Open letter to the NYS Early Intervention Program



It is important for families to understand how dysfunctional our municipal entities are in administering healthcare systems.  The current problems with the municipal early intervention program underscores ABC Therapeutics' commitment to providing private services for families through their own health insurance plans.  Still, there is a need for a municipal system that serves as a social safety net - I am just not sure if there will be any providers willing to work in those systems if things continue down this road.  -CJA


Brad Hutton, Director
New York State Department of Health
Bureau of Early Intervention
Empire State Plaza
Corning Tower, Room 287
Albany, NY 12237-0660

February 14, 2013

Dear Mr. Hutton:

I am in receipt of the recent email announcement regarding cut off dates for transfer of responsibility for early intervention billing from the Counties to the State that will be effective 4/1/13.

There is a concerning lack of information in this email given that there will be significant changes to the billing systems in the very near future.  In fact, I have not even received any kind of contract from NY State that will outline the new relationship that will begin in just 45 days.

Most importantly, the email states that information about billing methodology will be sent to providers in mid-March.  That will leave only two weeks' notice to interpret the guidelines and to develop systems for billing.

I am an agency provider and I employ several therapists who work in the Early Intervention Program.  Payment delays are already routine and planned for given the known reimbursement cycle from the Counties.  The unknown billing system that will be implemented in 45 days by the State and unknown reimbursement cycle is a severe threat to the employment of many people who work for the Early Intervention Program.

I suspect that larger agency providers will be able to absorb the uncertainty of these times, but as you are aware, a very large number of small agency and individual providers are under threat.  No one can operate a small business under a situation where the billing methodology is unknown and the reimbursement cycle is unknown.

This lack of functional communication to the providers who serve the Early Intervention Program can place the system in jeopardy.  Even if large agencies are able to absorb payment delays it is unlikely that they will hire up all of the smaller providers who have to leave the system.  Shortages of providers is a real potential problem. 
 
Early intervention is just a fractional portion of my private practice, but I am concerned that it may soon be an even smaller portion because quite frankly I don't know how I am supposed to provide services to a program that seems to be taking steps to purposefully implode.  This has all the appearances of a planned demolition.

If it is not the government's intention to purposefully implode this program, I suggest delaying implementation of a new billing system and providing at least a 2 month window so providers can plan for and implement the new billing processes and plan for a possibly new reimbursement cycle.  I am not fighting the changes, sir; I am only interested in having a reasonable notice period so I can actually review the pending contract  and figure out how the new relationship will pragmatically work.  I want to continue employing people who will work under your program.  Will NY State allow this?

The provider community for the Early Intervention Program has been patiently waiting for guidance.   Two weeks' notice is unreasonable. 


Sincerely,

Christopher J. Alterio, Dr.OT, OTR
Owner, ABC Therapeutics

Comments

Leslue Grubler said…
Your use of the word "implode" is similar to ours. We continue to be concerned about the future of NYS E I.
6:03 AM
Christopher J. Alterio said…
Perhaps the most amusing events of the last few days are the SPAM emails I am getting, even from some local providers (GLARE!)trying to advertise their new 'pay for access' subscriptions to websites that promise you insider knowledge on how the SFA will work and how to work with private insurance companies.

Only in America.

What the profiteers will not be able to tell you is how long it will take for the unknown SFA to adjudicate a claim. They also won't tell you that Director Hutton has made public comments that the DOH is only required to make QUARTERLY payments and they are the ones who will be processing claims until the SFA is implemented.

I don't charge for info. Or accept advertising. Or attempt to blatantly profit off of ugly situations. I find such behavior unseemly.
7:26 AM
Post a Comment

Popular posts from this blog

On retained primitive reflexes

Each year I receive several emails from colleagues about 'retained primitive reflexes.'  I am also seeing an increased number of reports from local 'health care' providers who are documenting these alleged problems so I thought I would write a summary of my opinion on this topic.   Predatory 'health care' providers including some OTs, PTs, chiropractors, and behavioral optometrists are creating a new 'market' for treating this alleged 'problem.'  Parents should be very wary of these practitioners and other professionals should challenge these practices whenever they are seen. The following is the kind of information that causes concern and was provided to me by a colleague as a sample from a student's IEP: The student continues to demonstrate the following retained primitive reflexes that at times interfere with his ability to demonstrate appropriate adaptive responses: Fear Paralysis Reflex, Moro Reflex, Palmer Reflex, Tonic Labyri...
Read more

Deconstructing the myth of clothing sensitivity as a 'sensory processing disorder'

Please note first that there is no formally recognized clinical designation of  'sensory processing disorder.'   It is a term constructed by occupational therapists that has not been formally recognized by the larger medical community. In our clinic we receive many referrals from local pediatricians when parents have concerns about children being overly sensitive to their clothing.  Most often the children referred are from four to seven years old and the families are severely disrupted by the children's behaviors and responses to clothing issues.  Commonly, children will have severely constricted tolerance for certain outfits, want to wear the same clothes repeatedly, complain that clothing is itchy/scratch/bumpy/wiggly/ouchie, and this all leads to disruption of daily dressing routines.  There is no doubt that the behavioral concerns are very real. The pediatricians tend to be appropriately conservative and provide families with good behavioral manage...
Read more

Occupational therapy education: How to navigate in a Perfect Storm

Image
Please click on and read all of the links - they include critical information that is required for this analysis.   A little over four years ago I stated that there are too many occupational therapy educational programs in New York State .  At the NYSOTA conference legislative information session in 2023 I stood up and suggested that we should all stop taking jobs at these institutions that were seeking to develop new programs.  I thought that if we did not take those jobs that the problem would be solved.  That was not realistic or correct, even if the intention was good. Well karma tends to strike when you make public pronouncements, so I thought I should expand on my perspectives on this topic. At current count there are still ~22 occupational therapy programs and ~11 occupational therapy assistant programs in NY.  Most of the programs are delivered at the master's level.  There are a very small number of entry level doctoral programs, but some of t...
Read more