February 16, 2018

MPTA has just received additional guidance from MDHHS regarding Provider Enrollment.  Initial guidance from MDHHS was INCORRECT, and after further internal discussion within MDHHS, they have now issued clear, definitive guidance: 

ALL PTs must have a National Provider Identification (NPI) number, and must complete enrollment, regardless of whether your name or NPI appears on any billing to Medicaid programs (e.g. hospitals), and the atypical provider enrollment option is no longer acceptable. 

Although MDHHS is considering extending the March 1 enrollment deadline, do not delay completion of this process.

Click HERE for an updated document to determine the type of enrollment required and the process to be followed.  Note: School-based PTs do not need to enroll as they have already completed the required screening.

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February 07, 2018

Regarding the Medicaid provider enrollment email notification by MDHHS on January 30, 2018, MPTA has gained greater clarity and guidance thanks to the efforts of APTA Regulatory Affairs staff who reviewed the Federal statutory changes that prompted the MDHHS provider enrollment initiative, and from the MDHHS Provider Enrollment manager with whom we now have contact and who has confirmed the information we are providing.  MDHHS was unaware of some of the unique circumstances faced by PTs, especially those in facility- and large organization-based settings.

1.       Who

a.       All PTs in the State of Michigan who treat patients under Medicaid programs

b.      PTAs NOT included

2.       What

a. For those PT providers currently billing for/receiving payment from straight Medicaid UNDER THEIR OWN NATIONAL PROVIDER IDENTIFICATION (NPI) number, there is no need to do anything other than re-enroll/complete the license update per the usual schedule.

b. For those PT providers only billing for/receiving payment from managed Medicaid programs UNDER THEIR OWN NPI number, you DO need to complete the enrollment process by March 1. 2018

c. For those PT providers currently billing for/receiving payment only from straight Medicaid under their employer’s NPI number, BUT whose personal NPI also appears on the bill (e.g. outpatient rehab facilities/rehab agencies), if your employer has not already enrolled you, you need to complete the enrollment process by March 1, 2018

d. For those PT providers currently billing for/receiving payment only from MANAGED Medicaid (not straight Medicaid) under their employer’s NPI number, BUT whose personal NPI also appears on the bill (e.g. outpatient rehab facilities/rehab agencies), you DO need to complete the enrollment process by March 1, 2018

e.  For any other PT who is providing services under any Medicaid program but NOT billing for those Medicaid services (straight or managed) under their own NPI number (i.e. you are not the billing provider) AND if you do not have an NPI OR your NPI does NOT appear on any billing , you DO need to complete the enrollment process, EVENTUALLY, but no immediate action is needed.

3.         If you do not know if your NPI is used for billing purposes, we advise you to contact your organization/facility/employer to determine if your NPI number is being used in                  billing to Medicaid programs.

4.        Click HERE  for detailed, specific information about the process.

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February 02, 2018

As a PT license-holder in Michigan, you recently received an email from LARA regarding Medicaid Provider enrollment.  MPTA has sought and received clarification from the Michigan Department of Health and Human Services about this requirement over the course of 8 separate phone calls.  Despite repeated requests, the provider helpline representatives have not granted our request for escalation to a supervisor who can confirm the below information in-writing.  We have submitted a request for written clarification through the “ProviderEnrollment” email address, but have not yet received a response. 

The crux of the issue is whether ALL (i.e. hospital- and other facility-based PTs) need to complete enrollment.  MDHHS tells MPTA that this applies to ALL PTs, but MDHHS documentation only refers to “Physical Therapist-Private Practice”.  MPTA’s initial research has revealed that hospital-based PTs do NOT currently have/use NPIs, and that hospitals typically do NOT currently list the PT names on any billing to Medicaid programs (only the NPI of the referring or attending physician is on the bill).  At least one Michigan hospital was verbally told that the hospital-based PTs may not need to enroll so long as the PTs name was not used on the billing (they too are waiting for clarification in writing).  Therefore, at this time, MPTA encourages all facility-based PTs to consult with their respective institutions about their need to complete the enrollment process.

 

However, IF MDHHS decides that indeed ALL PTs need to complete the process, the following is information that MDHHS has verbally confirmed to MPTA:

 For those PT providers currently billing for/receiving payment from straight Medicaid UNDER THEIR OWN NATIONAL PROVIDER IDENTIFICATION (NPI) number, there is no need to do anything other than re-enroll/complete the license update per the usual schedule.

