What is MSHA Doing Right Now?
OUR TOP 5
- We are gearing up for fall convention, and we are excited for all SLPs and AUDs to attend our conference. We have a fantastic line-up of presenters and events throughout the convention. Register and see more here: Fall Convention
- MSHA is working on a Bill with the State of Montana Legislature for Speech-Language Pathology and Audiology Assistants. This bill will enact licensure and registration of SLP and AUD Assistants. Read the draft of this bill here: SLPA bill draft Please feel free to contact our MSHA President, Lezlie Pearce-Hopper if you have any questions or concerns. You can reach her at firstname.lastname@example.org
- We are looking for nominations for MSHA Awards during our convention. Please email email@example.com if you have a nomination you’d like recognized for one of our many awards. To see last year’s winners and a description of each of the awards click here: MSHA Awards
- Check your mail for the last paper version of the Communicator. You can request a paper copy by emailing MSHA.
- We hope to see all of you in Helena in October!
Music with Bruce Anfinson Thursday Evening @ MSHA Fall Convention
“Montana’s Musical Ambassador” — that’s what the Bozeman Chronicle called Bruce Anfinson. With the state’s natural wonders and rich cultural heritage portrayed so well in his songs, it’s a well-deserved title.
Bruce Anfinson grew up along the Missouri River, in Great Falls, Montana, where the Great Plains meet the Rocky Mountains. His father loved to sing old Sons of the Pioneers tunes as well as classics by Bob Wills, Eddy Arnold and the like. Bruce was nine years old when his father bought him his first guitar and he learned to accompany his dad on these old tunes at family reunions and friendly get-togethers. He started writing a few songs as a teenager and later found that music is a great vehicle for traveling and seeing the country.
Bruce now lives near Helena, Montana. He has built his own home and state-of-the-art recording studio, where he makes recordings and raises huckleberries, horses and children, but as the Great Falls Tribune said, “What…Bruce Anfinson cultivates best are music and good times.” Anfinson’s five recordings Ballad of Minnie and Pearl, Handmade Saddle, Huckleberry Hill, Home is Where Montana Is, and A Cowboy Christmas attest to that. Anfinson often writes and performs songs about a universal subject: Food! He is known throughout the country for singing food tunes, such as Fresh Bread, Huckleberry Hill, and Homegrown Tomatos. His shows are filled with wonderful story telling and bad jokes, as well as his original and traditional songs.
The August 2018 edition of Big Sky Journal features an article on Bruce: “Local Knowledge: Home Is Where Montana Is”.
STATE ADVOCATES FOR MEDICARE POLICY (StAMP) STATE ADVOCATES FOR REIMBURSEMENT (STARs) HABILITATION AUGUST 2, 2018
LANGUAGE EQUALITY AND ACQUISITION FOR DEAF KIDS
LEAD-K (Language Equality and Acquisition for Deaf Kids) is a national campaign to promote language acquisition for children who are deaf and hard of hearing (DHH). LEAD-K focuses primarily on efforts to pass state legislation that would require prescriptive and duplicative efforts that may undermine the authority of IFSP/IEP team. This team focuses on ASL only typically and does not support cochlear implant, auditory perception and language therapy. According to Eileen Crowe, ASHA Director of State Associations Relations this organization is a threat to SLP’s and undermines parent choices. She is urging state associations to be aware of how quickly this association is gaining momentum and how powerful they are in moving to get legislation passed.
ASHA believes that communication access and educational placement must consider a variety of factors:
Emotional and Social development
In addition, ASHA supports early access to language either visual and/or listening-spoke, as well as a parent right to choose the most appropriate language and communication modality based on evidenced based information and the needs of the family.
ASHA has been a long-time supporter of early intervention services to support the acquisition of language for communication of the child’s critical years with qualified personnel providing appropriate assessment and intervention strategies.
WHAT IS ASHA DOING TO COUNTER THE LEAD-K MOVEMENT?
ASHA has opposed legislation in 12 states in 2018.
ASHA has developed a white paper outlining the issue. concerns and policy statement for the Board of Director approval.
ASHA is creating a HOT Topics page for the ASHA website with a summary statement. opposition talking points, an issue brief, sample letters to legislators and sample legislation.
ASHA is developing messaging to communicate with members, state legislators and consumers.
ASHA is scheduling meetings with other stakeholder groups=American Cochlear Implant Alliance, ASG Bell. AAA and the American Academy of Pediatrics to formulate a coordinated strategy and garner support.
ASHA lobbyists met with members of the Congressional “Baby” Caucus to discuss EHDI/Parents right to choose and LEAD-K
Members are reporting ongoing and more attempts to pass legislation by the ABA
ABA are acting as gatekeepers to insurers.
ABA has been reported recommending SLP services without an evaluation or input from a SLP.
ABA have been recommending AAC devices without an evaluation.
WHAT IS ASHA DOING?
ASHA has a HOT topics web page:
Considering a media effort to address the importance of Audiology and SLP services for children with ASD.
Developing of a clinical Claims Review page on ASD for payers.
Conferring with Autism organizations about collaborative efforts.
