Home-Based Care Providers Break Down ‘Unintended Consequences’ Of CMS’ Proposed Medicaid Rule

Home-Based Care Providers Break Down ‘Unintended Consequences’ Of CMS’ Proposed Medicaid Rule

The U.S. Centers for Medicare & Medicaid Services (CMS) recently introduced a proposed rule that seeks to allocate 80% of Medicaid reimbursement funds towards compensating workers in the home- and community-based services (HCBS) sector. This initiative received substantial attention during the public comment phase, with a total of 2,100 submissions. The CMS is being widely appreciated for its efforts to bolster the HCBS workforce, recognizing the crucial role these workers play in supporting individuals in need. However, concerns have emerged regarding the potential impact of this rule on HCBS providers across the nation. One major challenge is the existing disparities in state program requirements and reimbursement rates. Darby Anderson, the Executive Vice President and Chief Government Relations Officer for Addus HomeCare Corporation, has highlighted these disparities, emphasizing the difficulty of implementing uniform compensation thresholds that can address the unique needs and circumstances of each state's HCBS programs.

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The recent introduction of a proposed rule by the U.S. Centers for Medicare & Medicaid Services (CMS) aimed at directing 80% of Medicaid reimbursement funds towards home- and community-based services (HCBS) worker compensation has garnered substantial attention, with 2,100 public submissions. While the CMS has received widespread appreciation for its efforts to enhance the HCBS workforce, concerns have arisen regarding potential nationwide implications. Notably, disparities in state program prerequisites and reimbursement rates pose a significant challenge, as underscored by Darby Anderson, EVP for Addus HomeCare Corporation, who emphasizes the complexity of implementing uniform compensation standards tailored to individual state HCBS programs.


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