Local Payor Updates: 

Huge win! Blue Cross Blue Shield Increases max allowable per visit! : Sign in to your BX account for detailed description

Blue Cross Blue Shield Removes referral requirements effective Jan. 1st 2024 for PT and OT services under the following products: 



• All Medicare Advantage Plans, Blue CHiP Direct Advance, Blue CHiP w/Flex, Network Blue NE, Network Blue NE Options and Blue Choice NE

Summary of CMS' Physician Fee schedule and final rule adapted from APTA 2024 PFS and Final Rule update 

• Fee schedule ~3.4% reduction to the conversion factor. – APTA advocating with congress to reduce in full to keep PT's whole. $240.00 deductible, Threshold for use of KX modifier for PT/SLP $2,330.00 , Medical Review Threshold remains at $3000.00 through 2027  

Click Read More for summary of Telehealth, MIPS Rule, PTA Supervision and New Caregiver Training Codes

Thank you for your support during the 2023 legislative season! The Legislative Action Committee will resume our advocacy work for the 2024 Legislative session in January. We will be collaborating again with The Mayforth Group lobbyist team to ensure access to care for our patients and protect PT practice from outside threats. Introduced legislation will include bills regarding the National PT Compact, Physical Therapy Copay Parity, and Graduate Licensure reform. We are always looking for colleagues to join our cause! If you have any interest in joining the team or questions regarding Rhode Island PT Advocacy, please reach out to Greg Doucette