Monitoring/opposing legislation and regulation the defines/expands the scope of practice of ABA therapist.
Monitoring autism service mandates:
Ongoing concern is the scope of practice and use of billing codes by music therapists. Ten states now certify, register or license music therapists. The trend is for licensure which then permits use of SLP CPT billing codes.
OCCUPATION LICENSURE LEGISLATION ELIMINATION
A major trend has emerged to eliminate occupational licensure and legislation has been introduced in 8 states and passed in Missouri. Missouri will replace licensure with 3 certifications.
This legislation is moving to get rid of licensure. In Nebraska a law was passes to review 20% of occupational registry to meet least restrictive requirements.
Colorado. Kansas, Kentucky, Nevada, North Dakota, Oklahoma, Pennsylvania, Vermont, Louisiana and Nebraska along with Missouri have been faced with this legislative effort.
Seven million dollars has been allocated for the analysis of licensure requirements to develop action plans for alternative approaches to licensing for profession certification. Speech/Language Pathology and Audiology are main targets and many states are going up to Medical Doctors licenses as well.
This initiative is at the state levels. ASHA is strongly urging state associations to be aware of the danger. This will allow treatment in our professions by less skilled individuals and will undermine our ability to collect insurance and Medicaid reimbursement.
INTERSTATE COMPACT UPDATE:
Speech-language-hearing interstate compact (SLHIC)
Drafting team timeline:
Met in Washington, DC on May 21-22
Role of drafting team:
-Develops draft compact based on thoughts, ideas sand suggestions of the Advisory Group
-Use their own thoughts and expertise through the process
Finalize draft compact (2018-2019)
-Brief state legislators on compact
-Work with states to find sponsors, pass legislation.
-Reach threshold for enactment
-Set up compact commission to run compact
SPEECH-LANGUAGE-HEARING INTERSTATE COMPACT WEBPAGE:
StAMP: 2018 CODING AND REIMBURSEMENT UPDATES
Key Components of Payment Success include:
Merit-Based Incentive Payment System is here! Fee-for-service reimbursement is being discontinued. This is an outcome-based reimbursement and we all need to prepare for the change.
Fraud, waste and abuse are being followed by Medicare and private insurers. This included providing more therapy visits than needed for a specific condition or providing therapy for a condition that is not deemed medically necessary.
The following is website with further information:
- “CAN I BILL FOR THE 15-20 MINUTES THAT I SPEND ON PATIENT EDUCATION AND TREATMENT RECOMMENDATIONS AFTER THE EVALUATION?”
NO, NO, NO!
The time spent on service related to evaluation and treatment session are captured in the value of the CPT Code for that session.
Do not use treatment codes to capture time spent on patient/caregiver education or initial treatment recommendations.
- “HOW MUCH TIME SHOULD I SPEND ON AN UNTIMED CODE IN ORDER TO BILL IT?”
There is no hard and fast rule regarding length of time for an untimed code–
HOWEVER, there are underlying times associated with each CPT Code, as determined by a group of your peers, (through ASHA/AMA).
You may locate this information:
CY 2018 PFS Rule Physician Time File on CMS website.
The new is not encouraging at this time even though I have no hard and fast new item.
I traveled to Baltimore, Maryland for the ASHA Connect and attended some amazing presentations on documentation, reimbursement and preparing for an audit. I would be willing to share this in a presentation to MSHA members.
I am traveling to Boston to be a part of 3 STARs presenting on Medicaid.
Graduate Student Scholarship Opportunity!
The Montana State Hearing Association believes strongly in supporting graduate students who are committed to serving the people of Montana. We are pleased to offer the MSHA Memorial Scholarship award in the amount of $750 for the 2018-19 school year. Two awards will be given. Learn more under Student > Scholarships or access and download the application here: 2018 MSHA Scholarship Application
MSHA and Better Hearing and Speech Month
It’s May, and we are so happy the weather has finally turned around in Montana! MSHA is excited to offer a $10 reduction in membership fees beginning now and lasting until end of June in recognition of May as Better Hearing and Speech Month. Please sign up now and take advantage of the benefits of being a MSHA member as well as
- Multiple opportunities each year to earn Continuing Education Units (CEUs)
- Discounted registration fees at Fall Convention and Summer Institute
- Our Web Site (www.mshaonline.org) with information for members, students and consumers that is frequently updated
- A quarterly newsletter, The Communicator, covering professional activities and information needed by audiologists and speech-language pathologists
- A committee structure that monitors virtually every aspect of the professions and offers numerous opportunities for participation.
- Bi-monthly webinars, please email if you have a speaker or topic you’d like to hear about
- Online payment options for conferences and membership
- Liaison with the American Speech-Language-Hearing Association
March Update from MSHA President
What’s Been Happening . . . . . . . . . . . ?
- The MSHA Board has already held two meetings this year (January 20th (electronic meeting) and March 3rd (in person in Billings and electronic meeting). The newly expanded Board (17 members) has allowed MSHA to have a larger member representation at these meetings. Our next meeting will be an electronic meeting on May 5th. I want to thank all of the MSHA Board and MSHA Members for your enthusiasm, volunteer hours, expertise and dedication to your professions.
