Telehealth

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 and are enrolled in their own state Medicaid Program.  This is part of a federal mandate. This is only effective under the 1135 wavier for the State of Emergency in MIssouri. Providers must still be enrolled as MOHealthnet providers.  for more information, follow the link below
https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/

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. 

Follow AOTA's updates at https://www.aota.org/coronavirus for the latest information and practice guidance!

Medicaid Expansion

Medicaid expansion was approved by Missourians on August 4th. This was a Constitutional Amendment so it must be implemented as written. MOTA is following this situation closely and will be looking for ways to advocate for occupational therapy services.

MOTA Goals:

1. Expand coverage of OT services to include adults on Medicaid
2. Expand coverage to include OTAs as qualified providers
3. Increase reimbursement

What MOTA is Doing:

1. Hired a legislative consultant
2. Building startegic relatinoships with leadership
3. Research current Medicaid payment structure
4. Identify opportunities to cause change
5. Advocate for inclusion of OT in bills related to Medicaid Expansion

AOTA Resources

Federal Advocacy: www.aota.org/takeaction

PDPM - SNF

Value-Based Care Resources

PDGM - Home Health Part A