News

Graduating Student Scholarship

 The APTA Wisconsin Academic Liaison Committee (ALC) is sponsoring this scholarship. The recipient will receive $300 towards their first year of APTA/APTA Wisconsin membership dues after graduating.

Prerequisites:

• 3rd year student graduating this spring/summer
• APTA/APTA Wisconsin member

To apply:
Graduating PT/PTA students will write an essay (no longer than 500 words) to apply that should address and will be assessed in 3 areas:

1) School or community involvement including any job experience
2) APTA/APTA Wisconsin involvement
3) An idea for a project you'd like to work with the ALC on over the next year to increase student involvement in APTA Wisconsin. (This should be the primary focus of the application)

The applications should be a word document or PDF and sent to the APTA Wisconsin Academic Liaison Committee Co-Chairs, Erik Gregersen (erik.gregersen@froedtert.com) and Matt Paluchniak (matthew.paluchniak@froedtert.com) by May 1. In the email also include full name, what school you attend, year in school, APTA ID# and address.

The winner will be chosen by the APTA Wisconsin Academic Liaison Committee and notified within two weeks of the application deadline.

Student Delegate Scholarship
The House of Delegates (HOD) is policy making body of the APTA. It is a representative body of APTA membership. This will be a unique experience, as a student, to see how the professional association plans the direction of the profession. The delegates hear motions presented by the component chapters and elect the new leaders in APTA, the Board of Directors.

This scholarship would cover flight to the HOD and housing for your stay (max $1000). The scholarship recipient will receive mentorship from the Wisconsin delegation through attending meetings, house sessions, and collaborative time.

To apply:

Please write a 500 word essay on the value of APTA membership in your student PT/PTA career.

The applications should be a word document or PDF and sent to the APTA Wisconsin Academic Liaison Committee co-Chairs, Erik Gregersen and Matt Paluchniak, (erik.gregersen@froedtert.com and matthew.paluchniak@froedtert.com) by May 1. In the email also include full name, what school attending, year in school, APTA ID# and address.

The winner will be chosen by the APTA Wisconsin Academic Liaison Committee and notified within two weeks of the application deadline. 

Registration for the APTA Wisconsin 2021 Virtual Spring Conference is open! Please visit, https://aptawi.org/events/conference/2021/spring/ to learn more about the courses and speakers, and select the live webinars you'd like to attend.

A virtual Poster Presentation page will also be available for those interested in viewing posters submitted by our members.

A few notes:

• Webinars will be live, and attendees will receive individual links to each webinar upon registering. 
• Handouts will be sent via a reminder email a few days before conference.
• Course evaluations and CE certificates will be sent electronically after the completion of the conference. 

If you can't attend the live courses, or discover there are more courses you'd like to take but they overlap in the schedule, don't worry!  They will be available for on-demand purchase after the live conference has concluded.

APTA Wisconsin past president Connie Kittleson put together a wonderful virtual awards ceremony presentation for our 2019 award winners.  Please take some time to watch the ceremony as we recognize outstanding PTs, PTAs and students, working to move the professions and Association forward!

2019 APTA Wisconsin Virtual Awards Ceremony - https://youtu.be/J9J9fLB0lG8

Attention APTA Wisconsin Partners!

With restrictions on in-person gatherings and the unpredictability of the COVID-19 pandemic, the APTA Wisconsin spring conference will be held virtually. Even though our format has changed, we still have ways for you to be involved as an exhibitor.

Please take a look at the various virtual options and make your selections on the registration form.

APTA Wisconsin Virtual Spring Conference Registration Form

We appreciate your support!

APTA Wisconsin is going virtual for our upcoming spring conference!  Check out the courses below and save the dates.  Full course descriptions and speaker bios will be available on the conference website.  An email will go out to members once the conference registration website is available. 

Cost: 

APTA PT and PTA Members:

$45 - 3 hour course

$50 - 4 hour course

$95 - Full day 7 hour course

PT and PTA Non-Members:

$90 - 3 hour course

$100 - 4 hour course

$190 - full day course

Member and Non-Member Students - 50% Off the Member Rate

Thursday, April 15

8 am - Noon/2 - 5 pm: Developing the Master Adaptive Learner: Strategies for Teaching, Learning, and Assessing Clinical Reasoning presented by Gail Jensen, PT PhD, FAPTA, FNAP

8 am - Noon: Exercise Prescription and Progressions Targeting the Shoulder Region presented by Eric Chaconas, PT, DPT, PhD, FAAOMPT

8 am - Noon: Sleep - What the PT/PTA Needs to Know presented by Mark Shepherd, PT, DPT, OCS, FAAOMPT

8 am - Noon: We're So Smart and So Skilled! How to Make that Evident in Your Documentation presented by Jaclyn Warshauer, PT, CRC

2 - 5 pm: Spectrum of Falls Prevention Intervention - From the Health System to Community-Based Programs presented by Cristina O'Brien, PT, DPT, MPH, and Suzanne Ryer, PT, MPT, GCS

