Expanding telehealth
The delivery of occupational therapy (OT) services via telehealth expanded exponentially after the COVID-19 pandemic emerged in 2020. Congress, the Centers for Medicare & Medicaid Services (CMS), State governments, and private insurers reacted quickly to allow OT services to be provided via telehealth. However, much of this expansion will end when waivers enacted by Congress end. AOTA is working to ensure that this expansion becomes permanent.
Why telehealth matters
The rapid expansion of telehealth as a delivery mechanism for OT services during the PHE has enabled occupational therapists and occupational therapy assistants to demonstrate the clear value of occupational therapy services provided via telehealth. This has been especially beneficial for people in rural and other underserved areas and to those for whom travel to receive services was already a barrier to access, including people with disabilities.
OT practitioners report that telehealth has reduced delays to care, made it easier to connect with caregivers, and identify challenges within the home environment. In many ways, occupational therapy is a perfect match for telehealth to enable completion of one of the key aspects of occupational therapy: defining and enabling function within a specific context and environment, such as a patient’s home.
Contact your policymakers
The COVID-19 pandemic enabled OT providers and patients to learn the value of occupational therapy services provided via telehealth. Temporary waivers enacted by CMS enabled occupational therapy practitioners to continue to provide essential therapy sessions despite closures and other service disruptions during and after the Public Health Emergency (PHE). However, once these waivers end, so too does the ability for occupational therapy practitioners to provide services to Medicare beneficiaries via telehealth.
You can help make telehealth a permanent part of OT services under Medicare by contacting your Members of Congress today and asking them to support the Expanded Telehealth Access Act.
Related resources
Occupational Therapy and Telehealth: State Statutes, Regulations, and Policy Documents
Download a state-by-state chart of telehealth laws, regulations, and guidance impacting licensing agencies, Medicaid, and commercial insurance.
Billing telehealth services to Medicare during the COVID-19 public health emergency
Article discussing Medicare's 2020 policies for occupational therapy practitioners to bill telehealth services.
CMS adds new codes to telehealth list for remainder of PHE
List of CPT codes that occupational therapy practitioners can use until the end of the PHE.
Commercial insurance plans adding OT telehealth services during COVID-19
Resources and updates on telehealth coverage for occupational therapy services.
More details on the Expanded Telehealth Access Act
Recorded presentation on the Expanded Telehealth Access Act from AOTA's Hill Day.
Advocacy "one-pager" on the Expanded Telehealth Access Act
Information on the Expanded Telehealth Access Act to share at meetings with your Members of Congress.