In The News

SE District Event - Sept. 3rd: Functional Medicine in Physical Therapy

Posted: July 22, 2019

Join the Southeast District on September 3rd from 6:30 - 9:00 pm for the "Functional Medicine in Physical Therapy" workshop. The workshop will be held at Rezac and Associates located at 855 Citadel Dr. Colorado Springs, CO 80909 presented by Dyanna Rezac.

Cost to attend: 

  • APTA PT/PTA Members: $10
  • APTA Student Members: $5
  • Non-Members: $20

Click here to register!

 

APTA Colorado Association – AIM Utilization Management Notification

Help is needed both from Physical Therapists and the consumers of Physical Therapy services. What can you do?

Dear APTA Colorado Members,

As many of you are aware, Anthem Commercial (CA, CO, CT, GA, IN, KY, ME, MO, NV, NY, OH and WI) contracted with AIM Specialty Health for utilization management of Physical Therapy services which was to begin on 7/1/2019. Leaders of Colorado APTA have been working with leaders in the above-mentioned states and with National APTA in preparation for this rollout.

As we have approached the rollout of the program for 7/1/2019, APTA Colorado identified problems in the AIM utilization management (UM) that were system wide and very substantial. Due to these issues, providers have been unable to transition thousands of patients nationally into the AIM portal.

APTA National and multiple state Chapters (including Colorado) have been actively relaying concerns and specific examples of challenges in the AIM UM roll-out to Anthem BCBS and AIM, including face to face meetings.

The Colorado Chapter was notified July 2nd, 2019 that the implementation of AIM authorization for Anthem‘s Commercial Membership is temporarily delayed.

Notification received from AIM is as follows:

“Due to recent system issues, the July 1st implementation of the AIM Rehabilitative program for Anthem’s Commercial Membership is temporarily delayed. The system issues have been associated with portal connectivity, provider data and membership eligibility information. Effective today until July 31st, for requests in progress and for new requests, coverage for PT/ST/OT visits will not require a pre-authorization. The AIM Provider Portal and the AIM call center will begin accepting requests July 17, 2019 for dates of service August 1, 2019 and after. As we work to resolve these issues, we will also use it as an opportunity to provide additional training opportunities. Access the AIM Rehabilitation Provider Portal to register for an upcoming session. There are many resources to assist you (Portal Login/Registration Issues (800) 252-2021) and Rehab Questions [email protected]). We are dedicated to providing an efficient environment for providers to deliver effective therapy care and help patients avoid costlier invasive surgical procedures.”

The Chapter has been informed that as Orthonet is no longer a contracted entity with Anthem, that authorization through Orthonet is not required at this time.

National APTA and APTA CO continues to seek ongoing dialogue with Anthem and AIM, and further meetings are planned. We are aware on significant challenges with finding patients in the new AIM system, significant time delays for providing patient care and a lack of accurate listing of providers in the online database. We are concerned with claim denials based upon the potential inaccurate listing of providers in the AIM database.

Help is needed both from Physical Therapists and the consumers of Physical Therapy services. What can you do?

Physical Therapists:

We have attached a document you can provide to your clients: “Patient Advocacy Template Colorado Final Version”

APTA CO will continue to work on a State and National level to address the challenges and obstacles with this new UM requirements. The new APTA Colorado Utilization Management Discussion Circle will serve as a mechanism to provide ongoing updates.

Respectfully,

Cameron W. MacDonald, APTA Colorado President
Audrey Waldron, APTA Private Practice Chair
Stefan Van Dursen, Interim Practice Chair

 

PSIG Education: Incorporating Resistance Training in Children with Cerebral Palsy, Other Disorders

Tuesday, June 11, 2019
6:45 PM - 8:30 PM MDT

Target Audience: 
Clinicians, families, and individuals impacted with neuromotor diagnoses

Cost:
$10 for APTA members and $20 for non-members, student members are free

Continuing Education:
Category 1 - 1 point

Location: 
Regis University
Peter Claver Hall Room 210
3333 Regis Blvd, Denver, CO 80221
Parking information: Lot 4 Lower Lot for $1/hour; $3/evening; free parking on streets; r
emote Participation connection information will be provided upon registration

CLICK FOR COURSE DESCRIPTION, LEARNING OBJECTIVES, PRESENTERS & REGISTRATION

 

 

Members-Only: Notification of New Utilization Management for Anthem BCBS - Colorado

Effective July 1, 2019, Anthem BCBS is implementing a new utilization management program for its commercial enrollees in Colorado using AIM Specialty Health. 

APTA and several of the chapters sent a number of questions to AIM/Anthem. 

APTA Colorado members can review national and local APTA recommendations by clicking here (you must be signed in to this website to view). 

 

Meet Your Leadership: Audrey Waldron

Posted: May 9, 2019 

Over the next few months, the nominating committee is sharing stories by your current APTA Colorado leadership as we approach the fall elections.  Today’s spotlight is on Practice Director Audrey Waldron.

Audrey Waldron - Current Practice Director of the Colorado Chapter

 

What are some of your obligations and tasks in your current leadership position?

My present role as Practice Director at large on the Board of Directors requires participation in board functions such as attending 4 meetings/year and participating in online discussions.


Why were you interested in your current position?

To be able to provide experience to the Board on issues based on many years serving in a variety of roles within the Chapter.


Why did you become involved in the Colorado chapter?

I first became involved in the Colorado Chapter of the APTA in 1994 when a mentor asked me to run for a position in the Mile high district. Unbeknownst to me, this position afforded me seat on the board of directors.  I was young and inexperienced with Chapter activities, but the additional mentorship and the relationships I developed with colleagues in this role broadened my views and continued to open up many doors of opportunities that I would never have known to be possible.  I have volunteered my time to serve the Colorado chapter for 25 years and I can truly say the return on investment has been exponential! I have grown personally and professionally and am very thankful for the relationships developed over these years.


What is one (or more) of your favorite parts about holding this position?

Continued involvement in Chapter activities to assist in moving the profession of Physical Therapy forward in Colorado.  It is inspirational to be able to collaborate with knowledgeable and talented colleagues that practice in a wide array of practice and academic environments that continues to broaden my scope of thinking outside of my practice area.


Would you like more information?

Click for more information on the Colorado chapter leadership

Click for more information on leadership positions for the 2019 election

Click if you would like to submit your name for nominations  
 
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