Liaison Report from the Committee for the Advancement of Professional Practice (CAPP)
I attended a two-day CAPP board meeting in mid-October as a liaison from our Society. The CAPP board members and fellow liaisons are a group of talented individuals who are invested in coming together as a group to advance the needs of practicing psychologists. A limited summary of the topics, actions, and updates is provided below.
There are several products due to be released next year by the APAPO (the practice organization that advocates and provides for the needs of practicing psychologists). The first is a Qualified Clinical Data Registry (QCDR). This registry has expanded the previous registry option (the APAPO PQRSPRO) available to psychologists who bill for Medicare. There are numerous benefits to an APA/APAPO‐sponsored clinical data registry: (a) APAPO can provide a real‐world view of clinical practice, patient outcomes, safety, and clinical, comparative, and cost‐effectiveness, and that can serve a number of evidence development and decision making purposes; (b) we can define, develop, and/or select the measures that are of the most interest and importance to psychology and to mental health more broadly– as opposed to letting some other health care entity do so for us; (c) we can collect actionable information that can be used to modify behaviors, processes, or systems of care; and (d) we can meet other psychologist data needs, such as licensure/CE requirements, credentialing or board certification requirements, and quality‐based, differential, and reimbursement payment programs (pay‐for‐performance). The second product to be released is the fully updated HIPAA product. The product will give members a simplified and combined compliance resource for the HIPAA Privacy, Security and Breach Notification Rules (including updating state law and preemption analysis for 51 jurisdictions). They expect this product to be given a “soft launch” at the upcoming Practice Leadership Conference in March, with a full release by the summer.
A current product that is available to APAPO members is a Guide to Innovative Practice Models available on the APAPO website at: http://www.apapracticecentral.org/business/innovation/index.aspx. This toolkit provides information and resources for psychologists about emerging trends, challenges and opportunities related to alternative practice models.
The Legal and Regulatory Affairs (LRA) office of the APAPO gave an update on topics related to parity and insurance that they have been pursuing. This includes: (a) taking a lead role in an effort by stakeholders on all sides to develop a parity accreditation system; (b) working with outside counsel and NYSPA on a parity-based class action lawsuit targeting reimbursement discrimination against psychologists and their patients; (c) collaborating with Government Relations to respond to rate cuts by two MCOs brought in to manage TRICARE; and (d) continued collaboration with state associations (GA, FL, PA, KS and MN) on 90837 and reimbursement cut issues.
The LRA and the APA Education Directorate recently celebrated a large success by overcoming a major regulatory barrier and can now move forward on a pilot project to use supervised psychology trainees to bring integrated behavioral health services to underserved Medicaid populations in Washington, DC. The pilot project will place trainees in primary care physician (PCP) offices; help build a pipeline of highly-qualified psychologists to fill the extraordinary need for these services; and develop a model for replication in other states. The pilot program will involve supervised trainees, both interns and post-docs, providing behavioral health services in three primary care clinics in underserved areas of DC. Their services will be reimbursed by Medicaid through ACDC, a big win for the sustainability of such an integrated care program.
There are a range of other topics covered at the meeting, including a policy on integrated care, master’s level training, Government Relations updates, Clinical Practice Guidelines on PTSD, a policy on Behavior Analysts, updates on APAPO membership and finances, and comments from the current APA CEO and APA President-elect. For more detailed analysis of the meeting, please contact me directly at Leann@LeannDiederich.com.