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CMS sets Medicaid payments to home care workers at 80%

Fierce Healthcare

The Centers for Medicare & Medicaid Services is hoping to improve Medicaid enrollees’ access to care through a final rule that better compensates caregiving roles. | CMS released a series of final rules Monday, including Medicaid access regulations that some groups worry will cause providers to close.

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New Report Focuses On Persistent Problems Facing Community Home Care Providers

Home Health Care

The report emphasizes that this decades-long workforce crisis has affected community-based services due to long-term underinvestment in Medicaid, which has hindered community-based providers from offering wages that are competitive with those in hourly wage industries.

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With Medicaid Access Rule Finalized, Home Care Providers Enter ‘Wait-And-See’ Mode

Home Health Care

This article is a part of your HHCN+ Membership On Tuesday, Centers for Medicare & Medicaid Services (CMS) officials vehemently backed the thought process behind the “80-20” wage mandate in home- and community-based services (HCBS). National Association for Home Care & Hospice (NAHC) President William A.

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Home Care Industry Slams Finalized 80-20 Rule, Warns Agency Closures Are Coming

Home Health Care

The “Ensuring Access to Medicaid Services” rule has been finalized. Most importantly, the bemoaned “80-20” provision has gone through as proposed, meaning providers will eventually be forced to direct 80% of reimbursement for home- and community-based services (HCBS) to caregiver wages.

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Sorting Through The Complex HCBS Medicaid Landscape

Home Health Care

Medicaid home- and community-based services (HCBS) vary by state, in many ways. a keen understanding of the different ways state Medicaid agencies pay for services. Broadly, Medicaid is a state and federal partnership. Fee for services is one of the most common ways that HCBS are reimbursed through Medicaid.

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Looming Provider Choice Home Care Regulations ‘Slap in Face’ to Smaller Providers

Home Health Care

A new proposal in Pennsylvania that would create “unnecessary” duplication for how disabled patients choose their home care providers and receive care is causing some angst in the Keystone state. Choosing a home care agency or caregiver plan is one of the highest priorities for people living with disabilities in Pennsylvania.

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How The 80-20 Provision Could Affect Private-Pay Home Care Providers

Home Health Care

This article is a part of your HHCN+ Membership The Medicaid Access Rule has been heralded by home care providers as a mostly good rule with one misguided piece: the 80-20 provision. Billing rates have already soared in private-pay home care since the COVID-19 pandemic, which has forced providers to get creative.

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