AOTA's ACOs and Medical Homes Fact Sheet 2012

OT Connections



American Income
Life FAQ

Fund Raiser
Quilt Note Cards

Physician Quality Reporting System

100 Stories


Pediatric Hand Therapy and Splinting: The Perfect Storm

Visceral Manipulation: the Torax (VM4)

KT3: Clinical Concept and Advanced Whole Body Application

KT4 Specialty Pediatric Concepts

KT4 Specialty: Neurological Concepts of the Kinesiotaping Methods

Safe Travel for All Children: Transporting Children with Special Needs

Personal Beliefs Regarding Sexual Education

Academic Experiences OT Clinicians Perceive as Valuable to Development of Clinical Reasoning

Factors that Facilitate or Impede Research


Thank you for making this year's
TOTA Mountain Central Conference a success!
Mark your calendar for next year's conference.
We hope to see you there!

TOTA Mountain Central Conference 2015
November 6-8, 2015
Renaissance Richardson Hotel
Richardson, TX

Introducing the new TOTA Career Center!
We will soon be upgrading the Career Corner program to better meet member needs. You can take a look now as we transition.
Go to the new Career Center...


School-based Practice Resource

Texas Department of Insurance-Division of Workers' Compensation
Announces Enforcement Actions

Open/Download the file here

Medicaid and CHIP FAQs: Services to Address Autism
Open/Download the file here

Finalized DWC Form-026 and DWC Form-069
Open/Download the file here

Information from HHSC about the ADL Code 97535
Reminder About CSHCN Prior Authorization Requirements
Additional Therapy Procedure Codes Require Separate Prior Authorization
Correction To "Additional Therapy Procedure Codes Require Separate Prior Authorization"

Recent Publications from TDI-DWC
Electronic Billing Requirements
Benefits - Guidelines for Medical Services, Charges, and Payments
Medical Bill Reporting
Medical State Reporting FAQS
Texas EDI Medical Data Element Requirement Table
Texas EDI Medical Different Table
Medical State Reporting of Claim Adjustment Reason Codes
Texas EDI Medical Data Elements Edits Table

Autism Spectrum Disorders - States of the States of Services and Supports for People with ASD (commissioned by CMS - 1-24-14)
Clarification of Medicaid Coverage of Services to Children with Autism (CMS 7-7-14)
EPSDT - A Guide for States (CMS June 2014)
Washington Autism Alliance and Advocacy, et al v. Douglas Porter (Washington Federal District Court Settlement Agreemen)

Health and Human Service Commission Cost-Containment Initiatives
Download the file.

From Novitas: New and Improved Local Coverage Determination (LCD)/Medical Policy Search Lookup Tool
Beginning, June 13, you have access to the new LCD/Medical Policy Search Lookup Tool. To assist you in navigating this new tool, we created Step-by-Step Instructions with screen images as well as Frequently Asked Questions.

Splint Reimbursement
Dowlnload the file.

Implementation for ICD-10 Delayed
The October 1, 2014, implementation of International Classification of Diseases, 10th revision (ICD-10) has been delayed with the signing of House Bill 4302 into law.

The Secretary of Health and Human Services may not, prior to October 1, 2015, adopt ICD-10 codes sets as the standard for code sets under section 1173(c) of the Social Security Act (42 U.S.C. 1320d-2(c)) and section 162.1002 of the title 45, Code of Federal Regulations.

Additional details will be made available when further direction is received from the Centers for Medicare and Medicaid (CMS) and the Health and Human Services Commission (HHSC).

For more information, call the TMHP Contact Center at 1-800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 1-800-568-2413.

Medicaid Policy Development Update
Download the file (docx)

TDI-WC Update
Download the file (docx)

TDI-DWC Announces Transition to ICD-10 Code Sets
Download ICD Memo

Texas Department of Insurance
Division of Workers' Compensation

New CMS 1500 form effect April 1, 2014

Texas Medicaid Benefits Changes
PT and OT Benefits to Change for Home Health for Texas Medicaid
PT, OT, and ST Benefits to Change for Acute Services for Texas Medicaid
PT, OT, and ST Benefits to Change for CCP for Texas Medicaid Effective January 1, 2014

Jackson Walker Health Care e-Alert:
Providers Beware: Exchange Products May Mean Increased Risk for Your Business

From AOTA: Write your elected officials!