2 - 5 pm: Exercise Prescription and Progressions Targeting the Hip Region presented by Eric Chaconas, PT, DPT, PhD, FAAOMPT

2 - 5 pm: Integration of the Cervicothoracic Region for Patients with Upper Extremity Complaints presented by Mark Shepherd, PT, DPT, OCS, FAAOMPT

Friday, April 16

8 am - Noon/2 - 5 pm: Ballroom Basics for Balance™ presented by Susan Frikken, DPT, LMT

8 am - Noon/2 - 5 pm: Differential Diagnosis and Management of Headache and Temporomandibular Disorders presented by Garrett Naze, PT, DPT

8 am - Noon: Clinical Implications of Social Determinants of Health presented by Susan Wenker, PT, PhD, Denise Walbrandt Pigarelli, PharmD, R.Ph., BC-ADM, and Tracy Schroepfer, MSW, PhD

8 am - Noon: Private Practice Special Interest Group Course: Coming out of the pandemic better than before – Lessons learned from a variety of PT setting perspectives: A panel discussion presented by Rob Worth, PT, DPT, OCS, MTC, LAT

2 - 5 pm: Locomotor Training in Neurologic Populations: Time for a Paradigm Shift presented by Brittany Kennedy, PT, DPT, NCS and Ryan Gorecki, PT, DPT, NCS

2 - 5 pm: Student Course: Clinical Decision Making presented by Erik Gregersen, PT, DPT, OCS, FAAOMPT

Below is a link to telehealth payment updates as of January 19, 2021.  Please remember, payer policy is fluid!

Payment Updates

In honor of APTA's Centennial APTA Wisconsin members Gwyneth Straker, PT, MS, and Michele Thorman, PT, DPT, have created a timeline presentation detailing the founding of the Wisconsin chapter all the way through 2020 and our response to the COVID-19 epidemic.  

View the timeline here!

Below are payment updates as of January 6, 2021.  Please remember, payer policy is fluid!  Additional general payment information will be available in the January issue of PT Connections scheduled to come out this week.  

Payment Updates

Thank you for the opportunity to serve you!

Lynn Steffes, PT, DPT, APTA Wisconsin Payment Specialist

APTA Wisconsin is working with APTA and our lobbyists to advocate for PTs/PTAs in all practice settings in regards to vaccine distribution. A letter will be sent to the immunization program manager, Governor and DHS urging them to recognize PTs and PTAs as essential health care personnel who must be prioritized for purposes of COVID-19 vaccine distribution and administration. We will share more information via email and on the APTA Wisconsin website as it becomes available.

Additional information from the APTA can be found at https://www.apta.org/article/2020/12/22/vaccine-list

Below you will find information about the State Disaster Medical Advisory Committee (SDMAC) that is actively engaging the public as they plan vaccine distribution. Please know that their goal is to ensure the vaccine is distributed as quickly and responsibly as possible, when it is available. Vaccines will not be available all at once, and it is important to remember this will be a rolling process.

All meetings of the committee are open to the public and public comment is encouraged.

DHS Vaccine Website Vaccine Information
https://www.dhs.wisconsin.gov/covid-19/vaccine-about.htm

CDC Vaccine Guidance
https://www.cdc.gov/vaccines/covid-19/covid19-vaccination-guidance.html

State Disaster Medical Advisory Committee (SDMAC)

• All meetings are open to the public, and posted on the website https://www.dhs.wisconsin.gov/sdmac/index.htm
• All comments or recommendations can be submitted to DHSSDMAC@dhs.wisconsin.gov

Thank you to every candidate who stepped forward to run for a position. Your time throughout the nomination process, and your willingness to provide your skills and expertise for the benefit of APTA Wisconsin is greatly appreciated.

Chief Delegate
Jane Bernatovich

Director
Carmen Liebelt

Nominating Committee
Lauren Hogan, Krissa Reeves, Jeff Hartman, and Nicole Quarne

Delegates
Carlynn Alt, Chantel Hasman, Amy Taebel, Sheri Bunyan and Amy Helminski

Alternate Delegates
Dan Russo, Barbara Helgeson, Michael Cropes and Nathan Matje

Newly elected members will be sworn in this spring during the APTA Wisconsin business meeting.

As a follow-up to APTA’s first COVID-19 impact study, we now have state-specific survey data available. The charts in the Wisconsin focused report correspond to the charts found in the national-level report, https://www.apta.org/apta-and-you/news-publications/2020/impact-of-covid-19-on-the-physical-therapy-profession. 

There were 175 survey respondents for Wisconsin.  While the number of respondents was lower, there were similiarities between Wisconsin and the national data.  You can review the state specific numbers here

.  

Physicians and Other Clinicians: CMS Flexibilities to Fight COVID-19

Great news for therapists and their Medicare patients!

