Regulatory and Payment Advocacy News
Medicare Opt Out for PTs

Congress introduced bipartisan legislation this week to allow PTs to privately contract under the Medicare program; known as the Medicare Patient Choice Act (H.R. 4204).

Home Health Proposed Rule

Proposed 2026 Home Health Rule: Implementation of PDGM Leads to 6.4% Cut APTA will submit comments on the effects of its statutorily required, temporary adjustment that leads to a steep decline in reimbursement. 

Direct Access Advocacy

APTA’s Report on Direct Access Is a Tool for Action equipping health care leaders with the scientific evidence they need to address opposition to direct access and drive meaningful change.

Anthem Time Units Advocacy

APTA urges the insurer to revise the policy and has created a template letter for members to add their voices to the advocacy effort. APTA urges the insurer to revise the policy and has created a template letter for members to add their voices to the advocacy effort.

Novitas Plan of Care Signature Exception

Thanks to APTA and AOTA the updated FAQ confirms that a signed and dated referral, along with documentation that the plan of care was sent to the referring provider within 30 days, now satisfies certification requirements — easing administrative burdens and improving patient access to care.

Prior Authorization Advocacy

In light of continued challenges facing patients and providers, APTA is encouraged by commitments made by major health insurance plans in a recent meeting with HHS and CMS to address reforms to the burdensome prior authorization process. Read APTA’s statement.

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