NAHC Supports the Protecting Married Seniors from Impoverishment Act

Eleven Senators, including Bob Casey (D-PA), a close friend of NAHC and the home care community, have introduced the Protecting Married Seniors from Impoverishment Act (S.1099) to permanently protect against spousal impoverishment in the Medicaid program.  Historically, when one part of a married couple was in need of Medicaid long-term services and supports (LTSS), their spouse has been…

CMS Updates Emergency Preparedness Guidance

The Centers for Medicare & Medicaid Services (CMS) recently released Updated Guidance for Emergency Preparedness-Appendix Z of the State Operations Manual (SOM), updates that incorporate the emergency preparedness (EP) revisions of the 2019 “Burden Reduction Rule”, Medicare and Medicaid Programs; Regulatory Provisions to Promote Program Efficiency, Transparency, and Burden Reduction (CoPs) (CMS 3346-F) Final Rule…

CMS Increases Medicare Payment for Life-Saving COVID-19 Vaccine

The Centers for Medicare & Medicaid Services (CMS) has ncreased the Medicare payment amount for administering the COVID-19 vaccine with a new and higher payment rate which will support important actions taken by providers designed to increase the number of vaccines they can furnish each day, including establishing new or growing existing vaccination sites, conducting…

Passage of the American Rescue Act of 2021

On Wednesday, March 10, the U.S. House of Representatives approved the American Rescue Plan Act of 2021, following the Senate’s approval of the bill over the weekend. The American Rescue Plan (ARP) Act is the sweeping COVID-19 relief package identified by President Biden as his top legislative priority in the early days of his administration. The law contains $1.9 trillion in new spending, the largest stimulus ever approved by Congress. The legislation includes provisions addressing issues within public health, labor, and small business, as well as many other aspects of the country.

In past COVID-19 relief packages NAHC was successful in advocating for provisions positively impacting home care and hospice providers. That trend continued with the American Rescue Plan through significant funding to the Medicaid HCBS program and additional provider relief funds allocated to rural services. Following is a summary of the provisions of not to home care and hospice providers.

Medicaid HCBS Funding

In past relief packages NAHC and Congressional Champions were left frustrated by the lack of funds and attention given to home and community based services (HCBS) in the Medicaid program. The ARP will provide for a 10% increase for one year starting on April 1st to the Federal Medical Assistance Program (FMAP), the federal share of Medicaid, specifically for HCBS. These funds can be applied towards:

  • Home Health Care services
  • Personal care services
  • PACE services
  • HCBS Services
  • Case Management services
  • Rehab services

While there is excitement around the 10% one year increase as it equates to approximately $12.67 billion, it is important for providers to remember that the 10% increase is temporary. It cannot be characterized necessarily as a reimbursement rate increase. However, states can use it to fund a reimbursement rate increase, among other options.

The only requirement is that it must be used for Home and Community-Based Services. The major thing that providers must watch out for is that IF it is used to fund a rate increase, this increase would expire as of March 31, 2022, and if the state chooses to not keep funding the increase, it will disappear altogether.

Rural Provider Relief Fund Allocation

$8.5 billion has been allocated in provider relief funds specifically for rural providers. The original draft of the legislation limited this provision to providers located in rural areas. NAHC worked with Congress and was successful in changing the provision to open eligibility up to providers that may be located in urban areas, but serve patients in rural areas.


$12.2 billion has been provided to increase vaccination supplies and distribution capacity designed to speed up vaccine administration.

These provisions will prove very helpful to home care and hospice providers in the coming days. While NAHC is grateful to Congress for their action in the ARP, there is still more that can be done to support home care and hospice patients, and the providers of care. NAHC will continue to prioritize further suspension of the Medicare sequester, and passage of the HEAT Act that would provide for telehealth reimbursement in home health, and the Choose Home proposal that would create an enhanced home health benefit serving as an alternative to the skilled nursing facility benefit.

Individual Stimulus Check

$1400 direct payments to individuals are included for those making less than $75, 000 per year or couples making less than $150,000. Additional money is offered for each of their dependent children. The direct payments are phased out for earners at the $80,000 level for individuals, and $160,000 level for couples.

Federal Unemployment Assistance

The law extends $300 federal weekly enhanced unemployment benefit through September 6, 2021. Additionally, the first $10,200 of the UI becomes tax-free for individuals who earn up to $150,000 annually.

HCBS News Roundup

Biden Addresses the Nation President Joe Biden delivered his first prime-time address to the nation last night, setting a timetable for a return to something resembling normality and almost begging Americans to take the COVID-19 vaccines and continue to abide by social distancing guidelines. Biden ordered states to make all adults eligible for the vaccine…

Congress Approves American Rescue Plan Act with Key Features for HCBS

President Biden to sign the bill into law on Thursday, March 11 On Wednesday, March 10, the U.S. House of Representatives approved the American Rescue Plan Act of 2021, following the Senate’s approval of the bill over the weekend. The American Rescue Plan (ARP) Act is the sweeping COVID-19 relief package identified by President Biden…

Reports: Biden to Nominate Chiquita Brooks-LaSure as CMS Admin

According to reports, President Joe Biden will select Chiquita Brooks-LaSure to be the next administrator of the Centers for Medicare & Medicaid Services (CMS), the largest component of the Department of Health & Human Services (HHS), with ten offices around the country, more than 6000 employees, and over $1 trillion in annual expenditures. CMS has…

Members of Congress Push for More HCBS Funding

With the next COVID-19 relief package currently under development and possibly coming with a significant price tag, upwards of $1.9 trillion as requested by the Biden administration, many elected officials and stakeholder groups are proposing increased funding to Medicaid home and community based services (HCBS). Similar proposals have been made in earlier versions of COVID-19…

NAHC Analysis: Impact of COVID Relief and Spending Bill on Home Care and Hospice

President Donald J. Trump signed legislation in late December to fund U.S. federal government operations through the 2021 Fiscal Year and provide $900 billion of stimulus supports to address the impacts of the COVID-19 pandemic. NAHC offers the following summary of the over 5600 page legislation. Generally, we confine our summary to those provisions that…

CMS Proposes New Rules to Address Prior Authorization and Reduce Burden on Patients and Providers

The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule on Thursday, December 10, intended to improve the electronic exchange of health care data among payers, providers, and patients, and streamline processes related to prior authorization to reduce burden on providers and patients. According to CMS, the proposed rule aims to improve data sharing…