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In the various roles he has undertaken through the years, Val J. Halamandaris has been a singular driving force behind the policy and program initiatives resulting in the recognition of home health care as a viable alternative to institutionalization. His dedication to consumer advocacy, which enhances the quality of life and dignity of those receiving home health care, merits VNA HealthCare Group’s highest recognition and deepest respect. 

VNA HealthCare Group

I have the highest respect for them, especially for the nurses, aides and therapists, who devote their lives to caring for people with disabilities, the infirm and dying Americans.  There are few more noble professions.

President Barack Obama

Home health care agencies do such a wonderful job in this country helping people to be able to remain at home and allowing them to receive services

U.S. Senator Debbie Stabenow (D-MI) Chair, Democratic Steering and Outreach Committee

Heath care at home…is something we need more of, not less of.  Let us make a commitment to preventive and long-term care.  Let us encourage home care as an alternative to nursing homes and give folks a little help to have their parents there.

Former President Bill Clinton

Home care is a combination of compassion and efficiency.  It is less expensive than institutional care...but at the same time it is a more caring, human, intimate experience, and therefore it has a greater human’s a big mistake not to try to maximize it and find ways to give people the home care option over either nursing homes, hospitals or other institutions

Former Speaker of the U.S. House of Representatives Newt Gingrich (R-GA)

Medicaid covers long-term care, but only for low-income families.  And Medicare only pays for care that is connected to a hospital discharge....our health care system must cover these vital services...[and] we should promote home-based care, which most people prefer, instead of the institutional care that we emphasize now.

Former U.S. Senator Majority Leader Tom Daschle (D-CD)

We need incentives to...keep people in home health care settings...It’s dramatically less expensive than long term care.

U.S. Senator John McCain (R-AZ)


Home care is clearly the wave of the future. It’s clearly where patients want to be cared for. I come from an ethnic family and when a member of our family is severely ill, we would never consider taking them to get institutional care. That’s true of many families for both cultural and financial reasons. If patients have a choice of where they want to be cared for, where it’s done the right way, they choose home.

Donna Shalala, former Secretary of Health and Human Services

A couple of years ago, I spent a little bit of time with the National Association for Home Care & Hospice and its president, Val J. Halamandaris, and I was just blown away. What impressed me so much was that they talked about what they do as opposed to just the strategies of how to deal with Washington or Sacramento or Albany or whatever the case may be. Val is a fanatic about care, and it comes through in every way known to mankind. It comes through in the speakers he invites to their events; it comes through in all the stuff he shares.

Tom Peters, author of In Search of Excellence

Val’s home care organization brings thousands of caregivers together into a dynamic organization that provides them with valuable resources and tools to be even better in their important work. He helps them build self-esteem, which leads to self-motivation.

Mike Vance, former Dean of Disney and author of Think Out of the Box

Val is one of the greatest advocates for seniors in America. He goes beyond the call of duty every time.

Arthur S. Flemming, former Secretary of Health, Education, and Welfare

Val has brought the problems, the challenges, and the opportunities out in the open for everyone to look at. He is a visionary pointing the direction for us. 

Margaret (Peg) Cushman, Professor of Nursing and former President of the Visiting Nurses Association

Although Val has chosen to stay in the background, he deserves much of the credit for what was accomplished both at the U.S. Senate Special Committee on Aging, where he was closely associated with me and at the House Select Committee on Aging, where he was Congressman Claude Pepper’s senior counsel and closest advisor. He put together more hearings on the subject of aging, wrote more reports, drafted more bills, and had more influence on the direction of events than anyone before him or since.

Frank E. Moss, former U.S. Senator

Val’s most important contribution is pulling together all elements of home health care and being able to organize and energize the people involved in the industry.

Frank E. Moss, former U.S. Senator

Anyone working on health care issues in Congress knows the name Val J. Halamandaris.

Kathleen Gardner Cravedi, former Staff Director of the House Select Committee on Aging

Without your untiring support and active participation, the voices of people advocating meaningful and compassionate health care reform may not have been heard by national leaders.

Michael Sullivan, Former Executive Director, Indiana Association for Home Care

All of us have been members of many organizations and NAHC is simply the best there is. NAHC aspires to excellence in every respect; its staff has been repeatedly honored as the best in Washington; the organization lives by the highest values and has demonstrated a passionate interest in the well-being of patients and providers.

Elaine Stephens, Director of Home Care of Steward Home Care/Steward Health Systems and former NAHC C

Home care increasingly is one of the basic building blocks in the developing system of long-term care.  On both economic and recuperative bases, home health care will continue to grow as an essential service for individuals, for families and for the community as a whole.

Former U.S. Senator Olympia Snowe (R-ME)

NCOA is excited to be part of this great event and honored to have such influential award winners in the field of aging.

National Council of Aging

NAHC Discusses Moratoria with the CMS Program Integrity Group

May 1, 2014 02:33 PM

The National Association for Home Care & Hospice (NAHC) recently participated in a conference call with officials from the Centers for Medicare & Medicaid Services (CMS) Program Integrity Group to discuses the implementation of the moratorium on new home health agencies in designated areas. NAHC sought clarification in the following areas:

Approved enrollment record

CMS confirmed that any enrollment application that has not have been approved will be denied. An approved enrollment application means that all the steps required for enrollment must be completed. CMS stated that even after the tie-in notice has been issued additional steps take place to assure the provider is eligible to be enrolled in Medicare. NAHC expressed concern for those providers who are very far along in the process but had not completed the enrollment process when the moratorium takes effect. These providers may have invested large sums of money and years preparing for Medicare enrollment only to be told that they will not be approved.  Although CMS appreciated NAHC’s concern they believed that is was necessary for any provider in an area where a moratorium has been issued to have a complete and approved enrollment record in the system prior to the effective date of the moratorium.

Additionally, CMS will begin requiring fingerprint-based background checks on individuals with a 5 percent or greater ownership interest in newly enrolling home health agencies. This added requirement will likely extend the time it takes to process enrollment applications to completion - causing delays in approving new enrollees.


In addition to new providers, CMS will deny a branch application in an area affected by the moratorium. NAHC questioned CMS’ rational to subject branches to the moratorium since they are not enrolling as a new provider. Branches submit claims and operate under the parent agency provider number and serve the same geographic service area. CMS stated they view the extension of a branch into a moratorium area as a new practice location which they consider the same as a new agency. However, the officials completed the discussion on branches with an agreement to review their decision in applying the moratorium to branches.

Change of location

CMS will permit an agency that is currently located within an area where a moratorium has been issued to change their location within the moratorium area.  However, CMS will not permit an agency to move a practice location into the moratorium area, even if it is within the agency’s geographic service area. The CMS Program Integrity Group does not recognize the CMS Survey and Certification Group’s geographic service areas. The moratorium applies to specific zip codes, therefore, even if an agency’s service area crosses into a moratorium area the agency would be prohibited from moving it’s office into the zip code where the moratorium has been issued.

NAHC reiterated to the CMS officials its general support for placing a moratorium on new home health agencies in areas where there continues to be high rates of fraud and abuse.  However, NAHC wants to ensure reasonable policies are in place for implementing moratoriums and will continue to work with CMS as issues arise.




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