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:: NAHC Report
NAHC Report: Issue# 2350, 1/10/2014
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ARTICLE ARCHIVES MEMBER RESOURCES eNEWSLETTERS CARING STORE
National Council on Medicaid Home Care Reports on Personal Care Services Utilization Trends
AARP’s Public Policy Institute Releases Report on Medicare Beneficiaries’ Out-of-Pocket Expenses
For Your Information: NAHC is Seeking Member Input on its 2014 Home Care & Hospice Legislative, Regulatory Priorities
NAHC/Home Care & Hospice Events
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National Council on Medicaid Home Care Reports on Personal Care Services Utilization Trends

In response to member inquiries, the National Council on Medicaid Home Care – a NAHC affiliate - researched state adoption and utilization trends of personal care services (PCS) as a Medicaid benefit.  While defined differently by state, PCS usually refer to activities of daily living (ADLs) assisted by a personal care attendant such as bathing, dressing, eating and drinking, grooming, mobility, toileting, and transferring.  Personal care attendants usually assist beneficiaries in performing these ADLs under PCS.

PCS is defined in the Federal Register (42 CFR 440.167) as follows:

440.167 Personal care services.

Unless defined differently by a State agency for purposes of a waiver granted under part 441, subpart G of this chapter–

  • Personal care services means services furnished to an individual who is not an inpatient or resident of a hospital, nursing facility, intermediate care facility for individuals with intellectual disabilities, or institution for mental disease that are–
    • Authorized for the individual by a physician in accordance with a plan of treatment or (at the option of the State) otherwise authorized for the individual in accordance with a service plan approved by the State;
    • Provided by an individual who is qualified to provide such services and who is not a member of the individual’s family; and
    • Furnished in a home, and at the State's option, in another location.
  • For purposes of this section, family member means a legally responsible relative.

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AARP’s Public Policy Institute Releases Report on Medicare Beneficiaries’ Out-of-Pocket Expenses
Findings Support NAHC’s Claim that Additional Cuts and Copayments will Affect the Poorest and Sickest Americans

The AARP recently released a report entitled, “Medicare Beneficiaries’ Out-of-Pocket Spending for Health Care.” The report found that Medicare beneficiaries spent a median of $3,324 a year of their own money on health care in 2010. Addiotionally, more than five million Americans spent more than $8,000 a year on out-of-pocket expenses. The burden of out-of-pocket expenses was found to be greatest for the sickest and oldest beneficiaries.

These findings support NAHC’s long-held argument that additional cuts to Medicare and the inclusion of additional copayments – such as for home health episodes of care for beneficies – would limit access and hurt the poorest and sickest Americans.

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NAHC is Seeking Member Input on its 2014 Home Care & Hospice Legislative, Regulatory Priorities
Member Feedback will Guide NAHC’s Legislative and Regulatory Advocacy in the Crucial Upcoming Year

In preparation for the year's largest gathering of home care and hospice advocates in Washington, DC at the 2014 Home Care and Hospice March on Washington, March 23-26, the National Association for Home Care & Hospice (NAHC) is soliciting  members'  and advocates' input regarding the most important and significant legislative and regulatory challenges and concerns for the home care and hospice industry.  NAHC will use these priorities to guide its legislative and regulatory advocacy during the March on Washington and throughout 2014.

Three simple online questionnaires are now available to allow home care and hospice organizations, to provide their input.

The questionnaires will only be available through Wednesday, January 22, 2014, so please take a moment and cast your votes as soon as possible. Agencies or organizations that provide only hospice care are asked to complete only the hospice questionnaire.

The questionnaires include:

2014 NAHC Legislative Priorities

2014 NAHC Regulatory Priorities

2014 Hospice Legislative & Regulatory Priorities

Again, questionnaires must be completed no later than Wednesday, January 22, 2014. Each agency is allowed only one submission; faxed copies of the questionnaire cannot be accepted.

Be sure your voice is heard on these important priorities for the coming year!

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