Summary of CAPP Board Meeting
April 29-May 1, 2016
These are a selected compilation of meeting notes, as they might be relevant to the Division 49 Board of Directors and Members. For full details of the meeting, please request them from Dr. Leann Diederich.
Legal Risk Management (presentation by APA Office of General Counsel Ann Springer, JD)
CAPP members were briefed on the fiduciary duty that Board members have. This includes duty of care, duty of loyalty, and duty of confidentiality. If you represent multiple groups, you have a duty to clarify which group you are speaking on behalf of. For instance, a conflict may exist when a Board member has professional business or a volunteer interest that could predispose the member one way or another regarding an issue. A conflict of interest should be disclosed to the Board and the appropriate steps can be taken (e.g., recusal or abstention on voting). Conflicts of interest are to be expected when professionals are involved and carry multiple roles and aren’t inherently negative or something to be ashamed of.
Updates on Government Relations and Legal and Regulatory Initiatives
Government Relations: CAPP members were briefed by Government Relations staff on legislative efforts that followed the 2016 State Leadership Conference, including the following: (1) the Medicare Mental Health Access Act to include psychologists in the Medicare physician definition (H.R. 4277/S. 2597), and (2) legislation to reform federal mental health funding, specifically the Helping Families in Mental Health Crisis Act (H.R. 2646) and the Mental Health Reform Act (S. 1945). In addition, a new government relations initiative that engages psychology students in advocacy was outlined by staff: the TEAM Project.
Legal and Regulatory: Legal and Regulatory affairs are working on the following: collaborative Summits with state psychological associations to educate members on alternative practice models; advocacy approaches to insurance and parity; and advocacy in coordination with the education directorate to expand opportunities and reimbursement in Medicaid systems for psychologists, including managed Medicaid. One specific example that was highlighted was the fight to get a higher reimbursement rate for the CPT code 90837 (as in Washington state it was being paid at the same level as 90834, despite being a longer therapy session). If you know of instances where there is little to no difference in the rates being paid for these two codes, please contact Legal and Regulatory Affairs.
Committee on Divisions:
Beginning in 2016, CAPP combined its various committees that oversee outreach to the various APA Divisions into one committee, entitled the CAPP Committee on Divisions, which will now oversee and make recommendations related to outreach to the Divisions. Dr. BraVada Garrett-Akinsanya, Chair of the CAPP Committee on Divisions provided an update on the discussions to-date of the Committee, including discussions defining the mission of the Committee, and initiatives that are focused on developing and creating alliances with specific Divisions and creating value-added products for divisions that will encourage membership in APAPO. Also, discussed was the possibility of surveying current members of APAPO in regards to their Division memberships and roles within the Divisions.
Updates on Initiatives Impacting Practitioners:
Council of Specialties Summit: CAPP members received a report on the upcoming Specialties Summit that will focus on the continuum from generalist to specialty training and practice, in addition to, issues related to licensure, scope of practice, competencies, specialty practice and the impact of healthcare reform on practice patterns.
APA Work Group on Test User Qualifications:
Dr. Toni Zeiss, BPA Chair, provided an update on recent discussions, held during the APA Consolidated Meetings in March 2016, by the Board of Professional Affairs (BPA) and the Committee on Psychological Tests and Assessment (CPTA), related to the possible formation of a Joint Working Group on Recommended Competencies for Users of Psychological Tests. Dr. Derek Phillips, from the CAPP Assessment Workgroup will be the CAPP liaison to this group.
Psychologists and Scope of Practice:
During recent CAPP meetings, CAPP has discussed several initiatives related to developing strategies to address developments by new/or other professions advocating for inclusion of language in state legislation, in addition to, recent initiatives that included the development of a focus group of psychologists in managed care, and the development of a collaborative strategy with SPTAs to encourage psychologists involvement in medical staffs. The April-May CAPP meeting provided CAPP members an opportunity to discuss the development of a new computer based examination that will be complementary to the existing knowledge-based Examination for Professional Practice in Psychology (EPPP). The new exam, the EPPP Step 2, which was approved in January 2016 by the Association of State and Provincial Psychology Boards (ASPPB) will assess the skills necessary for entry-level licensure. It is anticipated that the exam will begin to be used in 2019.
Update on the Board of Director’s Initiative on the Master’s Degree:
In 2015, the APA/APAPO Board of Directors formed a workgroup related to addressing issues and areas of interest that have arisen in the past related to the Master’s Degree. CAPP has a liaison to this workgroup. Discussions during the CAPP meetings in the past have focused on the need to articulate the value-added aspect of doctoral level training and the need to protect the use of the title of psychologist for those trained at the doctoral level. At the present time, priority issues related to the Independent Report have taken the Board’s time and updates will be provided at future meetings.