That is OUTSTANDING!!!  I just renewed my AOTA membership, money well
spent!!!!

Thanks Chuck!!!

Ron

----- Original Message -----
From: Chuck Willmarth <[EMAIL PROTECTED]>
Sent: Friday, December 07, 2007
To:   [email protected] <[email protected]>
Subj: [OTlist] ATP (Update)

> Thought list members might be interested in this development.

> Chuck

> *******

> http://www.aota.org/News/AdvocacyNews/pw.aspx

> AOTA Victory: Medicare Removes Certification Requirement on OT Power
> Wheelchair Evaluations 

> After more than 2 years of advocacy, AOTA is happy to announce its
> success in eliminating an additional requirement for occupational
> therapy wheelchair evaluations under Medicare. Reimbursement and
> Regulatory Policy staff convinced the Centers for Medicare and Medicaid
> Services (CMS) to eliminate a requirement that would have required an
> additional certification for occupational therapists (OTs) performing
> wheelchair evaluations for higher-end power devices. 

> AOTA had responded to this change, proposed to be implemented in 2008,
> because it caused deep concern about access for Medicare beneficiaries
> and an unwarranted restriction on an evaluation that is clearly within
> the scope of occupational therapy practice.

> The provision was included in the Medicare Durable Medical Equipment
> (DME) contractor's Local Coverage Determination (LCD) Policy for Power
> Mobility Devices (PMDs) released in 2006. 

> Specifically, the original LCD required that occupational therapists and
> physical therapists attain certification as RESNA Assistive Technology
> Practitioners (ATPs) in order to perform the specialty evaluation
> required for patients receiving Group 2, Group 3, or Group 4 power
> wheelchairs. The same LCD was adopted by each of the medical directors
> across the country, making it a national policy in effect. 

> Initially, AOTA voiced grave concerns that the policy, set to take
> effect April 1, 2008,  did not measure a therapist's competence in
> performing evaluations and that it would unreasonably restrict a portion
> of OT practice. Further, it would result in an access problem for
> Medicare beneficiaries because of the limited number of OTs with an ATP.


> AOTA then met with the Acting Administrator of CMS, Herb Kuhn, to put
> these concerns forward. That was followed by a formal request for
> reconsideration of the LCD, including a telephone conference call with
> regional Medicare medical directors. On December 3, 2007, the DME
> medical directors told AOTA of their decision to accept AOTA's
> recommendation and eliminate the requirement for RESNA ATP
> certification. 

> No additional certification for wheelchair evaluations will be required
> as of April 2008. 

> According to the ruling by the medical directors, the current
> requirement will remain in place, that is, the patient must have a
> specialty evaluation performed by a licensed/certified medical
> professional such as an OT or physical therapist, or by a physician who
> has specific training and experience in rehabilitation wheelchair
> evaluations. The evaluation must document the medical necessity for the
> wheelchair and its special features. 

> AOTA made the argument to CMS that the code of ethics for occupational
> therapy supports the expectation that an OT performing such an
> evaluation would only do so if she or he was competent by reason of
> training or experience. AOTA also reminds practitioners to be sure their
> competence and training is appropriate for the performance of such
> specialty evaluations. AOTA continues to support continuing education
> and training as part of a practitioner's lifelong responsibility to
> provide quality services to clients.

> The local DME Medicare contractors will publish an article on their
> individual Web sites that notifies providers of this decision. This
> information will also be incorporated in a future revision of the Power
> Mobility Devices LCD.




> -----Original Message-----
> From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On
> Behalf Of Chuck Willmarth
> Sent: Monday, November 05, 2007 8:35 PM
> To: [email protected]
> Subject: Re: [OTlist] ATP

> Ron,

> Just to clarify, AOTA does not have a seating and wheel mobility
> certification...the ad hoc group is examining the need for such a
> certification from what I understand.

> I was suggesting that a broader level, AOTA's Board and Specialty
> Certifications are not tied to reimbursement.

> We are stilling waiting to hear from the DME Medical Directors in
> response to our request that the withdraw the ATP certification
> requirement.

> Chuck

> -----Original Message-----
> From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On
> Behalf Of Ron Carson
> Sent: Monday, November 05, 2007 7:04 PM
> To: [EMAIL PROTECTED]
> Subject: Re: [OTlist] ATP

> Hello Theresa:

> Thanks for the update.

> In an earlier message, I think Chuck Wilmarth indicated that AOTA's w/c
> seating certification is NOT tied to reimbursement.  Is this accurate?
> Is AOTA not pursing acceptance of their certification with CMS instead
> of only the ATP certification. The ATP certification is such over-kill
> for many, many w/c evals. If the AOTA certification is NOT accepted by
> Medicare as a qualifying credential, why will OT's pursue it?

> Thanks,

> Ron


> ----- Original Message -----
> From: [EMAIL PROTECTED] <[EMAIL PROTECTED]>
> Sent: Monday, November 05, 2007
> To:   [email protected] <[email protected]>
> Subj: [OTlist] ATP

>> Laura:  The seating and wheeled ad hoc committee is in the process of 
>> studying the issues around this topic and will be surveying membership

>> soon (probably this week so look for the survey through AOTA
> One-Minute 
>> update).  After that we will be putting together a report to the 
>> commission on practice of whether to pursue a certification process 
>> through AOTA or not.

>> Theresa Gregorio-Torres











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