Description and responsibilities:
Strategic:
- Participate actively in meetings with the APTA Wisconsin Board of Directors
- Attend & contribute to the APTA Wisconsin's Annual Strategic Planning Meeting
- Develop goals and objectives in support of the APTA Wisconsin Strategic Plan
- Achieve identified strategic initiatives within defined timeframes
- Updating the APTA Wisconsin Board of Directors (and members) on policy changes that impact payment of physical therapist services in Wisconsin
- Collaborate with the APTA Wisconsin Practice Committee, Autonomous Practice Committee, and New Models of Care Committee to promote direct access and other models of physical therapist services across all settings to relevant stakeholders
Member Education:
- Offering education to physical therapists and physical therapist assistants using a variety of educational delivery methods to support physical therapist compliance and optimal payment
- Investing in on-going learning to support contemporary knowledge of all relevant issues that impact payment for physical therapist services to enable education of membership.
- Availability to provide or facilitate the provision of a State Conference presentation annually including assisting the APTA Wisconsin identify national speakers and/or resources every other year to facilitate Member education on payment policy
- Preparation & presentation of payment issues at the Hot Topics portion of State Conferences
- On-site trainings to include 2 Districts/year
- Webinar Trainings to include 4/year
- Written education & information ensuring the timely dissemination of information to APTA Wisconsin members on the payment of physical therapist services via:
- PT Connections every issue
- E-News as needed
- E-mail Blasts as needed
- APTA Wisconsin Website postings & updates
- Availability to research & provide information, references & resources to members on Payment issues via e-mail, phone, in-person inquiry.
- Active outreach to provide lectures to Wisconsin-based Physical Therapist Programs
Representation, Education & Advocacy to Third-Party Payers
- Providing education and consultation as well as advocating to payers to support their understanding and ability to assess and make decisions on medical necessity and skilled care as well as payment for physical therapist services
- Advocating for payment for physical therapist services with legislators, policy makers, and other stakeholders across a broad range of practice areas and payment sources, including (but not limited to) Medicare, Medicaid, workers' compensation, and commercial insurance
- Attend applicable payer and other stakeholder meetings (WI Workers' Compensation Advisory Meeting, WI Department of Work Force Development Advisory Committee Meetings, Anthem WI Provider Meetings, National Government Services Carrier Advisor Meetings, etc.)
- Coordinate an ad hoc Payment Panel & Task Forces as needed (WC, Wound Care, Dry Needling, etc.) to assist APTA Wisconsin and members with payment issues unique to certain practice settings, services and patient/client populations
- Leading the Medical Assistance Committee
- Representation of Physical Therapy Payment issues @ PT Legislative Day
- Holding a Payer Forum at least once every biennium or as recommended by APTA
Liaison to APTA on WI Payment Issues
- Attend the APTA Payment and Policy Forum & CSM Payment Meetings Annually to receive updates for WI, share WI ideas, accomplishments & Issues, seek other Payment connections through other components, sections & the APTA that can facilitate & inform WI on issues.
- Networking regularly with APTA payment staff as well as payment staff with other APTA chapters and sections on issues as they relate to Wisconsin Physical Therapy.
Reporting:
- Provide Quarterly Reports of Activities & Issues to Board @ each Board of Directors Meeting
- Providing an Annual Report of Activity to the APTA WI Board of Directors during the October board meeting at Fall Conference
- Provide Payment Updates to Membership @ Spring & Fall Meetings & the Legislative Day as requested.
Utilization Review:
- Facilitate APTA Wisconsin utilization review services upon request to third party payers as deemed appropriate and when NOT in competition with services already provided by APTA WI members
Current chair: Lynn Steffes PT, DPT
Number of committee members and term length: Varies
Meetings - frequency and time commitment:
WI Medicaid: 2 Members ongoing - 8-12 hours/year including interdisciplinary Conference Calls & approx 2 Madison Meetings
WI Workers Comp: 5 Members ongoing- 8-16 hours/year including Conference Calls, Policy Review, On-site Mtg representation in Madison
Payment Panel of Experts:
SNF- 4 hours/year including policy & procedure review, Q&A for Members
Acute Care- 4 hours/year including policy & procedure review, Q&A for Members
HH- 2 hours/year including policy & procedure review, Q&A for Members
Peds/B-3 /School-Based Services- 2 hours/year including policy & procedure review, Q&A for Members