STATE LEADERSHIP CONFERENCE
have gone up and Medicare rates have stayed stable, Medicaid
reimbursement has declined. To help other psychologists
learn about the codes and their use in Medicaid, Gillaspy
and other psychologists are developing a database with links
to information on health and behavior codes in Medicaid
programs that use the codes, plus information on minimum,
maximum and average reimbursement.
In Missouri, psychologists are fighting a battle against a
new state Medicaid rule that requires psychologists to undergo
special training to use the health and behavior codes in health
homes and to get recertified every two years, all at their own cost.
Several strategies help in these kinds of battles, said Chuck
Hollister, PhD, executive director of the Missouri Psychological
Association. Cultivate relationships with legislators to create
champions. Enlist the help of APA, which discovered that
Missouri was the only state with this kind of educational
requirement. And remember that your scope of practice gives
you the right to treat the psychological aspects of physical illness.
“We’re not going to have our scope of practice
compromised,” said Hollister. n
Rebecca A. Clay is a journalist in Washington, D.C.
visit Capitol Hill
Laurel Stine, JD, of the APA Practice Organization, and Dr. Cathleen Rea
and Dr. Paul Perrin from the Virginia Psychological Association build on
an established relationship with Rep. Rob Wittman (R-Virginia).
Dr. Patricia Walz talks with Sen. John Boozman
(R–Ark.) about the inclusion of psychologists in
Medicare’s physician definition.