Mental health legislation.
AOTA Federal Affairs is focused on expanding opportunities for occupational therapy in mental health. Our current bill, H.R. 1037, the Occupational Therapy in Mental Health Act, would allow certain practitioners who go into mental health to qualify for student loan forgiveness. Between health care reform expanding access to mental health services for millions of people, and a new Congressional focus on providing behavioral health services in the schools, now is the time to help lawmakers understand occupational therapy's role in helping people with mental and behavioral health disorders participate in everyday life, and to gain support for H.R. 1037.

Medicaid Proposed Therapy Services Rates
Click here

Functional Limitations/G-code
Frequently Asked Questions

The Affordable Care Act
New from MedPAC: June 2013 Report to the Congress.
Frequently asked questions are posted on the Texas Medicaid Healthcare Partnership website.

Repeal the Therapy Cap
AOTA Legislative Action Center

CMS News
Medicare Learning Network Matters 8005
CMS Transmittal 2622-Billing Requirements
CMS Transmittal 2600-Therapy Cap

Texas Medicaid Resource
Texas Medicaid Healthcare Partnership (TMHP) offers an excellent resource. Please note that you will have to create an account to use this site.

Referring-Only Providers must enroll in Medicaid
Download the file

Shop TOTA at for Books and Supplies!
The TOTA Bookstore is now available at, stocked with books and supplies selected just for your education and to support your practice. Take a look! TOTA @

New Medicare Administrative Contractor: Novitas Solutions
Frequently Asked Questions About Medicare Outpatient Services

District News

January 21, 2015 Gulf Coast East District will host a workshop.

February 18, 2015 Gulf Coast East District will host a workshop.

March 25, 2015 Gulf Coast East District will host a workshop.

April 15, 2015 Gulf Coast East District will host a workshop.

May 20, 2015 Gulf Coast East District will host a workshop.


The Texas Occupational Therapy Association (TOTA) is a non-profit professional association incorporated in Texas. TOTA is an affiliate of the American Occupational Therapy Association, Inc.

The Texas Occupational Therapy Association was established for the benefit of professionals and students of occupational therapy. Membership services includes public relations materials, legislative information, practice forum, educational meetings and student services.

Additional services provided by the association include a research foundation (TOTF) and political action committee (TOTAPAC). Please follow the links to learn more about the function of these entities.

The mission of the TOTA is to be responsive to the professional development, information needs, and educational requirements of its members; to advance and improve the practice of occupational therapy for the benefit of the consumers; and to anticipate and respond to the organizational, political, economic and social features of the health care delivery system at the local, state and national levels.

Our Goals:
Serve the Membership
Serve the Profession and the Consumer It Serves
Maintain a Viable Organization Which Supports Its Purpose, Objectives and Functions.

Licensing in Texas is through the Texas Board of Occupational Therapy Examiners (TBOTE). You can access the TBOTE web site by following this link. The licensing board can also be reached by phone at 512/305-6900, by e-mail, or by regular mail at:

333 Guadalupe, Suite 2-510
Austin, TX 78701-3942

Executive Council of Physical Therapy & Occupational Therapy Examiners: Licensure / Regulations / Practice Issues

TOTA Officers, Chairs, and Administration
Executive Officers
President Judy Skarbek
Vice President Ping Law
Secretary Debora Ridener
Treasurer Shari Felton
District Chairs
Alamo South Larry Duron
Capital Centex Leonette Toone
Great Plains West Cynthia Tiongco
Gulf Coast East Jason Stark
Rio Grande Cecilia Fierro
Trinity North Tara Alexander
Executive Director Mary Hennigan
CE Provider Services Kami Lusson
Vendor Services Vicki Mason
Member Services Debbie Mincher

TOTA thanks our website sponsors and invites you
to visit them online by clicking on their logo.