CMS Issues Guidance on Additional Support for Medicaid HCBS

The Centers for Medicare & Medicaid Services (CMS) issued additional guidance to states with regards to the HCBS 10 percent federal medical assistance percentage (FMAP), which was included as part of the American Rescue Plan. As a reminder, this is a temporary increase to the FMAP for certain qualifying Medicaid expenditures for home and community-based services (HCBS) and is meant to supplement and not supplant existing state funds. CMS guidance is directing states to use the funds to enhance, expand, or strengthen activities within home and community-based services under the Medicaid program.

While the original communications regarding the temporary FMAP increased left out mention of Private Duty Nursing Services (PDN), NAHC was pleased to see that CMS took our initial comments to heart and made it a point to explicitly include PDN as an eligible service.

With the issuance of this guidance, it now falls on the states to create their plans for the temporary FMAP increase and we encourage everyone to work with your applicable state associations to ensure the plans are inclusive of the needs of the private duty home care community.