Legislative & Payment

Magellan Hawaii Conversation Yields Additional Insights About Prior Authorization Transition

Many of you know that Magellan Hawaii will take over physical medicine (physical therapy, occupational therapy, and chiropractic) utilization review for Hawaii insurance provider HMSA on January 1, 2023. APTA Hawaii Payer Relations Committee Co-Chairs Patti Taira-Tokuuke and Shawna Yee met with reps from Magellan Hawaii to get clarification about the transition. See the key…

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eviCore to Post Tier Results on November 1

On November 1, 2021, eviCore will post clinician physical therapy utilization management tier review results for the six-month period beginning Jan. 1, 2022 in your practitioner performance summary (PPS) dashboard. To adopt a more environmentally friendly notification process, eviCore will no longer mail tiering letters. As a reminder, eviCore provides 60-day notice of tier changes…

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Payment News

Posted on Feb 6, 2020 by Chapter Staff Originally Published in APTA Hawaii’s Monthly e-Newsletter – February 2020 CMS Reverses Same-Day Coding Methodology Changes Implemented on January 1 If you haven’t heard yet – on January 24, the Centers for Medicare and Medicaid (CMS) announced it was reversing its decision to disallow payment for some…

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Fraud Sentencing Reminds Us Who Cannot Bill for Physical Therapy

Posted on July 1, 2019 by Chapter Staff Originally Published in HAPTA’s e-Newsletter, What’s HAPTAnin’ – July 2019 After the May 2019 sentencing of Aiea physical therapist Garrett Okubo to 42 months in prison for fraudulent billing of nearly $4 million for physical therapy treatment, much of which was provided by unlicensed personnel, HAPTA wishes…

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PT Role in the Opioid Crisis and Access to Rural Health Top APTA Federal Priorities

Posted on May 2, 2019 by Chapter Staff Originally Published in HAPTA’s e-Newsletter, What’s HAPTAnin’ – May 2019 From March 31 to April 2, 300 physical therapists, physical therapist assistants and physical therapy students met in Washington, DC for the 2109 APTA Federal Affairs Forum (FAF). The advocacy objectives of the FAF are set by the…

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Bills to Update our Physical Therapy Practice Act on Hold

Posted on March 4, 2019 by Chapter Staff Originally Published in HAPTA’s e-Newsletter, What’s HAPTAnin’ – March 2019 HB701 and SB547, our two companion bills to update the Hawaii physical therapy practice act to include dry needling, are on hold until the 2020 legislative session. The House version is currently waiting to be heard in…

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Get Ready to Submit Testimony for HAPTA Dry Needling and Health and Wellness Bill

Posted on February 6, 2019 by Chapter Staff Originally Published in HAPTA’s e-Newsletter, What’s HAPTAnin’ – February 2019 Legislation has been introduced on behalf of HAPTA that would allow PTs in Hawaii to use dry needling and would also specify that “promotion and maintenance of fitness, health, and quality of life in all age populations”…

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Sample Testimony Letter HB701/SB547

Posted on February 6, 2019 by Chapter Staff Originally Published in HAPTA’s e-Newsletter, What’s HAPTAnin’ – February 2019 Dear Chair and Committee Members: I am a physical therapist in Hawaii. I strongly support HB701/SB547 and the proposed changes to the Physical Therapy Practice Act. These changes will modernize physical therapy practice in Hawaii and will…

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Chapter Proposing to Include Dry Needling within PT Scope of Practice

Posted on December 4, 2018 by Chapter Staff Originally Published in HAPTA’s e-Newsletter, What’s HAPTAnin’ – December 2018 After years of preparation, the HAPTA Legislative Committee is moving forward with a bill to add dry needling to the Hawaii PT Practice Act. This bill will focus on three changes: removing a prohibitive practice clause that…

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2018 Legislative Session Priority Bill Recap

Posted on June 5, 2018 by Chapter Staff Originally Published in HAPTA’s e-Newsletter, What’s HAPTAnin’ – June 2018 The 2018 Hawaii legislative session ended earlier in May. Here’s an update about some of the priority legislation that HAPTA followed and wants to let you know about. Bills That Passed It’s now a felony to injure…

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    District Ambassador Program Launched

    Posted on June 5, 2018 by Chapter Staff…

    Bri DeWitt Receives 2022 APTA Emerging Leader Award

    Posted on June 5, 2018 by Chapter Staff…