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HomeAdvocacy and Policy

Patient-Driven Payment Model (PDPM)

AOTA Continuing to Work With CMS on PDPM Changes
From AOTA: Please share your PDPM experiences with us at so AOTA may continue to monitor these issues. Include the name of your employer, your state, and the specific situation or policy being implemented as a result of PDPM. For updates, go to Skilled Nursing Facilities Patient Driven Payment Model Web page.

Beginning on October 1, 2019, skilled nursing facilities (SNFs) will be faced with a new payment model that eliminates and replaces the current Resources Utilization Groups (RUG) for Medicare Part A beneficiaires. The new payment model will focus on patient characteristics and needs instead of the number of therapy minutes provided. Therapist will be encouraged to give the patient the amount of therapy that will help best help the patient instead of providing the number of minutes that coincides with a certain RUG level. 

The Centers for Medicare & Medicaid (CMS) will continue to track the amount of therapy provided to each patient and therapist will need to demonstrate improvements in the following areas:  
 - Activities of Daily Living (ADLs)
- Instrumental Activities of Daily Living (IADLs)
- Behavioral & Psychosocial Skills
- Falls Prevention
- Vision
- Functional Cognition
 Important articles: 
The Future is Now: How Occupational Therapy Can Thrive
Eight Ways to Prepare for the Skilled Nursing Facilities Patient Driven Payment Model (PDPM) - has links to FREE CE Webinars

Visit for the latest updates! 
Let us know at if you have questions or concerns

Patient-Driven Groupings Model (PDGM)

PDGM: Navigating Payment Changes in Home Health
AOTA is hosting a one-day conference on November 19th on PDGM in Silver Springs, MD focusing only on PDGM! This conference is available in-person and live stream and there are plans to make the sessions available after the conference. You can earn up to 5 hours of CEUs! Be sure to watch the session by Karen Vance and our very own Director of Practice, Clarice Miller. Go now and register and learn how to advocate for occupational therapy and identify how PDGM will impact your practice.  #OTHomeHealth

Beginning January 1, 2020 a new payment model will be implemented by the Centers for Medicare & Medicaid (CMS) for Medicare Home Health Part A. This payment change eliminates reimbursment based on therapy thresholds and instead provides bundled payments based on a variety of factors including Functional Impairment Level.

Check out these AMAZING resources listed below.  
Let us know at if you have questions or concerns



WHEN: March 4, 2020
WHERE: Jefferson City, MO
WHAT: Come to Jefferson City and meet your Representatives to advocate for the advancement of occuaptional therapy, network with other students and practitioners, develop leadership and public speaking skills!


  • Interested in joining the Legislative Task Force?
  • Email
  • Must be an active member to join
  • Virtual meetings  held predominately on the last Wednesday of each month. 
  1. Have a legislative, regulatory, or policy concern?
  2. Have questions about how to become involved in practice/advocacy related efforts? 
  3. Have an idea for a coalition or legislation we should support?