Skip to Main Content
National Association for Home Care & Hospice
Twitter Facebook Pintrest


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

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

Health 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

NAHC Submits Comments on the F2F Template

October 16, 2015 08:56 AM

The National Association for Home Care & Hospice (NAHC) has submitted comments to the Centers for Medicare & Medicaid Services (CMS) on the clinical template for the home health face-to-face (F2F) encounter.

CMS announced its plan to develop a F2F clinical template in February 2015 and hosted a series of Open Door Forum calls to obtain stakeholder feedback. CMS developed the template as a tool to assist physicians with medical documentation to support coverage ofhome health services. The template will be voluntary and may be used as either a paper or electronic progress note.

The primary concern NAHC has with the proposed F2F clinical template is the amount of free text that it contains, specifically the items to justify skilled service and homebound. Both the free text and the prompts within this template are very similar to the F2F encounter document physicians were completing when a narrative to describe eligibility criteria for home health services was required. NAHC does not believe physicians will be more able to complete the template with the language and specificity that CMS seeks than when the physician was required to complete a F2F encounter narrative.

In addition, there is an error in the statement in the Progress Note that reads: “If the patient requiring home health services is being discharged to home from a hospital/acute care facility, and the discharging physician will not be following the patient after discharge, then please identify the community physician who will be taking over care for the patient.” We believe this statement is incorrect. The discharging physician is only required to identify the physician who will be following the patient if the discharging physician is the certifying physician. The identification of the physician who will be following the patient in the community was implemented to meet the criteria for certification that the patient is “under the care of a physician”

Further, the template contains conflicting guidance from what other CMS officials have stated regarding co-signatures on the F2F encounter. The template would require a co-signature by the certifying physician when an acute–post acute care physician or allowed NPP completes the F2F encounter. According to CMS, the elimination of the narrative removes the requirement that the F2F encounter be cosigned by the certifying physician when the encounter is performed by another eligible entity.

Lastly, NAHC believes CMS has underestimated the burden that the template will place on physicians. Due to the significant amount of free text only fields in addition to the specificity that will be required to complete the template, NAHC estimates it will take the physician twice as long to complete the Progress Note than what CMS has estimated.

After CMS reviews the comments, the template will need to go through the Office of Management and Budget approval process. Therefore, it may take several more months before the template is available for use.




©  National Association for Home Care & Hospice. All Rights Reserved.