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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

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

CMS Hospice Update on Incorrect Payments Identified for the Two Tier Payment and SIA Payments

August 2, 2016 02:32 PM

At the July Home Health, Hospice and DME Open Door Forumthere was discussion of ongoing claims processing issues related to the new two-tiered payment system for Routine Home Care (RHC) and the Service Intensity Add-on (SIA) for visits at the end of life. Centers for Medicare & Medicaid Services (CMS) staff identified three issues that are affecting hospice payments for RHC and the SIA, and indicated they would provide written descriptions of the issues for hospice providers and other interested parties. The following information, containing the known issues and timeframes for correction of these issues, has been extracted from a notice issued by National Government Services (NGS) but is applicable to all hospices. We anticipate that the other Medicare Administrative Contractors (MACs) – CGS and Palmetto – will release similar information in the near future.

Two Tier Routine Home Care Payments

Issue: Thetwo tier payment rate is not being applied appropriately to claims submitted on or after January 1, 2016. In some instances the Medicare system is incorrectly paying at a low rate, instead of the high rate. This system action is causing an underpayment to providers. The Medicare system was updated with a “fix” on July 25, 2016 to resolve the issue.

Provider Action: There is no provider action to be taken.

Issue: An issue has been identified with the two tier payment rate not being applied appropriately to claims submitted on or after January 1, 2016. In some instances the Medicare system is incorrectly paying the RHC at a high rate, when the low rate is appropriate. The Medicare system is checking a single prior benefit period and not all benefit periods that are not separated by 60 days. This inappropriate processing is causing an overpayment to providers. CMS is aware of the issue and the MACs anticipate instructions from CMS in the January 2017 release to correct the Medicare system issue.

Provider Action:At this time there is no provider action to be taken. Providers should not report this overpayment on their credit balance reports.

Service Intensity Add-On (SIA) Payment

Issue: In certain situations, the Medicare system is not applying the end-of-life (EOL) service intensity add-on (SIA) payment to the previous month’s claim, when a patient dies within the first few days of a month. The Medicare system is designed to trigger an automatic adjustment of the prior month’s claim if the prior month’s claim is eligible for the SIA payment. This adjustment will apply the EOL SIA amounts to the previous claim that could not be identified in the initial processing. These adjustments are not occurring on the prior months claim in the following situations:

  • When the incoming claim does not contain a qualifying RHC service;
  • When the provider adjusts the original claim to add qualifying (or additional) RN and/or MSW visits;
  • When the provider adjusts the IUR (32G) claim that originally applied the SIA payment, the adjustment claim removes all EOL SIA payments.

CMS is aware of the issue and the MACs anticipate instructions from CMS in the January 2017 release to correct the Medicare system issue.

Provider Action: Currently there is no provider action to be taken. Providers do not need to submit an adjustment claim for the previous month, nor does the provider need to submit an appeal. This is a Medicare system issue.




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