Legislative & Payment

Checklist to Stop TPA Contact

We’ve experienced and heard reports from members about receiving frequent faxes, phone calls and emails from companies such as Providers Choice Claim Solutions and Multiplan attempting to get providers to sign a contract accepting a reduction in payment for treatment already performed and for future treatments. We have contacted the Hawaii Insurance Division about these…

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Recap of 2015 APTA State Policy and Payment Forum – Denver, CO

PAYER RELATIONS COMMITTEE RECAP: 2015 APTA State Policy and Payment Forum – Denver, CO September 19-21, 2015 By Patti Taira-Tokuuke, Payer Relations Co-Chair From a Payment perspective, the takeaways from the 2015 forum are that many states are facing very similar situations that we have in Hawaii: Increasing out of pocket (cost sharing) expenses for…

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Review of SGR/Therapy Cap Legislation

Review of SGR/Therapy Cap Legislation On April 14, 2015, the Senate passed the Medicare Access and CHIP Reauthorization Act (H.R. 2), which repealed and replaced the Medicare Sustainable Growth Rate (SGR) formula. The president signed the bill into law on April 16. Included in the bill was an extension of the Therapy Cap exceptions process…

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HAPTA Supports SB 791

HAPTA recently submitted testimony in support of SB 791, to provide requisite coverage for autism diagnosis and treatment by health insurers, mutual benefit societies, and health maintenance organizations, because no child with an Autism Spectrum Disorder in the State of Hawaii should go without proper treatment due to the cost of services. To learn more about HAPTA’s…

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Update to WC Fee Schedule – Opposed!

Thanks to the many PT folks who testified against the proposed Hawaii WC fee schedule changes for 2015.  We finally got word from DLIR Director Dwight Takamine that he will not go forward with the changes, but keep the current fee schedule. Upcoming changes in 2015: 1)      HMSA Akamai Advantage Plan Changes (higher out of pocket…

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Upcoming New Rules for Relicensure in 2016

Ongoing growth is part of being a professional.  The body of knowledge we acquired to practice has changed from the time we started and will continue to do so.  Most of us maintain our edge: attending continuing education courses; reading journal articles; participating; in study groups and incorporate this newfound knowledge in our patient care. …

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URGENT! – Update to PTA Licensure

Important Announcement for PTAs Pursuant to Act 220 (SLH 2013) and effective December 1, 2014, all PTAs must be licensed by the Board of Physical Therapy in order to provide physical therapy services in the State of Hawaii.  Any physical therapy services provided after this date without a license shall be considered to be unlicensed…

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