, Webinar: The Business of Providing PT/OT to Medicare Patients Recorded September 22, 2022, Webinar: Medicare Documentation and Billing Physical and Occupational Therapy September 8, 2022, Webinar: Remote Therapeutic Monitoring July 20, 2022, Webinar: HIPAA Recognized Security Practices, Webinar: Creating a PT/OT Bonus Plan for Your Practice, Webinar: Medicare PT/OT Services and NCCI, Webinar: Defending Your Therapy Practice from Medicare Audits, Webinar: Advising PT/OT Patients about Cannabis: Medical Marijuana and CBD, Webinar: HIPAA Risk Assessments and Mitigation, Webinar: Effective Compliance and Billing Audits for Therapy Practices, Webinar: Financial and Productivity Benchmarking for Outpatient Physical and Hand Therapy, Webinar: Adult Scoliosis Recognition and Physical Therapy Interventions, Webinar: 2022 Billing and Coding Updated for PT/OT, Webinar: CQ-CO Modifiers and Medicare in 2022, Webinar: PT/OT Burnout Resilience & Balance, Webinar: Medicare ABNs and Therapy Services, Webinar: Osteoarthritis Management by Physical Therapists, Webinar: Effective Compliance Plans for Therapy Practices, Webinar: Manual Therapy Principles of the Shoulder, Webinar: HIPAA for Physical and Occupational Therapy, Webinar: Tricare Compliance for PT and OT, Webinar: Documentation of Skilled Therapy, Webinar: Hip Stability and its Effects on Balance and Fall Prevention, Webinar: Managing Conflict Resolution for PTs and OTs, Webinar: Core Stability and its Effects on Balance and Fall Prevention, Webinar: Posture, Aging and Orthopedic Effects on Balance, Webinar: Pills and Spills An Assessment of Medications and Fall Risk in Older Patients, Alabama PT Identification and Notifications, Alabama OT Identification and Notification, Alabama OT Board Position Statements and Forms, Alabama SLP Board Position Statements and Forms, Alabama Workers Compensation Fee Schedules, Alabama Healthcare Provider Exclusion List, Alabama Medicaid Coverage of Therapy Services, Alaska Workers Compensation Fee Schedules, Alaska Medicaid Coverage of Therapy Services, Alaska Medicaid Outpatient Speech Therapy, Alaska Medicaid Outpatient Therapy Center, Alaska Healthcare Provider Exclusion List, Arizona OT Identification and Notifications, Arizona Workers' Compensation Therapy Services, Arizona Workers Compensation Fee Schedules, Arizona Medicaid Coverage of Therapy Services, Arizona Healthcare Provider Exclusion List, Arkansas Workers Compensation Fee Schedules, Arkansas Medicaid Coverage of Therapy Services, Arkansas Healthcare Provider Exclusion List, California Workers' Compensation Fee Schedules, California Medicaid Coverage of Therapy Services, California Medicaid Therapy Fee Schedules, California Qualified Medicare Beneficiaries, California Physical Therapy Compliance Guides, California Physical Therapy Practice Issues, California Physical Therapy Scope of Practice, California Physical Therapy Supervision and Delegation, California Physical Therapy Supervision Definitions, California Physical Therapy Continuing Education, California Physical Therapy Legal Definitions, California Physical Therapy Board Position Statements and Forms, California Physical Therapy Unprofessional Conduct, California Occupational Therapy Compliance Guides, California Occupational Therapy Practice Issues, California Occupational Therapy Scope of Practice, California Occupational Therapy Supervision, California Occupational Therapy Supervision Definitions, California Occupational Therapy Legal Definitions, California Occupational Therapy Unprofessional Conduct, California OT Board Position Statements and Forms, California Occupational Therapy Board Fees, California Occupational Therapy Continuing Education Requirements, California Speech Therapy Board Position Statements and Forms, California Speech Therapy Continuing Education, California Speech Therapy Legal Definitions, California Healthcare Provider Exclusion List, Colorado Workers' Compensation Therapy Coverage, Colorado Workers' Compensation Fee Schedules, Colorado Medicaid Coverage of Therapy Services, Colorado Medicaid Physical and Occupational Therapy, Colorado Medicaid PT and OT Prescription and Referral, Colorado Medicaid PT and OT Documentation Requirements, Colorado Medicaid PT and OT Covered Services, Colorado Medicaid PT and OT Prior Authorization, Colorado Healthcare Provider Exclusion List, Connecticut Physical, Occupational, and Speech Therapy, Connecticut Workers' Compensation Therapy Services, Connecticut Workers' Compensation Fee Schedules, Connecticut Medicaid Coverage of Therapy