KPS Health Plans to transition to Group Health Options

KPS Health Plans has issued notice that it will begin it’s voluntary dissolution and concurrent transfer of all liabilities and obligations to Group Health Options. Both KPS and Group Health Options are wholly owned by Group Health Cooperative.

KPS will begin the voluntary dissolution process described within RCW 24.06.260 through RCW 24.06.280 with the intent of ceasing it’s operational affairs effective December 31, 2015, or as soon as thereafter possible. It is possible KPS may continue to conduct business in 2016.

Group Health Options and KPS are working together to facilitate a transition as seamless as possible for KPS enrollees, associates, and creditors. No liabilities or obligations of KPS shall go unsatisfied as a result of this process. KPS shall make commercially reasonable efforts to pay or otherwise discharge such liabilities and obligations prior to its formal dissolution. As of such time GHO will be assuming all unsatisfied liabilities and obligations of KPS.

Medicare PT Limits for 2016

The Medicare limits for 2016 will be $1960 for PT/SLP combined no prescription cialis. The therapy cap is still in place. PT treatment extending beyond the therapy cap will require the use of the “KX” modifier up to a total maximum cap of $3700 for medically necessary skilled intervention.

Patients can choose to continue with physical therapy beyond the cap for non-medically necessary treatment if they sign an ABN (the “GA” modifier would be applied).

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Bylaw Amendment Changes Placed on Hold

At the annual November meeting, 2 motions to amend the bylaws were introduced to the general meeting. Motion #1 was to remove the two-tier member / non-member registration status and change to a simple member only registration. Motion #2 was to remove the restriction on membership which is currently open only to a practice that is 50% or greater owned by a physical therapist(s).

The rationale was presented that since the organization already allows non-members the opportunity to attend two of the four quarterly meetings without having to pay for membership, why not simply open it up to more persons and also be able to collect annual dues from those person.

Both motions were passed during the meeting, however, after the meeting the board was presented with a procedural objection to the vote. The bylaws currently state that members should have been afforded a minimum 20 days notice of the proposed motions prior to a call for a vote. As well, there was an objection that the vote count might have included persons representing the same company/clinic. Membership clearly states only one vote per company/clinic.

The board has decided to stay any changes to the byaws until they meet in January. At that time they will discuss the issues and make recommendations for corrective action.

2016 Board Members Voted In

At our annual November meeting elections were held for the 2016 board members. Current board members Scott Spradling, Brendi Perkins, Karen Robblee, and Kirsten Olsen will return for another years term in 2016. Kim Stamp was voted as well onto the board to replace the vacancy left by Michelle Cline, who has left the profession of physical therapy management.

Service on the board is a voluntary position and is open to any member in good standing. Election are held annually at the November meeting. There is currently no term limits to the board positions.