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HomeAdvocacy and Policy


MO Practice Act: The MO OT Practice Act does not restrict occupational therapy practitioners from engaging in telehealth. Supervision requirements of OTA must still be followed. 

Medicaid: Occupational therapists are approved providers for telehealth under MO Medicaid if they are registered provers through MO HealthNET
Read More on telehealth and COVID -19 for MO Medicaid
MO Medicaid Provider Bulletin on Telehealth
MO Medicaid Therapy Provider Manual

Licensing: MO Medicaid has waived the requirement that in order to treat patients in MO via telemedicine/telehealth, health care providers must be fully licensed to practice in MO. MHD allows practitioners to bill for telehealth as long as they are licensed in the state where they practice. This is only effective under the 1135 wavier for the State of Emergency in MIssouri. Providers must still be enrolled as MHD providers. 

Medicare has approved occupational therapy as a covered service for telehealth under the State of the Emergency in states that are currently experiencing the emergency. There has been expansion of coverage for e-visits but there are numerous restrictions. Read more at AOTA's COVID-19 Telehealth Update

TAKE ACTION to support the passage of the CONNECT for Health Act (H.R. 4932/S.2741) would allow Medicare to approve telehealth coverage for occupational therapy and other therapy services. Senator Roy Blunt and Representative Ann Wagner has already co-sponsored this bill so be sure to thank them for their support and ask for action. Share your story now!

Follow AOTA's updates at and be sure to take their short survey to share your COVID-19 experiences. They can't help if they don't know what's going on. 

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 hosted a one-day conference on November 19th on PDGM in Silver Springs, MD focusing only on PDGM! The conference sessions are now available for purchase individually or as a group on AOTA's CEU store. 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. 

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


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