I would ensure him that this issue is very important to you and other OTs in 
his district and that you will relate his response to the other concerned 
parties after hearing his response.  If you don't get a good answer by email, 
call and speak with one of his aides.  Putting a little pressure works very 
effectively especially during an election year.  Tell them you are interested 
to learn his and any opponents positions so that you may make an informed 
decision upon time to vote.  That ought to light a spark!
Jimmie

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
Behalf Of Sue Mikolajczak
Sent: Tuesday, March 08, 2005 9:40 AM
To: [email protected]
Subject: Re: [OTlist] Home health


I do not work in Home Health, but became familiar with this issue when I had
a Level II Fieldwork assignment in Home Health.  Last year when prompted by
the AOTA, I wrote directly to my Representative McCotter about the issue.  I
learned by return email, that his wife is a Registered Nurse.  His response
was very noncomittal about the wonderful things that the healthcare
personnel do.  I wonder if in his situation he has a conflict of interest,
since RNs stand to benefit with their current preferred status?  What do you
suggest in this case when the representative has a personal stake in not
advancing the issue?   I also believe this is an important issue.  Sue


----- Original Message -----
From: "Joe Wells" <[EMAIL PROTECTED]>
To: <[email protected]>
Sent: Monday, March 07, 2005 7:30 PM
Subject: Re: [OTlist] Home health


> Jimmie & Aine:
>
> I totally agree with both of you. I wrote to our local representative Paul
> Gilmore before (I do believe someone on this board had prompted it then).
I
> am planning to meet with his local office personnel as well. I do think
that
> the homehealth issue is very important.
> Joe
> ----- Original Message -----
> From: "Aine Suttle" <[EMAIL PROTECTED]>
> To: <[email protected]>
> Sent: Monday, March 07, 2005 4:12 PM
> Subject: Re: [OTlist] Home health
>
>
> >I am not an American but I can certainly sympathise with your situation.
> > What is similar in Canada is the fact that politicians are more likely
to
> > listen to their constituents.  But it would probably help if the AOTA
also
> > put forward an agenda for change which could be submitted to your
> > government
> > but which could also be sent to all OTs so they have the statistics and
> > other relevant facts when lobbying their individual Representatives and
> > Senators.
> >
> > Regards,
> >
> > Aine Suttle, Toronto
> >
> > on 3/7/05 8:29 AM, Jimmie Arceneaux at [EMAIL PROTECTED]
wrote:
> >
> >>
> >> Hello joe,
> >>
> >> I agree that OT not being a qualifier for home health under Medicare is
a
> >> problem, however OTs cannot rely on AOTA to propose an agenda for
change.
> >> It
> >> is important that we all write our Representatives and Senators.  They
> >> listen
> >> when their constituents talk.
> >>
> >>
> >> Jimmie
> >>
> >> -----Original Message-----
> >> From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
> >> Behalf Of Joe Wells
> >> Sent: Friday, March 04, 2005 11:29 PM
> >> To: [email protected]
> >> Subject: Re: [OTlist] Home health
> >>
> >>
> >> Hi:
> >> I work in homehealth as well. It is very absurd to think that under
> >>
> >> medicare, OT is not one of the qualifying services (PT/ SLP/ Nsg.). OT
> >> may
> >>
> >> stand alone only after the case has been opened by another discipline
and
> >>
> >> need for OT has been established by another discipline, if they were no
> >> OT
> >>
> >> orders upon admission. I do believe that this should a major initiative
> >> for
> >>
> >> the AOTA PAC agenda. Equally frustrating is that in many states, OTs
> >> cannot
> >>
> >> be enrolled as medicaid providers and you can actually start a Rehab
> >> Agency
> >>
> >> or CORF without an OT. Well, we do trail others quite a bit and
ofcourse,
> >> it
> >>
> >> endorses the notion of the policymakers and thus, the public in
general,
> >> for
> >>
> >> OT not to be an essential service in these clinical settings.
> >> Joe
> >>
> >>
> >>
> >> ----- Original Message -----
> >>
> >> From: "Spot_60" <[EMAIL PROTECTED]>
> >> To: <[email protected]>; <[email protected]>
> >> Sent: Friday, March 04, 2005 5:46 PM
> >> Subject: Re: [OTlist] Home health
> >>
> >>
> >>> Jimmie--
> >>>
> >>> I work in home health, and on a few occasions, this situation arose in
> >>> my
> >>
> >>> agency.  If memory serves me correctly, I believe that we determined
> >>> that
> >>
> >>> if the opening discipline (skilled nursing or physical therapy)
> >>> performed
> >>
> >>> a skilled service during their evaluation (evaluation alone did not
> >>
> >>> qualify as the skilled service) then OT was "allowed" to case manage
and
> >>
> >>> stand alone.
> >>>
> >>> Yes, I agree the current situation is quite frustrating.
> >>>
> >>> Susan
> >>>
> >>> Jimmie Arceneaux <[EMAIL PROTECTED]> wrote:
> >>>
> >>> Hey all,
> >>>
> >>> Let me tell you of a situation which presented itself at my place of
> >>
> >>> business. We have an occupational therapy program which specializes in
> >>
> >>> patients with visual impairments. A referral came in the other day for
> >>> the
> >>
> >>> program and a nurse was sent out to admit to home care while an OT was
> >>
> >>> assigned to to assess for admission to the low vision program. The OT
> >>
> >>> identified limitations which necessitated a plan of care. the nurse on
> >>> the
> >>
> >>> other hand did not identify a nursing skill. For those of you familiar
> >>
> >>> with home health care in the U.S., OT cannot initially qualify a
patient
> >>
> >>> for home health care. This made us unable to see this clearly
homebound
> >>
> >>> patient for needed services. I find this situation extremely
> >>> frustrating.
> >>
> >>> It is quite ridiculous that OT is not included as a qualifier in the
> >>
> >>> Medicare regulations for home health care.
> >>>
> >>> I'm interested to read what others think.
> >>>
> >>> Jimmie Arceneaux, LOTR
> >>> Metro Preferred Home Care
> >>> 3501 N. Causeway Blvd., Ste 200
> >>> Metairie, LA 70002
> >>> 504-838-7080
> >>> Fax 504-833-9309
> >>>
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