 For those PT providers only billing for/receiving payment from managed Medicaid programs UNDER THEIR OWN NATIONAL PROVIDER IDENTIFICATION (NPI) number, you DO need to complete the enrollment process.

For any other PT who is providing services under any Medicaid program (as a rendering provider) but NOT billing for those Medicaid services (straight or managed) UNDER THEIR OWN NATIONAL PROVIDER IDENTIFICATION (NPI) number (i.e. you are not the billing provider), you must, in the following order:

1.      Obtain an NPI if you do not already have one  https://nppes.cms.hhs.gov/#/

2.      Register for a MIlogin account.  Every provider must have their own MIlogin account before starting the enrollment process.  http://www.michigan.gov/documents/mdch/032008_sso_registration_instructions_Final_Copy_228984_7.pdf

3.      Complete the enrollment process  http://www.michigan.gov/documents/mdch/individual_rendering_servicing_229456_7.pdf

*NOTE: The billing provider must already have completed the enrollment process BEFORE you, as the rendering provider, can enroll because you need to attach yourself to that already established billing provider.  You will need your organization’s NPI to attach yourself to the organization/billing provider.

**NOTE: When selecting your provider type during the enrollment process, there is only one choice  for PTs “Physical Therapist- Private Practice”.  MDHHS has told MPTA that this is an error and all physical therapists, regardless of setting, should select this option.

***NOTE: When “Adding Specialties”, do NOT select that you are Board Certified, even if you have an ABPTS specialty.  This item is NOT for PTs.  If you mark this you will not get beyond the licensure step.

To continue to provide services under Medicaid without disruption, this must be completed by March 1, 2018.   DO NOT DELAY.

Enrollment applies to all PTs who provide services under Medicaid- school, rehab agency, hospital etc.  It does NOT apply to PTAs.

Please be sure to see the Updates section on their website: http://www.michigan.gov/mdhhs/0,5885,7-339-71551_2945_42542_42543_42546-104293--,00.html#Individual/Sole Proprietor

MPTA will update members as soon as we receive definitive, written guidance from MDHHS.

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February 01, 2018

MPTA Research Day, Friday, October 5th

Grand Traverse Resort

100 Grand Traverse Village Boulevard, Williamsburg, MI, 49610

 

SUBMISSION DEADLINE:  Friday, May 18th, 2018.

 

Download Details Here:  http://mpta.com?igumst

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January 29, 2018

The MPTA is pleased to announce House bill HB544 was introduced by Rep. Jeff Yaroch (33rd District), which would add Physical Therapists and Physical Therapist Assistants as mandatory reporters of suspected child abuse or child neglect.  The bill was introduced on January 24, 2018,  and has been referred to the Committee on Families, Children, and Seniors.  The bill has several co-sponsors, representing a bipartisan group. This was one of MPTAs legislative priorities, and we are confident the bill will pass out of committee and onto the full House in the near future!!!  Look for action alerts to come.

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May 10, 2017

Go to the APTA website for this new resource:

  • Utilization Management Toolkit New

    This toolkit offers an overview of challenges and opportunities for PTs in the commercial sector, strategies to mitigate the current and future impacts of UM use, and ways to foster cooperation between providers and UM vendors so that both parties benefit. 

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April 26, 2017

Congratulations to Elizabeth Mostrom, PT, PhD, FAPTA of the Michigan Chapter who has been selected by APTA's Board of Directors to be a Catherine Worthingham Fellow of the American Physical Therapy Association.

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April 24, 2017

The Physical Therapy Section of the Public Health Code has been amended to allow Advanced Practice Registered Nurses to prescribe physical therapy:

 

PUBLIC HEALTH CODE (EXCERPT)
Act 368 of 1978

***** 333.17820.amended THIS AMENDED SECTION IS EFFECTIVE APRIL 9, 2017 *****



333.17820.amended Practice of physical therapy or physical therapist assistant; license or authorization required; engaging in treatment with or without prescription of certain license holders; use of words, titles, or letters.

Sec. 17820.

