A joint initiative brought to you by:

APTA and APTA Private Practice are collaborating to bring you new materials to help you succeed with payer advocacy in your state. These resources are being provided as part of a new joint initiative (the State Payer Advocacy Resource Center or SPARC) to arm you with the tools you need to succeed in advocating for your patients with state-regulated payers.

Watch this space for more resources to help with prior authorizations, utilization management hassles, denials and appeals, and more to come as the SPARC grows. And always remember that when using these materials, we are here to help! APTA and APTA Private Practice have developed model payment bills for use in state legislatures to address utilization management, prior authorization, and more at the state level. Talk to your state chapter to get engaged or contact advocacy@apta.org for more details. Please feel free to contact payer advocacy staff at APTA (advocacy@apta.org) or APTA Private Practice (info@ppsapta.org) to lend a helping hand with your advocacy efforts.

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The Economic Value of Physical Therapy in the United States

Choosing physical therapy helps Americans live better lives and could save the health care system millions of dollars annually, ultimately providing more resources for better services to individuals and communities nationwide. Physical therapy helps Americans avoid complications from surgeries, long recoveries, and the risks of overuse of prescribed opioids and other medications.

Learn more and download the report

Prior Authorization/Utilization Management

Denials, Internal Appeals and External Reviews

Internal Appeals and External Review Resources Video

PTA Differential

Multiple Procedure Payment Reduction

Title and Term Protection Information

Title and Term Protection Information Resources Introduction Video

Model Contract Language


The APTA State Medicaid Payment Rate Guide is a member-only benefit that offers information on the Medicaid fee-for-service payment rates for PT services provided by state Medicaid programs. The guide includes payment rates for selected CPT codes used by PTs under states' Medicaid  programs as well as links to the Medicaid manuals for all 51 U.S. jurisdictions.

Access the Rate Guide