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Hand in Hand OT of Long Island on Instagram: "Occupational therapy is not an afterthought. What we do is skilled, intentional, and essential to function, participation, and independence. OT deserves space, respect, and recognition in care plans, in conversations, and at the table with patients. Our profession is facing real challenges in Medicare and Medicaid reimbursement including cuts to payment rates, limits on telehealth coverage, complicated billing rules, and lower state Medicaid fee sche