(1) An individual shall not engage in the practice of physical therapy or practice as a physical therapist assistant unless licensed or otherwise authorized under this part. Except as otherwise provided in this subsection, a physical therapist or physical therapist assistant shall engage in the treatment of a patient if that treatment is prescribed by a health care professional who is an advanced practice registered nurse as that term is defined in section 17201, or who holds a license issued under part 166, 170, 175, or 180, or an equivalent license issued by another state. A physical therapist or a physical therapist assistant may engage in the treatment of a patient without the prescription of a health care professional who is an advanced practice registered nurse as that term is defined in section 17201, or who holds a license issued under part 166, 170, 175, or 180, or an equivalent license issued by another state, under either of the following circumstances:

(a) For 21 days or 10 treatments, whichever first occurs. However, a physical therapist shall determine that the patient's condition requires physical therapy before delegating physical therapy interventions to a physical therapist assistant.

(b) The patient is seeking physical therapy services for the purpose of preventing injury or promoting fitness.

 

 

(2) The following words, titles, or letters or a combination of words, titles, or letters, with or without qualifying words or phrases, are restricted in use only to those persons authorized under this part to use the terms and in a way prescribed in this part: "physical therapy", "physical therapist", "doctor of physiotherapy", "doctor of physical therapy", "physiotherapist", "physiotherapy", "registered physical therapist", "licensed physical therapist", "physical therapy technician", "physical therapist assistant", "physical therapy assistant", "physiotherapist assistant", "physiotherapy assistant", "p.t. assistant", "p.t.", "r.p.t.", "l.p.t.", "c.p.t.", "d.p.t.", "m.p.t.", "p.t.a.", "registered p.t.a.", "licensed p.t.a.", "certified p.t.a.", "c.p.t.a.", "l.p.t.a.", "r.p.t.a.", and "p.t.t.".

Section 17201:

Sec. 17201. (1) As used in this part:

(a) “Advanced practice registered nurse” or “a.p.r.n.” means a registered professional nurse who has been granted

a specialty certification under section 17210 in 1 of the following health profession specialty fields:

(i) Nurse midwifery.

(ii) Nurse practitioner.

(iii) Clinical nurse specialist.

PUBLIC HEALTH CODE (EXCERPT)
Act 368 of 1978

***** 333.17820.amended THIS AMENDED SECTION IS EFFECTIVE APRIL 9, 2017 *****

 


333.17820.amended Practice of physical therapy or physical therapist assistant; license or authorization required; engaging in treatment with or without prescription of certain license holders; use of words, titles, or letters.

 

Sec. 17820.

(1) An individual shall not engage in the practice of physical therapy or practice as a physical therapist assistant unless licensed or otherwise authorized under this part. Except as otherwise provided in this subsection, a physical therapist or physical therapist assistant shall engage in the treatment of a patient if that treatment is prescribed by a health care professional who is an advanced practice registered nurse as that term is defined in section 17201, or who holds a license issued under part 166, 170, 175, or 180, or an equivalent license issued by another state. A physical therapist or a physical therapist assistant may engage in the treatment of a patient without the prescription of a health care professional who is an advanced practice registered nurse as that term is defined in section 17201, or who holds a license issued under part 166, 170, 175, or 180, or an equivalent license issued by another state, under either of the following circumstances:

(a) For 21 days or 10 treatments, whichever first occurs. However, a physical therapist shall determine that the patient's condition requires physical therapy before delegating physical therapy interventions to a physical therapist assistant.

(b) The patient is seeking physical therapy services for the purpose of preventing injury or promoting fitness.

(2) The following words, titles, or letters or a combination of words, titles, or letters, with or without qualifying words or phrases, are restricted in use only to those persons authorized under this part to use the terms and in a way prescribed in this part: "physical therapy", "physical therapist", "doctor of physiotherapy", "doctor of physical therapy", "physiotherapist", "physiotherapy", "registered physical therapist", "licensed physical therapist", "physical therapy technician", "physical therapist assistant", "physical therapy assistant", "physiotherapist assistant", "physiotherapy assistant", "p.t. assistant", "p.t.", "r.p.t.", "l.p.t.", "c.p.t.", "d.p.t.", "m.p.t.", "p.t.a.", "registered p.t.a.", "licensed p.t.a.", "certified p.t.a.", "c.p.t.a.", "l.p.t.a.", "r.p.t.a.", and "p.t.t.".

 

 

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March 03, 2016

At the February 11 Western District meeting a financial advisor provided information about student loans and how to manage them once employed.  The presentation can be viewed by clicking here.

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