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Maine Occupational Therapy Association

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MEOTA strives to keep its membership informed and involved in any legislative issues pertaining to occupational therapy. Please check back here for updates, and contact us with any concerns you may have. MEOTA has our own lobbyists in Augusta- do you have an issue you'd like brought to their attention? Let us know!

A brief update from our Legislative Chair:

CMS released the final rule on January 18, 2024 impacting the prior authorization process for Medicare Advantage plans, state Medicaid and CHIP fee-for-service programs, Medicaid managed care plans and CHIP managed care entities, and Qualified Health Plan issuers on the Federally Facilitated Exchanges.

MEOTA recently worked with the PT association to address prior authorizations and getting a bill passed that requires private insurers to provide at least 12 visits initially.

Highlights to the Prior Authorization Process: 

  • Requires payers to send prior authorization decisions within 72 hours for expedited requests and seven calendar days for standard requests; 
  • Requires payers to provide a specific reason for denied prior authorization decisions; and
  • Requires payers to publicly report certain prior authorization metrics annually (e.g. list of all items and services that require prior authorization and percentages of standard prior authorization requests that were approved and denied aggregated for all items and services.) 

The rule also requires impacted payers to build and maintain application programming interfaces (API) that automate the process for providers to determine whether a prior authorization is required, identify prior authorization information and documentation requirements, and facilitate the exchange of requests and decisions. 

Meet our Lobbyist, J. Andrew Cashman

Andy is an attorney in Preti Flaherty's Government Affairs Group. He represents a wide range of clients at every level of Maine government including the Maine Legislature, the Executive branch, and state agencies. His practice focuses on general business regulation and improving the regulatory climate for businesses.

He has been recognized twice by his peers for inclusion as a Rising Star in Lobbying by Super Lawyers. A former advisor to Governor John Baldacci and active in Maine politics for more than a decade, Andy has strong relationships with key decision makers at the State House and all levels of Maine government. 


Where to begin?

Step one- identify your representatives !

Click the buttons to the right to find your senator, legislator or representative.


SUBJECT LINE:  {Reference to LD #}

Dear Representative/Senator (Last Name),

“Hi Senator/Representative (their name). My name is (your name). I am a constituent from (town or city). I am calling/emailing today to introduce myself. I am a Occupational Therapy Provider (provide information about the work you do and where) and a member of MEOTA, which advocates for the health of all the people of Maine. Please know that I am available to provide you any resources or answer questions related my work that may come up during the legislative session. Thank you.”



MISSION: The mission of MEOTA is to promote the profession of Occupational Therapy and support all Occupational Therapy practitioners in the state of Maine. 

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Maine Occupational Therapy Association