Failed bill would set Medicaid fees for three therapy services
If enacted, Montana Medicaid would use a $39.56 2026 conversion factor to calculate covered fees for physical, speech, and occupational therapy services.
1
What it does
If enacted, Montana Medicaid would calculate covered fees for three therapy professions using a $39.56 conversion factor in fiscal year 2026 and later inflation-linked increases.
Argument forThe formula could make payment updates more predictable for therapy providers by linking later increases to medical-care inflation.
Argument againstLinking future payment increases to medical-care inflation could raise Medicaid spending for covered therapy services.
More detail
The Medicaid program would calculate covered fees by multiplying a conversion factor, a service's relative value unit, and any applicable policy adjuster. The rule would cover services provided by physical therapists, speech-language pathologists, and occupational therapists under Montana Medicaid. The service must be covered by Medicaid. The calculation would use the applicable relative value unit and policy adjuster. For state fiscal year 2026, the conversion factor would be $39.56; each later fiscal year would use the required annual increase.
2
Where do you stand?
Choose your position
3
Tell your reps
Take a position to see your representatives and ways to contact them.