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NAHC Report: Issue# 2289, 10/7/2013
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MACPAC Holds Public Meeting
Plan to Join Lobby Day Activities at NAHC’s Annual Meeting
For Your Information: NAHC and PDHCA Will Host Free October 9 Teleconference on Key Issues Facing Private Duty Agencies
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MACPAC Holds Public Meeting
National Council on Medicaid Homecare – a NAHC Affiliate - Attended the Meeting and Reports on the Most Relevant Topics

The Medicaid and CHIP Payment Access Commission (MACPAC) held a public meeting on September 19 and 20, 2013 in Washington, DC.  National Council on Medicaid Home Care (the Council) policy director, Michelle Martin, attended the relevant portions of the meeting.

MACPAC issues reports to Congress in March and June of each year. The September meeting was the Commission’s first meeting since issuing its June 2013 report to Congress. The meeting was to review the plan for the 2014 Report Cycle and to give the analysts working on the various topics some guidance on the particular issues the Commissioners would like to see reviewed in the next report. Two of the topics that were presented and may be included in the March 2014 report are of interest to the Council: Analyses of Medicaid Waiver Authorities: Emerging Themes, and Medicaid Long Term Services and Supports.

The discussion on Medicaid waiver authorities was brief but informative. Ben Finder, senior analyst for MACPAC, reviewed the work that MACPAC has done on waivers so far and explained the important issues. The waiver approval and renewal process, including the process timeline, waiver consolidation, and a path to permanency, as well as the budget neutrality requirement for waivers and the reporting and evaluation requirements have all been reoccurring themes in the Commission’s work. Within each of these areas, Mr. Finder posed a series of questions to the Commissioners, designed to elicit feedback that would guide the coming work on waivers.

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NAHC and PDHCA Will Host Free October 9 Teleconference on Key Issues Facing Private Duty Agencies

What: A free teleconference. The National Association for Homecare & Hospice (NAHC) and the Private Duty Homecare Association of America (PDHCA) will host a free teleconference for the benefit of Private Duty Homecare Agencies.

When: Wednesday, October 9, 2013, from 12:00 noon to 1:00 pm EST. The number to call is US/Canada Toll free: 1-800-811-8824 and the Participant Passcode is 496585.

What issues will be discussed: a) Repeal of the Companionship Exemption; b) Complying with the employer mandate to provide insurance to workers or pay a fine; c) Implementation of the Affordable Care Act; d) The shutdown of the federal government and the plans to raise the “debt ceiling;” E) What actions PDHCA and NAHC plan to take and how providers can help.

Who is conducting the seminar: Val J. Halamandaris, President of NAHC; Jeff Kincheloe, Vice President for Government Affairs; Bill Dombi, Vice President for Law; and Richard Brennan, Vice President for Technology.

Who may participate: PDHCA and NAHC members will receive priority, but the conference is open to all. Please send an email to to reserve your place on the call. The first 500 people will be guaranteed a place on the call.

Will questions be allowed: Yes. Your questions will be received 24-hours in advance of the broadcast and will close at 12:45 pm EST on the date of the broadcast. Send questions to Barbara D. Woolley, Director of Communications at

Will the teleconference be recorded: Yes. The teleconference will be recorded. The highlights will appear in NAHC Report, NAHC’s daily electronic newsletter and summarized in CARING, its monthly magazine.

Visit the CARING Store online for the latest Resources

Plan to Join Lobby Day Activities at NAHC’s Annual Meeting

There is a lot of uncertainty these days coming out of Washington between the current government shutdown to the potential of an even more devastating government default looming on the horizon. Despite the stalemate, NAHC wants to remind its home care and hospice advocates that, regardless of what the operational status of the government is later this month, Lobby Day will  be a vital and integral part of NAHC’s Annual Meeting & Exposition held October 31 – November 3.

It is important for home care and hospice advocates to, as Senator Susan Collins (R-ME) has said, "tell your Senators [and Representatives] about the compassionate care you provide and the budgetary problems you face.”

The home care and hospice community must continue to be involved and present a unified message on pressing issues even as lawmakers continue to be at loggerheads over efforts to reduce the nation’s deficit and offset the cost of fixing the flawed Medicare physician payment formula - known as the “physician fix”.

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