Services, Connecticut Medicaid Therapy Fee Schedules, Connecticut Physical Therapy Compliance Guides, Connecitcut Physical Therapy Supervision of Assistant, Aides, and Students, Connecticut Physical Therapy Supervision Definitions, Connecticut Physical Therapy Practice Issues, Connecticut Physical Therapy Scope of Practice, Connecticut Physical Therapy Board Position Statements and Forms, Connecticut Physical Therapy Legal Definitions, Connecticut Physical Therapy Continuing Education Requirements, Connecticut Occupational Therapy Compliance Guides, Connecticut Occupational Therapy Practice Issues, Connecticut Occupational Therapy Scope of Practice, Connecticut Occupational Therapy Supervision and Delegation, Connecticut Occupational Therapy Assistants, Connecticut OT Board Position Statements and Forms, Connecticut Occupational Therapy Legal Definitions, Connecticut Occupational Therapy Continuing Education Requirements, Connecticut Healthcare Provider Exclusion List, Delaware Workers' Compensation Fee Schedules, Delaware Medicaid Coverage of Therapy Services, Delaware Healthcare Provider Exclusion List, Florida Telehealth Out-of-State Providers, Florida Workers' Compensation Therapy Services, Florida Workers' Compensation Fee Schedules, Florida Medicaid Coverage of Therapy Services, Florida PT Board Position Statements and Forms, Florida Occupational Therapy Practice Issues, Florida OT Board Position Statements and Forms, Florida Healthcare Provider Exclusion List, Georgia Physical, Occupational, and Speech Therapy, Georgia PT Notifications and Identification, Georgia PT Principles of Conduct for Physical Therapists, Georgia PT Principles of Conduct for Physical Therapy Assistants, Georgia PT Responsibilities and Delegation, Georgia OT Identification and Notification, Georgia Workers' Compensation Therapy Services, Georgia Workers Compensation Fee Schedules, Georgia Medicaid Coverage of Therapy Services, Georgia Healthcare Provider Exclusion List, Hawaii Physical, Occupational, and Speech Therapy, Hawaii Workers' Compensation Therapy Services, Hawaii Workers' Compensation Fee Schedules, Hawaii Medicaid Coverage of Therapy Services, Hawaii Healthcare Provider Exclusion List, Idaho Physical, Occupational, and Speech Therapy, Idaho Medicaid Coverage of Therapy Services, Idaho Workers' Compensation Therapy Services, Idaho Physical Therapy Continuing Education, Idaho PT Board Position Statements and Forms, Illinois SLP Rigid and Flexible Laryngoscopes, Illinois Medicaid Coverage of Therapy Services, Illinois Qualified Medicare Beneficiaries, Illinois Workers Compensation Fee Schedules, Indiana Physical, Occupational, and Speech Therapy, Indiana Medicaid Coverage of Therapy Services, Indiana Workers Compensation Fee Schedules, Indiana Physical Therapy Compliance Guides, Indiana Physical Therapy Practice Requirements, Indiana Physical Therapy Scope of Practice, Indiana PT Board Position Statements and Forms, Indiana Physical Therapy Legal Definitions, Indiana Physical Therapy Continuing Education Requirements, Indiana Healthcare Provider Exclusion List, Iowa Medicaid Coverage of Therapy Services, Kansas Medicaid Coverage of Therapy Services, Kansas Workers Compensation Fee Schedules, Kentucky OT Deep Physical Agent Modalities, Kentucky OT Low-Vision and Visual-Therapy Services, Kentucky Medicaid Coverage of Therapy Services, Kentucky Workers Compensation Fee Schedules, Louisiana Medicaid Coverage of Therapy Services, Louisiana Workers Compensation Fee Schedules, Maine Medicaid Coverage of Therapy Services, Maryland Medicaid Coverage of Therapy Services, Maryland Workers Compensation Fee Schedules, Massachusetts OT Supervision and Delegation, Massachusetts Medicaid Coverage of Therapy Services, Massachusetts Medicaid Therapy Fee Schedules, Massachusetts Medicaid Outpatient Therapy, Massachusetts Medicaid Provider Enrollment, Massachusetts Workers Compensation Fee Schedules, Michigan Medicaid Coverage of Therapy Services, Michigan Workers Compensation Fee Schedules, Michigan Physical Therapy Practice Issues, Michigan Physical Therapy Continuing Education, Michigan PT Board Position Statements and Forms, Michigan Occupational Therapy Practice Issues, Michigan Occupational Therapy Supervision, Michigan Occupational Therapy License Issues, Michigan OT Board Position Statements and Forms, Michigan Occupational Therapy Definitions, Minnesota Medicaid Coverage of Therapy Services, Minnesota Workers Compensation Fee Schedules, Mississippi Medicaid Coverage of Therapy Services, Mississippi Medicaid Therapy Fee