Help Stop The Therapy Cap!

Posted on February 18, 2014


On December 18, 2013 Congress passed a short-term fix, extending the therapy cap exceptions process through March 31, 2014.  If Congress does not take action a hard therapy cap will again be imposed on Medicare-covered physical therapy, occupational therapy, and speech language pathology services in April. We need to take action NOW to ensure the cap does not go back into place.

How does this affect you?
Effective January 1, 2014, if you receive therapy services in a private practice, a physician’s office, an outpatient hospital department, a skilled nursing facility under Medicare Part B, or a rehabilitation facility, the $1,920 therapy cap with an exceptions process will apply to you.  If Congress does not take action a hard therapy cap will be imposed which means Medicare will only cover $1,920 worth of therapy regardless if your treatment is complete.

It is important that you understand the basic facts about the Medicare therapy cap policy. You are encouraged to speak with your physical therapist to learn more about 2014 Medicare therapy cap guidelines and exceptions.

What can you do?
Please contact your members of Congress by going to APTA follow their instructions from there to repeal the therapy cap (H.R. 713/S. 367) once and for all. Before sending the advocacy letter provided to you from APTA, take a moment to personalize your message by writing a brief paragraph about the importance of physical therapy, occupational therapy, or speech therapy in your life.

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