Bexar area physical therapy program

Bexar area physical therapy program apextheraphy.com

Bexar area physical therapy program

Therapy provider Bexar County has projected financial losses under the deduction of Medicaid

After Texas moved forward by cutting Medicaid replacements to therapists working with disabled children, service providers in Bexar County projected losses in hundreds of thousands of dollars.

Reimbursement of fees under the country's Medicaid program includes physical, occupational and speech therapy for disabled children. The previous state legislature agreed to cut about $ 350 million, although now some legislators, including House Speaker Joe Straus, are working on a plan to reverse it.

Kim Jefferies, chief executive officer of the Brighton Center, one of three providers of Early Childhood Intervention in Bexar County, said that of the 1,700 children being served, 1,139 were registered with Medicaid. ECI provides free or discounted therapy for infants and toddlers with developmental disorders, such as speech problems, Down syndrome and autism.

"(Withholding) will translate into a loss of income of approximately $ 250,000," Jefferies said, starting from December 15, when the deductions took effect, until August 31. "We have to find ways to make that income, including community support, foundation support and individual support. We have to raise these funds to support that every eligible child gets the services they need."

Medicaid reimbursement cuts take effect in December, more than a year after MPs agreed. Some health care providers at home and also parents demanded to try to stop the deduction, which they said affected as many as 60,000 children across the state. Opponents say that lower replacements will force some providers to restrict services or close down, moving more children to fewer therapists.

The court rejected the claim, and also found that the state acted in its authority to set tariffs.

Regardless of how much replacement they get for service, Jefferies said they still had to provide therapy.

"This puts us in a unique situation where we were asked by the state of Texas in our contract to provide services for each child, but the state cut our funds to do that," Jefferies said.

State legislators have cut funding for ECI by 11 percent in the past seven years, according to a report by the advocacy group Texans Care for Children. As a result, ECI registration declined, it was found. Texas ranked 43rd nationally in 2014 for the percentage of children enrolled in the ECI, and since 2011, the number of ECI contractors in the state declined from 58 to 47.

Other Bexar District ECI programs are provided by the Health Care Service Center, which serves around 700 children, including those who have family relationships or foster care. About 500 of these children are Medicaid recipients.

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Zaida Yzaguirre, program director, projected a loss of income of approximately $ 83,600 until August 31 due to cuts and said that layoffs were a possible way to overcome the income gap.

"We are running a very slim engine," Yzaguirre said. "We serve all children who fulfill the requirements without being differentiated. We serve them all because we have to comply with the law. "

With state revenues squeezed by declines in the oil or gas industry, the DPR budget writers and the Senate have taken very different positions in the replacement level controversy. Straus completed a plan to reverse additional budget cuts for the two-yearly legislature, but the Senate leaders have not.

At a Senate Finance Committee hearing on Tuesday, where parents of crying children with delayed development of witnesses, Sen. Jane Nelson, R-Flower Mound, said there was never any intention of legislators to take services.

He said that cuts were based on information indicating that Texas tariffs were far above those in other states.

Marty Drake brought his 16-month-old daughter, Sully, diagnosed with Down syndrome. He said that he and his wife had been advised by one of the therapists in Livingston that if the cut was not reversed, the provider would not remain open and Sully would not receive occupational therapy.

Drake said that without service at Livingston, they had to go to another center in downtown Houston, about 70 miles away.

Nelson said the Texas Health and Human Services Commission should consider access to care when applying tariffs. "We will ensure, in any case, that no child is denied service," he said.

"It makes me very sad that people are so scared," he said. "There is no service to cut."

After hearing from parents, State Senator Carlos Uresti, D-San Antonio, deputy chairman of the Health and Humanitarian Services Committee or a member of the Finance Committee, said: "I hope that the Legislature will acknowledge and agree that we need to put the money back into the budget. "

Bexar area physical therapy program sheltonphysicaltheraphy.com

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Job Description for Physical Therapist (PT)

Physical therapists are directly involved in the recovery of patients with various medical conditions every day; problems can range from simple sprained ankles or knees to extreme defects, such as strokes. They are generally responsible for helping people regain the ability to carry out basic daily activities and work with patients of various ages, from children to the elderly. Some may work in small outpatient rehabilitation facilities with athletes or those with minor disabilities, or in hospitals with large rehabilitation of hospitalized patients with those with more severe disabilities.

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Duties of Physical Therapists (PT)

Record the prognosis, treatment, response, and also progress in the patient's computer chart or database.

Remove the patient from physical therapy when the projected results have been achieved and provide follow-up care or referral.

Give manual exercise, massage or traction to help relieve pain, increase patient strength or reduce or prevent deformity.

Perform an initial examination, evaluation of the medical record and doctor's referral and determine the diagnosis before intervention.