Schedules, Mississippi Workers Compensation Fee Schedules, Missouri Medicaid Coverage of Therapy Services, Missouri Workers Compensation Fee Schedules, Missouri Physical Therapy Compliance Guides, Missouri Physical Therapy Practice Issues, Missouri Physical Therapy Scope of Practice, Missouri Physical Therapy Disciplinary Actions, Missouri Physical Therapy Continuing Education Requirements, Missouri Physical Therapy Legal Definitions, Missouri PT Board Position Statements and Forms, Missouri Occupational Therapy 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Beneficiaries, New Hampshire Workers Compensation Fee Schedules, New Hampshire Physical Therapy Compliance Guides, New Hampshire Physical Therapy Practice Issues, New Hampshire Physical Therapy Scope of Practice, New Hampshire Physical Therapy Telehealth, New Hampshire Physical Therapy Supervision, New Hampshire Physical Therapy Supervision Definitions, New Hampshire Physical Therapy License Issues, New Hampshire Physical Therapy Misconduct, New Hampshire Physical Therapy Legal Definitions, New Hampshire PT Board Position Statements and Forms, New Hampshire Physical Therapy Board Fees, New Hampshire Physical Therapy Continuing Education Requirements, New Hampshire Additional Compliance Issues, Use of a Computer to Prepare Patient Records, New Jersey OT Identification and Notification, New Jersey Medicaid Coverage of Therapy Services, New Jersey Workers Compensation Fee Schedules, New Mexico Medicaid Coverage of Therapy Services, New Mexico Medicaid Therapy Fee Schedules, New Mexico Workers Compensation Fee Schedules, New Mexico Physical Therapy Compliance Guides, New Mexico Physical Therapy Practice Issues, New Mexico Physical Therapy Scope of Practice, New Mexico Physical Therapy Board Position Statements and Forms, New Mexico Physical Therapy Continuing Education, New Mexico Occupational Therapy Practice Issues, New Mexico Occupational Therapy Scope of Practice, New Mexico Occupational Therapy Identification, New Mexico Occupational Therapy Definitions, New Mexico OT Board Position Statements and Forms, New Mexico Occupational Therapy Board Fees, New Mexico Occupational Therapy Continuing Education, New Mexico Occupational Therapy Unprofessional Conduct, New York Medicaid Coverage of Therapy Services, New York Workers Compensation Fee Schedules, North Carolina OT Identification and Notification, North Carolina Medicaid Coverage of Therapy Services, North Carolina Medicaid Therapy Fee Schedules, North Carolina Medicaid Outpatient Therapy, North Carolina Medicaid 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Continuing Education, South Carolina Physical Therapy Legal Definitions, South Carolina PT Board Position Statements and Forms, South Carolina Physical Therapy Board Fees, South Carolina Additional Compliance Issues, South Dakota Physical, Occupational, and Speech Therapy Compliance, South Dakota Medicaid Coverage of Therapy Services, South Dakota Medicaid Therapy Fee Schedules, South Dakota Medicaid Provider Enrollment, South Dakota Workers Compensation Fee Schedules, South Dakota Physical Therapy Compliance Guides, South Dakota Physical Therapy Supervision and Delegation, South Dakota Physical Therapy Supervision Definitions, South Dakota Physical Therapy Practice Issues, South Dakota Physical Therapy Scope of Practice, South Dakota Physical Therapy Unprofessional Conduct, South Dakota PT Board Position Statements and Forms, South Dakota Physical Therapy Continuing Education Requirements, South Dakota Physical Therapy Legal Definitions, South Dakota Additional Compliance Issues, Tennessee Physical, Occupational, and Speech Therapy Compliance, Tennessee Medicaid Coverage of Therapy Services, Tennessee Workers Compensation Fee Schedules, Tennessee Physical Therapy Compliance Guides, Tennessee Physical Therapy Practice Issues, Tennessee Physical Therapy Scope of Practice, Tennessee Physical Therapy Supervision Definitions, Tennessee Physical Therapy Unprofessional Conduct, Tennessee PT Board Position Statements and Forms, Tennessee Physical Therapy Continuing Education Requirements, Tennessee Physical Therapy Legal Definitions, Texas PT Board Position Statements and Forms, Texas OT Identification and Notifications, Texas Medicaid Coverage of Therapy Services, Texas Medicaid Outpatient Therapy for Children, Texas Medicaid Coverage of PT, OT, and SLP Therapy Service for Adults, Texas Medicaid Therapy Frequency and Duration Criteria, Texas Medicaid Co-Treatment and Group Therapy, Texas Medicaid Definitions for Outpatient Therapy, Texas Covid-19 