Estelle you are absolutely right...and there are two direct access
issues.  One is the ability to practice without referral (per your state
practice act).  The second is the referral requirement estabilished by
payers including Medicare.  As you know, APTA is pursing legislation to
allow direct access under Medicare.  

You can read about APTA's initiative online at:
http://www.apta.org/AM/Template.cfm?Section=Direct_Access 

In terms of AOTA's perspective, here are links to three articles. 
Top Things To Know About Direct Access
http://www.aota.org/featured/area2/links/link35cb.asp 

AOTA Promotes Representative Assembly Policy on Direct Access to
Medicare Commission
http://www.aota.org/nonmembers/area1/links/link301.asp 

Update: AOTA Advocates RA Policy on Direct Access to MedPAC 
http://www.aota.org/nonmembers/area1/links/link304.asp 

As passed by the Representative Assembly in 2003, AOTA's position is
"if Congress considers changes to the physician referral requirements
for therapy services under the Medicare program, any such changes should
include occupational therapy."   The Representative Assembly (RA) is the
policy-making body of the Association (the "Congress" of AOTA)

>>> [EMAIL PROTECTED] 7/5/2005 11:51:15 AM >>>
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.  



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