Page 1 of the fact sheet (https://www.cms.gov/files/document/summary-covid-19-emergency-declaration-waivers.pdf) says:

Eligible Practitioners
Pursuant to authority granted under the Coronavirus Aid, Relief, and Economic Security Act (CARES Act) that broadens the waiver authority under section 1135 of the Social Security Act, the Secretary has authorized additional telehealth waivers. CMS is waiving the requirements of section 1834(m)(4)(E) of the Act and 42 CFR § 410.78 (b)(2) which specify the types of practitioners that may bill for their services when furnished as Medicare telehealth services from the distant site. The waiver of these requirements expands the types of health care professionals that can furnish distant site telehealth services to include all those that are eligible to bill Medicare for their professional services. This allows health care professionals who were previously ineligible to furnish and bill for Medicare telehealth services, including physical therapists, occupational therapists, speech language pathologists, and others, to receive payment for Medicare telehealth services.

On page 32 it says an effective date of March 1, 2020 and on page 31 it says that “Waivers under Section 1135 of the Social Security Act typically end no late rthan the termination of the emergency period, or 60 days from the date the waiver or modification is first published. The Secretary can extend the waiver by notice for additional periods of up to 60 days, up to the end of the emergency period.”

This means that PTs can do true telehealth billing a limited set of CPT codes: 97161- 97164, 97110, 97112, 97116, 97535, 97750, 97755, 97760, and 97761. 

MADISON — Gov. Tony Evers today issued Emergency Order #22 to position the Wisconsin Department of Safety and Professional Services (DSPS) to continue providing its critical services by giving it flexibility to adapt to the new environments and circumstances due to the COVID-19 public health emergency. It covers a range of service areas and constituents, including fire departments, construction services, physical therapists and certified public accountants—all of which have faced new challenges as a result of this public health emergency.

Administrative Rule Suspensions and Orders

Admin. Rule: Wis. Admin. Code § PT 5.01(2)(b)

Description of Rule: Supervision of physical therapist assistants.

Status: Suspended in part as follows: “Have direct face-to-face contact with the physical therapist assistant at least every 14 calendar days, unless the board approves another type of contact.”

Admin. Rule: Wis. Admin. Code § PT 5.01(2)(h)

Description of Rule: Supervision of physical therapist assistants.

Status: Suspended in part as follows: “Provide on-site assessment and reevaluation of each patient’s treatment at a minimum of one time per calendar month or every tenth treatment day, whichever is sooner, and adjust the treatment plan as appropriate.”

Emergency Order 16 FAQ and Telehealth Guidance

Dear Health Care Provider,

The Department of Safety and Professional Services (Department) has received numerous inquiries regarding Emergency Order 16 and also the status of telemedicine/telehealth practice as a result of the COVID-19 public health emergency.

The emergency covers a wide range of issues across many health care professions. The order took action that will make it easier to quickly expand the health care workforce by readmitted those with expired licenses and by welcoming providers from other states. It will also enhance flexibility so providers can more effectively respond to areas of greatest need. Please read the order, linked above, and also reference this Frequently Asked Questions document for clarifications. Both address individuals who have expired licenses and wish to return to practice.

Also, the order addresses telemedicine specifically, but we have also received questions about telehealth practice for other providers. The practice of telehealth is generally allowed under existing Wisconsin law unless there is some profession-specific requirement or restriction. Credential holders must use their professional judgment to determine if telehealth is appropriate for the patient or client being treated, to abide by all other applicable rules of practice and professional conduct, and to be properly credentialed or authorized to practice in the state of Wisconsin. If someone can practice in Wisconsin via an Emergency Order, a compact, or a temporary or permanent license, that individual can practice telehealth in Wisconsin and provide services to Wisconsin residents to the same extent as similarly licensed Wisconsin practitioners.

The Wisconsin Medical Examining Board has the only telemedicine rule currently in effect in Wisconsin. This rule may be found at Wis. Admin. Code Med chapter 24. While this rule applies only to the Medical Examining Board, many of the concepts in this rule may be informative to credential holders in other professions. Here is a link to this rule. Note that portions of this rule were suspended when Governor Evers issued Emergency Order 16. Please review both Med chapter 24 as well as the statutory and rule provisions governing your profession when evaluating telemedicine/telehealth practice options during the COVID-10 public health emergency.

The Department is not able to answer legal questions regarding what the standard of care requires for any specific profession or any specific situation a credential holder may encounter. If practice-related questions arise, the Department encourages credential holders to consult with a supervisor, with their own private or institutional legal counsel, with their colleagues within the profession, or other sources familiar with their profession’s standards of practice. Profession-related statutes and rules can be found by clicking on a profession under the Rule/Statutes column here.

Also, there have been recent changes to Medicaid reimbursement of telehealth services. The Wisconsin Department of Health Services issued guidance on telehealth reimbursement changes and status during the COVID-19 public health emergency. The guidance is available here. The Office of the Commissioner of Insurance has also sent this letter regarding related insurance (malpractice) issues to insurers.

This information will be posted to our website. Please visit often, as we are updating it daily as decisions are made and new information is available.

Sincerely, 

Dawn B. Crim

Secretary-designee 

Department of Safety and Professional Services