- As with previous face to face meetings, I am continuing to seek feedback on an Assistant Licensure Bill sponsored by MSHA during the 2019 Legislative Session.
- The MSHA Straw Poll and Opinion Survey are supportive of MSHA moving forward with a positions paper in support of Audiology and Speech – Language Pathology Assistants. You will see the information on the MSHA website prior to the MT Board of Speech-Language Pathologists & Audiologists receiving an update and a request for support at their next meeting on June 4th.
- We need member comments and questions regarding the Assistant Licensure Process. Please talk to your colleagues and supervisors as more information is provided on the MSHA website. The in-depth look at the Opinion Survey results will be posted on the website and sent out in an email blast when ready.
- New fee schedules for exhibitors and advertising were approved and will be posted on the website.
- At the February 21st meeting of the MT Board of Speech-Language Pathologists and Audiologists, I presented the MSHA Organization Award which was announced at the MSHA 2018 Fall Conference. The finances of the Board are stable at this time and they do not see any change to the most recent Licensure fee charge.
- The American Speech-Language-Hearing Association (ASHA) is awarding the Montana Speech Language & Hearing Association a $1,100 state association partial grant for our association’s assistant licensure bill project. Based on our proposal, ASHA recommends this funding be used towards travel and survey support. This grant is funded under ASHA’s Strategic Pathway to Excellence.
- “Creating Communication Connections” is the theme and title of our MSHA Fall Conference, October 18-20 at the newly remodeled Radisson Colonial Hotel in Helena.
- The state’s regional directors now have email addresses of most current MSHA members and addresses of most licensed professionals in the state. Please contact them is you have not heard from them in the coming months. You will find their contact information on the website.
- MSHA is in process of updating their website.
- Lezlie and Kathleen will attend the Council of State Association President’s Meeting in St. Louis May 17-19.
- Congratulations to Christina Hanson for graduating from the ASHA Leadership Development program. You will hear more on her project development in coming months.
- I recently attended an extremely helpful and educational Telepractice Webinar which was well attended and will be repeated soon by MSHA members. I want to thank Diane and Rachel for their contributions to MSHA and the clients who benefit.
- April 26 is the deadline for submissions for the MSHA May newsletter. Please send advertising or newsletter information to firstname.lastname@example.org
Congratulations MT Licensure Board!
October 12, 2017
Lucy Richards and the entire Montana Board of Speech-Language Pathologists and Audiologists were instrumental prior to and during the process of passage of HB 347 (Limited Speech-Language Pathologist License). MSHA wants to thank Lucy and the Board for their commitment, professionalism and many hours of dedication. In addition MSHA members consistently attend Board Meetings and are welcomed and provide information as well as provide feedback and suggestions. The Board has been open to communication and working with the MSHA members.
Lucy Richards and the Board have provided timely and helpful updates on the website, there is now a quarterly newsletter. FAQs appear on the website as do approved CE coursework. Questions left on the phone or via email are answered in a timely manner.
Lucy has paperwork prepared in advance for the board to perform their duties in a cost effective and timely manner. Budgets were available and many needed revisions to rules were completed this year in part to the administrator’s organization prior to each meeting where discussion was orderly and easily understood by audience members who frequently included our members and graduate students.
The Board worked to determine a reduction in cost for initial renewal licenses. Lucy
Richards will be attending the first day of the MSHA Fall conference in Missoula and be available to answer questions at an exhibitor table.
I enthusiastically support this MSHA Organization Award for Lucy Richards and the entire Montana Board of Speech-Language Pathologists and Audiologists. We look forward to working with them in the future and during the next Montana Legislative Session in 2019.
Lezlie Pearce-Hopper, M.S., CCC-SLP
Montana Speech Language and Hearing Association (MSHA)
Montana Telepractice Turns 5: Webinar March 13, 2018
MSHA is committed to bringing educational opportunities! Keep your calendar available for a webinar on Tuesday March 13, 2018 to participate in Montana Telepractice Turns 5 by Rachel Stansberry and Diane Simpson. Attend and find out about what’s changed and where we’re going in Telepractice. Resources and recommendations will be provided! More details to come!
FEES Course Coming this June!
Check out this continuing education opportunity!
Carolina Speech Pathology has a comprehensive Two Day FEES® Training Course “Fiberoptic Endoscopic Evaluation of Swallowing: A Procedure for Evaluating Oropharyngeal Dysphagia” coming to Great Falls, Montana June 9-10 2018. Get registered now!
This course will be taught by Kristin Sears-Kopp, M.A., CCC-SLP and Selena Reece, M.S., CCC-SLP, BCS-S. These energetic instructors have competed thousands of FEES across a variety of settings and have been deemed competent in supervision and training in FEES by board certified Otolaryngologists.
Thanks to Bridget Loomis, SLP for organizing this opportunity!
Did you see the latest Law? ASHA’s blog on OTC Hearing Aids legislation
Be informed! Check out this ASHA blog! Now That President Trump Signed It Into Law