Resources for Therapy Providers, Utah Medicaid Coverage of Therapy Services, Utah Physical Therapy Supervision Definitions, Utah Physical Therapy Board Reporting Requirements, Utah Physical Therapy Unprofessional Conduct, Utah Physical Therapy Continuing Education, Utah PT Board Position Statements and Forms, Vermont Medicaid Coverage of Therapy Services, Vermont Workers Compensation Fee Schedules, Virginia OT Out-of-State Licensee Voluntary Practice, Virginia Medicaid Coverage of Therapy Services, Virginia Workers Compensation Fee Schedules, Washington OT Identification and Notification, Washington OT Exemption for Short-Term Practice, Washington OT Inactive and Retired Status, Washington Medicaid Coverage of Therapy Services, Washington Medicaid Therapy Fee Schedules, Washington Workers Compensation Fee Schedules, West Virginia Medicaid Coverage of Therapy Services, West Virginia Medicaid Therapy Fee Schedules, West Virginia Medicaid Outpatient Therapy, West Virginia Medicaid Provider Enrollment, West Virginia Workers Compensation Fee Schedules, West Virginia Additional Compliance Issues, Wisconsin Medicaid Coverage of Therapy Services, Wisconsin Workers Compensation Fee Schedules, Wyoming Physical Therapy Procedures and Modalities, Wyoming Medicaid Coverage of Therapy Services, Wyoming Workers Compensation Fee Schedules, Merit-Based Incentive Payment System (MIPS), Measure 126: Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy, Measure 127: Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention, Measure 128: Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan, Measure 130: Documentation of Current Medications in the Medical Record, Measure 134: Preventive Care and Screening: Screening for Depression and Follow-Up Plan, Measure 181: Elder Maltreatment Screen and Follow-Up Plan, Measure 182: Functional Outcome Assessment, Measure 217: Functional Status Change for Patients with Knee Impairments, Measure 218: Functional Status Change for Patients with Hip Impairments, Measure 219: Functional Status Change for Patients with Lower Leg, Foot or Ankle Impairments, Measure 220: Functional Status Change for Patients with Low Back Impairments, Measure 221: Functional Status Change for Patients with Shoulder Impairments, Measure 222: Functional Status Change for Patients with Elbow, Wrist or Hand Impairments, Measure 223: Functional Status Change for Patients with General Orthopedic Impairments, Measure 226: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention, Measure 281: Dementia Cognitive Assessment, Measure 282: Dementia: Functional Status Assessment, Measure 288: Dementia: Education and Support of Caregivers for Patients with Dementia, Measure 318: Falls Screening for Future Fall Risk, Measure 478: Functional Status Change for Patients with Neck Impairments, Measure 131: Pain Assessment and Follow-Up, Medicare Enrollment of Occupational Therapists, Medicare Enrollment of Physical Therapists, Medicare Coverage of Modalities and Procedures, National Coverage Determinations for Therapy Services, Medicare Therapy Limitations and Noncovered Services, Medicare Documentation for Therapy Services, Levels of Appeals and Time Limits for Filing, Medicare Therapy Bill Type and Revenue Codes, Medicare Skilled Nursing Facilities Therapy Services, Medicare Home Health Conditions for Coverage, Comprehensive Outpatient Rehabilitation Facilities, Security Rule - Administrative Safeguards, When Patient Authorization is Not Required, Common Physical and Occupational Therapy Codes, NCCI Medically Unlikely Edits Therapy Services, NCCI Practitioner Edits Therapy Services Q3 2022, NCCI Practitioner Edits Therapy Services Q4 2022, NCCI PTP Edits for Hospitals and Facilities, NCCI Hospital Edits Therapy Services Q3 2022, NCCI Hospital Edits Therapy Services Q4 2022, NCCI Hospital Edits Therapy Services Q1 2023, NCCI PTP Hospital Edits Therapy Services Q3 2023, Medicare Provider Participation and Non-Participation, End of Covid-19 Emergency Period - Medicare Therapy Waivers, Medicare Certification and Recertification Plan of Care FAQs, Multiple Procedure Payment Reduction (MPPR), Medicare Total Time Rule v. AMA 8-Minute Rule, Additional informed consent and intake forms added, New South Dakota Physical Therapy Compliance Guides, Updated our Connecticut Physical and Occupational Therapy Compliance Guides, New Texas Physical Therapy Rule 346.3 Early Childhood Intervention Setting, Medicare 2024 Proposed Physician Fee Schedule Changes to Assistant Supervision.

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