MPTA's Payment Committee is continually meeting with health care professionals and various insurance companies throughout the state of Michigan to keep our members notified of any changes coming and to advocate for our physical therapy professionals. As a benefit to our membership, MPTA members are notified immediately of any policy changes or deadlines to an insurance plan or group.
Not all Payment questions can be treated the same way. Please email email@example.com if you have a specific question as it relates to Payment.
Final Analysis of Member Survey Regarding eviCore Experience in 2017posted: August 03, 2017
CLICK HERE to view the final analysis. Thank you to all who participated in the survey.
Updated MPTA Patient Advocacy Action Center Portalposted: August 03, 2017
The MPTA Patient Action Center portal has been updated with new messaging. This portal will allow patients to quickly and easily write letters to the Michigan Department of Insurance and Financial Services about their negative experiences. CLICK HERE to access the portal.
BCBSM has requested that MPTA no longer use the patient portal for sending letters to BCBSM. BCBSM requests that patients with complaints about their experience call the number on the back of their insurance card. MPTA is respecting this request. Please do encourage your patients to call this number!
However, MPTA feels it is critical to provide additional voice to patient concerns, especially when those concerns are not resolved. Therefore, MPTA has revised the patient portal, and the letters will instead be sent to the Michigan Department of Insurance and Financial Services. Please encourage your patients to use the patient portal, and be sure to ask them to customize the letter to their individual experience.
New APTA Toolkit re: Utilization Managementposted: May 10, 2017
Go to the APTA website for this new resource:
Utilization Management Toolkit
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.
BCBSM Delays Implementation of eviCore Utilization Management Program for Commercial Products Until Jan 2018posted: March 22, 2017
MPTA leaders met with BCBSM on March 13 regarding the eviCore Utilization Management Program currently in use with the Medicare Plus Blue product. MPTA represented the NUMEROUS concerns expressed by providers and patients alike.
BCBSM stated that the implementation date of the eviCore program for its commercial products will be delayed until January 2018. MPTA will continue to push for substantial changes to the current program in the short term, and ultimately for its elimination.
- MPTA Letter to BCBSM June 30, 2017
- MPTA Letter to Priority Health June 6, 2017
- MPTA Letter to BCBSM May 12, 2017
- BCBSM Minutes from Meeting March 13, 2017
- MPTA Letter to BCBSM March 13, 2017
- MPTA Letter to BCBSM October 17, 2016
- MPTA Letter to BCBSM June 23, 2016
Important Payment Resources
- Code of Federal Regulations
- State of Michigan:
- APTA Resources: