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CMS Medicaid Proposals Offer Transparency And Accountability, But Compensation Provision Could Cap Business For Cash-Strapped Providers

Home Health Care

Centers for Medicare & Medicaid Services (CMS) proposed a new rule that would make major changes to the way that home care workers are compensated under Medicaid. The Frisco, Texas-based Addus currently provides home-based care services to approximately 46,500 consumers through 202 locations across 22 states.

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Emerging Respite Care Strategies in Medicaid Home and Community-Based Services Waivers for Older Adults, Adults with Physical Disabilities, and their Family Caregivers

NASHP

Respite care is a service typically delivered in the home or a facility-based setting that provides short-term relief for caregivers. It is one of the most desired caregiver services , and Medicaid is one policy lever to fund it. nursing home) to receive long-term care services in their home and community.

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‘We Will Be Paying For This For Years’: 8 Home Health C-Suite Leaders Sound Off On ‘Alarming’ Medicare Cuts

Home Health Care

Centers for Medicare & Medicaid Services (CMS) published its home health proposed payment rule for 2024. The proposal, almost immediately, drew a negative response from key home health stakeholders. The main headline was CMS’ decision to propose a home health payment decrease of 2.2%. Cleamon Moorer Jr.,

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The Direct Care Workforce

NASHP

State Medicaid-funded long-term services and supports (LTSS) systems are not well-positioned to compete for this shrinking pool of workers. The COVID-19 pandemic has worsened these burdens, with the increased shortage of workers underscoring the critical role direct care workers play for the people they serve, as well as family caregivers.

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Behavioral Health System Modernization along the Continuum

NASHP

States such as Texas, Wyoming , and New Jersey are adopting Medicaid reimbursement of collaborative care services and are addressing capacity to transition to CoCM. People with COD are significantly more likely to be arrested , with a disproportionate impact on women and Black adults. An action plan dashboard tracks targets.

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State Community Health Worker Models

NASHP

The information on this map comes from a 50-state survey of a variety of stakeholders, ranging from Medicaid officials to Community Health Workers, on their states’ approaches?to?integrating?CHWs ACO Accountable Care Organizations. MCO Managed Care Organizations. MCE Managed Care Entities. MHP Medicaid Health Plans.

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Community Health Worker Models

NASHP

Medicaid Reimbursement. Medicaid Reimbursement. Alabama does not reimburse for CHW services through its Medicaid program. Alaska Medicaid reimburses for CHW services through MCOs as authorized under the state plan. Arizona does not currently reimburse for CHW services through its Medicaid program.