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Physical Therapist and Physical Therapist Assistants wishing to participate in the Physical Therapy Compact will be able to add privileges beginning May 1, 2019.
What is the Physical Therapy Compact?
The Physical Therapy Compact allows eligible licensed physical therapists to practice and certified physical therapist assistants to work in a Compact member state, other than their home state, without going through the usual process for licensure in the remote states but instead obtain a privilege to work in those states.
What is a Compact Privilege?
A Compact Privilege is the authorization to work in a Compact member state other than your home state. To be eligible for a Compact Privilege, you must hold an active physical therapy license or physical therapy assistant certification in your home state and meet other eligibility criteria, such as having no disciplinary action against your license for at least two years. When eligibility is verified and all fees are paid, you receive the Compact Privilege and may begin legally working in the other remote state.
What does obtaining a compact privilege allow a Physical Therapist or Physical Therapy Assistant to do?
It allows a physical therapist (PT) or physical therapy assistant (PTA) to work in other states they have obtained the privilege to work including providing telemedicine.
What are the benefits of obtaining a privilege through the compact?
Obtaining compact privileges in states you intend to practice, tends to be less expensive than obtaining full licenses in every state. It is a streamlined and very quick process to obtain privileges once you have obtained a state license in your home state.
How is a licensee's home state defined?
A licensee's home state means the person's true, fixed, and permanent home and is the place where the person intends to remain indefinitely, and to which the person expects to return if absent without intending to establish domicile elsewhere. Exceptions are provided for active duty military and their spouses as they may select home of record, permanent change of station or state of current residence. Individuals seeking a compact privilege will be required to provide their driver's license information as primary confirmation of home state residence. Additional proof of residency may also be requested.
What other States make up the Physical Therapy Compact?
Visit the PT Compact Website Map to see which states and when new states are added to the compact.
Can I practice Telemedicine with compact privileges?
Yes, in the states in which you have the compact privilege and your state license.
Does the Physical Therapy compact operate in the same manner as the nursing or medical compact?
No. The nursing compact issues one license authorizing practice in all compact states. The physician compact requires a separate license for each participating state; however, it allows individuals to obtain medical licenses through a single application process and in an expedited manner.
The physical therapy compact requires you to hold a state license in your state of residence and then you may apply for compact privileges in other states through the Physical Therapy Compact.
Where do I locate additional information regarding Physical Therapy Compact Privilege?
For more information visit the PT Compact website.
What are the requirements to obtain a physical therapy compact privilege?
In order to purchase and maintain a Compact Privilege, you must meet each of these requirements:
What is the cost associated with getting a compact privilege?
The fee to purchase a Compact Privilege varies from state to state. There is a $45 Commission fee and a state fee charged for each Compact Privilege. A list of state fees is available on the PT Compact Website.
How do I apply for a compact privilege in other states?
Go to the PT Compact Website and apply online. A Step-By-Step Guide is available under Resources and Tools.
How long is the compact privilege valid?
Your compact privileges are valid until the renewal date of your home state license.
Is a background check required for a state license or certification or compact privilege?
Background checks are required for your state license or certification in your home state. You must hold a state license to apply for a privilege to work in another state.
If you are already licensed in Colorado by April 30, 2019, then you are grandfathered and you will only be required to complete a background check if you move to a new state and acquire a new license. Any new applicants for a state license in Colorado will need to complete a background check.
Use this Fingerprint & Background Check Guidelines for further information.
How long will it take to complete a background check?
The Colorado Bureau of Investigation (CBI) receives and processes all background checks and forwards them to the Division upon completion. For questions relating to processing times, processing issues, or other concerns relating to background checks, please contact the Identification Unit of the CBI.
Would legal issues in an individual's background prevent compact licensure?
Background checks are required for obtaining licensure and a compact privilege. Any items flagged during a criminal background check may prohibit eligibility for a compact privilege.
How long is the process to obtain a Compact Privilege?
Eligible Physical Therapists and Physical Therapist Assistants may obtain a Compact Privilege often within minutes unless the state requires a jurisprudence exam to be completed first.
Any compact privilege application questions regarding application processing time, the status of an application, etc. should be directed to the PT Compact. You may send messages from the PT Compact Website or call 703-562-8500.
Physical Therapists and Physical Therapy Assistants holding compact privileges must become familiar with the current Commission rules, PT Compact model statute, and the specific laws, rules, and regulations governing the practice of physical therapy in the state(s) in which you practice/work to make sure you are following all requirements. It is your responsibility to know and understand the laws, rules and practice acts.
Physical Therapy Compact Privilege Holders Must:
For a full listing of information visit the PT Compact Website.
Individuals may visit http://ptcompact.org/Verification to verify if a Physical Therapy or Physical Therapy Assistant license or certification from out of state holds a privilege to practice in Colorado.
The Physical Therapy Compact Commission (PTCC) would like to provide you with information regarding an issue related to compact privilege holder participation in the Medicare program through the Centers for Medicare and Medicaid Services (CMS).
Late last year, PTCC staff were alerted to a situation where an individual with a compact privilege was not allowed to enroll as a provider with Medicare in order to make claims for services in a member state. Since that time, PT Compact staff and colleagues at the American Physical Therapy Association (APTA) have been working closely on this to determine the extent of the issue and coordinate a strategy to resolve it as quickly as possible.
To date, more than 1,000 compact privileges have been issued in eighteen states and the PTCC has been made aware of only two cases of physical therapists with compact privileges having difficulty with Medicare provider enrollment.
PTCC and APTA staff are currently in dialogue with CMS to discuss our concerns and ensure that compact privileges are properly recognized as the legal equivalent of a license. We hope to have a resolution soon. However, during recent conversations in December, it has come to our attention that CMS may interpret existing regulations in a way that does not recognize compact privileges as equal to state licensure for the purposes of the Medicare program. Therefore, although we do not believe the denial of Medicare enrollment and reimbursements to be prevalent, in light of the current interpretation of some at CMS, we recommend that any compact privilege holder review their billing practices and consider whether to bill Medicare until this matter is formally resolved by CMS.
The quick resolution of this issue is a priority for the PTCC and APTA. We assure you that when there is additional information to share or a resolution has been reached further communication will be sent. Please contact the PTCC at email@example.com if you have any questions.
Physical Therapy Compact Commission Notice of Proposed Rulemaking