Direct access is a state by state issue.  In NJ we have had direct
access for a number of years.  The problem is not direct access.  It is
reimbursement.  If an insurance company will not reimburse without
medical referral, then it does not matter if you have direct access.  

Dr. Estelle Breines

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On
Behalf Of Jimmie Arceneaux
Sent: Tuesday, July 05, 2005 9:13 AM
To: [email protected]
Subject: RE: [OTlist] Forum of Clinical Occupational Therapists-
www.f-cot.org


Thank you for the link Joe.  I checked it out and it seems from my read
that you are clearly pro movement toward both entry level doctorate and
direct access.  Do you think that direct access will fly with OTs
current status as a consumer product?  What can change that?
Jimmie

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
Behalf Of Joe Wells
Sent: Saturday, July 02, 2005 8:40 PM
To: [email protected]
Subject: [OTlist] Forum of Clinical Occupational Therapists-
www.f-cot.org


Ron et al:

No I wasn't retired from the list completely. Just as most of us, was in
my corner with my own frustrations. I guess forums like this and one
that I just co-founded with a few others,most of whom are in private
practice still serve the purpose to allow a place to exchange ideas or
simply vent at times. I am hoping that OTs will participate more in
discussing what there future seems like now and what it could be. While
we all may not agree, however, it would still be representative of the
perspectives out there.

I am sure, we are all following the trends relating to medicare direct
access and move to endorse doctoral entry by the American Physical
Therapy Association. This move has created quite an uproar and confusion
in the OT community. Ofcourse, the way I see it, it will effect us. The
current status is-

1. Status-quo on what actually should be the right entry for OTs (while
more than 50% of PT schools are already giving-out entry-level
doctorates and by 2013, 85% are estimated to move to a doctoral entry).
According to a couple of attendees at this year's AOTA national
conference, schools that already offer entry level OT doctorates were
even hinted at possible forced revertal to MOT. In my opinion, this is
certainly a step backwards and the 5 schools with entry-level OTDs were
obviously not happy.

2. AOTA and APTA do not seem to agree over direct access and
doctoral-entry issues. AOTA does not support APTA's views.

Keeping this in view, the Forum for Clinical Occupational Therapists
(F-COT) was formed. As in the name, this forum hopes to serve the
interests of the OTs in medical settings. This forum seeks to-
1. Facilitate discussion amongst therapists at all levels, especially at
the grass-root,on vital issues facing the profession.
2.Be able to represent the true views of the "field" therapists to
bodies such as AOTA and WFOT.
3. Be what the "members" want it to be!

Please visit the site www.f-cot.org and REGISTER YOURSELF AS A MEMBER
TODAY. Membership is free. Pass it on to any OTs/ OTAs that you know.
PLEASE GET INVOLVED!

The website again is www.f-cot.org

Joe Wells
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