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National Association for Home Care & Hospice
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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

Hospice Regulatory Issues



PLEASE NOTE:  We caution providers that some processes related to the NOE(and possibly the NOTR) may be MAC-SPECIFIC – this means that it is very important that you seek out instructions from your assigned MAC to be certain that you are following the proper procedure.




Medicare Claims Processing Manual, Chapter 11

CMS CR 8877/Attachment A excelthumb
Medicare Code Editor, v. 31-0, Oct. 2013   excelthumb


CGS: Change Request 8877: Overview of Changes webthumb
CGS: Change Request 8877: Frequently Asked Questions  webthumb
PALMETTO GBA: Canceling a hospice notice of election or benefit period  webthumb
PALMETTO GBA: NOTR Job Aid webthumb

NGS: Canceling a hospice notice of election or benefit period

Data Reporting on Hospice Claims

Q&A: Additional Data Reporting Requirements for Hospice Claims

Change Request 8358 – Additional Data Reporting Requirements for Hospice Claims (July 26, 2013) excelthumb
Data on Claims – proposed and as required under CR8358 excelthumb
Hospice/Part D
Part D PA Process Explanation excelthumb
Hospice and Part D – Questions and Answers excelthumb
Part D PA Process Tips excelthumb
Part D PA Process Sample Admission Notice excelthumb
“Part D Payment for Drugs for Beneficiaries Enrolled in Medicare Hospice” Guidance July 2014 (NEW) excelthumb
“Hospice Information for Medicare Part D” Form (NEW) excelthumb
Part D Payment for Drugs for Beneficiaries Enrolled in Hospice—2015 Guidance excelthumb
CMS Final Guidance March 2014 excelthumb
CMS Guidance Dec 2013 excelthumb
Hospice Payment Reform
 Hospice Cost Reports:  Benchmarks and Trends, 2004-2011 excelthumb
Analysis of Trends in General Inpatient Care (GIP) Utilization excelthumb
Analysis of Face-to-Face Visit Requirement excelthumb
Hospice Payment
Hospice FY2014 Wage Index  
FINAL RULE:  FY2014 Hospice Wage Index and Payment Rate Update; Hospice Quality Reporting Requirements; and Update on Payment Reform  
Hospice Wage Index FY2014 (With % Change over FY2013 Value) excelthumb
Hospice Wage Index FY2013 Urban and Rural Areas in one spread sheet (includes comparison with previous years) excelthumb
Hospice Quality Reporting
NQF Hospice-Approved Measures
Note: These measures will be considered for possible future hospice quality reporting requirements.
HQRP Reference Table:  Data Details — NQF Measures Proposed by CMS to Comprise Initial Hospice Information Set (HIS)  (5/13/2013) pdfthumb
NQF #0208 Family Evaluation of Hospice Care pdfthumb
NQF #1617 Patients Treated with an Opioid who are Given a Bowel Regimen pdfthumb
NQF #1634 Hospice and Palliative Care — Pain Screening pdfthumb
NQF #1637 Hospice and Palliative Care — Pain Assessment pdfthumb
NQF #1638 Hospice and Palliative Care — Dyspnea Treatment pdfthumb
NQF #1639 Hospice and Palliative Care — Dyspnea Screening pdfthumb
NQF #1641 Hospice and Palliative Care — Treatment Preferences pdfthumb
NQF #1647 Percentage of hospice patients with documentation in the clinical record of a discussion of spiritual/religious concerns or documentation that the patient/caregiver did not want to discuss. pdfthumb
Patient Notices
Advance Beneficiary Notice of Non-Coverage
CGS ABN Decision Tree pdfthumb
Hospice Face-to-Face Encounter and Related Requirements
CR 7337/Transmittal 141: New Hospice Certification Requirements and Revised Conditions of Participation (CoPs) pdfthumb
Model Hospice Patient Information on Face-toFace Encounters wotdthumb
Model Hospice Patient Letter wotdthumb
Model Face-to-Face and Narrative for Recerticication of Terminal Illiness for Hospice wotdthumb
Model Physician Face-to-Face and Narrative for Recertification of Terminal Illness for Hospice wotdthumb
Hospice Face-to-Face Q & A pdfthumb
Reporting Reasonable Suspicion of a Crime
Reporting Reasonable Suspicion of a Crime in a Long-Term Care Facility (LTC): Section 1150B of the Social Security Act pdfthumb
Sample Individual Notification Letter wotdthumb
Sample Posting Form wotdthumb


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