Tag: Medicaid

TODAY! Making Sense of Medicaid: Long-Term Care

Thursday, May 25, 2023 2:00 PM – 3:00 PM EDT REGISTER This webinar is the second in the NAHC Medicaid educational series. Building on the April introduction to Medicaid webinar, this session will provide an in-depth look at Medicaid long-term services and supports (LTSS), including: The statutory and regulatory parameters that govern Medicaid LTSS; History,…

Medicaid Redeterminations Underway

For the past three years, state Medicaid agencies were required to maintain enrollment for all individuals in the program as a condition of receiving enhanced federal funding. These “continuous coverage” requirements led to a substantial increase in the Medicaid rolls. According to the Kaiser Family Foundation,[1] Medicaid enrollment grew by nearly a third between 2020…

Making Sense of Medicaid: Long-Term Care

Thursday, May 25, 2023 2:00 PM – 3:00 PM EDT Free to NAHC members! REGISTER This webinar is the second in the NAHC Medicaid educational series. Building on the April introduction to Medicaid webinar, this session will provide an in-depth look at Medicaid long-term services and supports (LTSS), including: The statutory and regulatory parameters that…

Call for Medicaid Access Rule Workgroup Participants

The National Association for Home Care & Hospice (NAHC) is forming a workgroup of NAHC members to help formulate our response to the recently issued Medicaid Access notice of proposed rulemaking. Please indicate interest in participating by emailing NAHC’s Director of Medicaid HCBS at dterzaghi@nahc.org. To learn more about the Medicaid Access proposed rule and…

New Medicaid Proposed Rules: Overview and Implications for NAHC Members

Wednesday, May 10, 2023 2:00 – 3:00 PM EDT REGISTER On Thursday, April 28, the Centers for Medicare and Medicaid Services released a pair of proposed regulations that will significantly impact the Medicaid program if finalized. The two notices of proposed rulemaking, Medicaid Access and Medicaid Managed Care rules, jointly address a wide range of…

NAHC Analysis: Proposed Changes to Medicaid Managed Care

On Thursday, April 28, the Centers for Medicare and Medicaid Services (CMS) released a pair of proposed regulations that will significantly impact the Medicaid program if finalized. The two notices of proposed rulemaking (NPRMs) jointly address a wide range of issues regarding access to and payment for Medicaid services. While there are positive components to…

New Medicaid Proposed Rules: Overview and Implications for NAHC Members

  • Wednesday, May 10, 2023
  • 2:00 – 3:00 PM EDT
  • REGISTER

On Thursday, April 28, the Centers for Medicare and Medicaid Services released a pair of proposed regulations that will significantly impact the Medicaid program if finalized. The two notices of proposed rulemaking, Medicaid Access and Medicaid Managed Care rules, jointly address a wide range of issues regarding coverage, access, and payment for Medicaid services. While there are positive components to the regulations, there are also several areas of concern for providers.

This webinar will provide a summary of the regulations, an overview of the potential impacts on homecare and HCBS providers, and a discussion of next steps for NAHC advocacy.

Speakers:

  • William A. Dombi, Esq., President and CEO, NAHC
  • Damon Terzaghi, Director of Medicaid Home and Community-Based Services, NAHC

Price:

  • NAHC Members: FREE
  • Non-Members: $199

NAHC Analysis: New Proposed CMS Medicaid Access Rule

Upcoming webinar: New Medicaid Proposed Rules: Overview and Implications for NAHC Members Learn more about this webinar Monday, May 10, 2023 from 2:00 – 3:00 PM EDT REGISTER Free to NAHC members! Yesterday, the Centers for Medicare and Medicaid Services (CMS) released a pair of proposed regulations that will significantly impact the Medicaid program if…

CMS Releases Medicaid Access and Managed Care Rules

Today, April 27, 2023, the Centers for Medicare and Medicaid Services (CMS) released a pair of proposed regulations that will significantly impact the Medicaid program if finalized. The two rules jointly address a wide range of issues regarding access to and payment for Medicaid services. Read on for highlights of today’s announcement. Look for upcoming…

House Debt Limit Legislation includes Medicaid Work Requirements

On Wednesday, April 19th, Speaker of the House Kevin McCarthy (R-CA) unveiled legislation that would raise the United States debt ceiling in addition to implementing cost reduction measures on Federal spending. In addition to broad limits on domestic discretionary spending, the legislation would implement work requirements for certain Medicaid beneficiaries.

Under the legislation, individuals between the ages of 19 and 56 would be required to document that they worked for a minimum of 80 hours a month or were excluded from the requirements due to a factor such as:

  • An inability to work documented by a physician or medical professional;
  • Participation in an educational or work training program;
  • Responsibility to care for a child or an “incapacitated” person.

The legislation allows, but does not require, states to continue covering these individuals in their Medicaid programs and denies Federal funding for any services delivered to a participant that was not in compliance with the requirements.

Prior to the legislation’s release, NAHC sent a letter to the Speaker expressing concerns about the reporting requirements potentially leading to disenrollment of people with disabilities and chronic conditions who would otherwise be exempt from the requirements. In the letter, NAHC requested that the legislation include a requirement that states review Medicaid claims data and issue an automatic exclusion for anyone who has utilized home health, personal care, hospice, and/or home and community-based services in the past 24 months. Such an exclusion would ensure that anyone with a condition significant to require these types of services is appropriately exempt from the requirements.

Notably, although the Speaker has expressed plans to pass the legislation in the near future, the Senate will not take up the legislation and the policies contained within are extremely unlikely to be enacted.