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:: NAHC Report
NAHC Report: Issue# 2178, 4/19/2013
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ARTICLE ARCHIVES MEMBER RESOURCES eNEWSLETTERS CARING STORE
Amenable to Premium Assistance, but not Partial Medicaid Expansion: How Flexible Will CMS Be?
Sequestration Impact on Survey and Certification Activities
For Your Information: NAHC’s Financial Management Conference & Exposition!
NAHC/Home Care & Hospice Events
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Amenable to Premium Assistance, but not Partial Medicaid Expansion: How Flexible Will CMS Be?

The Centers for Medicare and Medicaid Services (CMS) has issued two major Q & As regarding Medicaid expansion. In December 2012, CMS stated that it would not entertain a partial expansion less than 133% of the federal poverty level. This month, it stated that it would consider premium assistance models as an alternate to Medicaid expansion.

Given these two Q & As, CMS seems poised to accept qualifying premium assistance models, but will oppose any partial Medicaid expansion legislation emanating from the states.

Premium Assistance Models Progressing in States

The premium assistance alternative to Medicaid expansion scored a recent victory. On April 16 and 17, Arkansas passed a bill through both the Arkansas House and Senate supporting such an alternative. Currently, the National Association for Home Care and Hospice has found thirteen (13) states that are in some way interested in the premium assistance model. Seven of those states - Arkansas, Florida, Montana, Ohio, Pennsylvania, Tennessee, and Texas - are either negotiating with the federal government or proposing bills on premium assistance, while the other six states - Kansas, Louisiana, Maine, Missouri, Nebraska, and Oklahoma - are otherwise considering the model.

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NAHC’s Financial Management Conference & Exposition!
Conference is being held in Washington, D.C. July 28 – 30, 2013

NAHC’s Financial Management Conference & Exposition is the premier source for strengthening your home care or hospice agency’s bottom line. A variety of general sessions and drill-down workshops are designed to boost skill sets in financial operations arenas that range from cost controls to revenue enhancement and strategic planning. Once again, we’re expecting a full house for this unique and valuable conference.

Register today to secure your opportunity to improve your bottom line!

Visit the CARING Store online for the latest Resources

Sequestration Impact on Survey and Certification Activities

In response to the across-the-board federal budget reductions under the sequester as mandated by the Balanced Budget and Emergency Deficit Control Act the Centers for Medicare & Medicaid Services (CMS) Survey & Certification (S&C) Group announced plans for certain budgetary adjustments. CMS notified State Agency (SA) Directors of planned adjustments that affect State operations in an April 5, 2013 letter.

In the letter, CMS advised SA Directors that the overall FY2013 S&C Medicare budget was reduced by 5 percent, with the expectation that State allocations will be reduced by 2.5 - 3 percent. CMS announced that the remaining reductions will be accommodated by reducing expenses, suspending additions to the workload, reducing time spent on lower risk areas and reducing CMS Central Office services. In order to accommodate this reduction, certain survey activities are to be placed on hold.

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