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NAHC Report: Issue# 2379 2/25/2014
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ARTICLE ARCHIVES MEMBER RESOURCES eNEWSLETTERS CARING STORE
IRS Employer Mandate Rule has a Home Care Focus
Illinois Court Grants Nine Children Denied HCBS Class Action Status
For Your Information: NAHC 2014 March on Washington Conference & Exposition
NAHC/Home Care & Hospice Events
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IRS Employer Mandate Rule has a Home Care Focus

The Internal Revenue service (IRS) recently released it Final Rule implementing the “Shared Responsibility for Employers Regarding Health Coverage” under the Affordable Care Act. NAHC previously reported on the rule – see NAHC Report, February 12, 2014 - which is most notable for its one-year postponement of the health insurance and penalty provisions for employers with 99 or fewer full-time and full-time equivalent employees. That final rule also modified the standards and penalty calculation for employers with 100 or more full-time and full-time equivalent employees, permitting an employer to offer insurance to 70 percent of its full-time employees in 2015 in contrast to the original 95 percent standard. The rule also provides a one-year, additional 50 exemptions in the calculation of any penalty for employers 100 or more beyond the original 30 exemption.

Among the 227 pages of the Final Rule is a home care-specific discussion. In response to requests from the home care community for an exception from the employer mandates, the IRS states that the law “applies to all applicable large employers and does not provide an exception, either for employers in a particular industry such as the home care industry, or for employers with more difficulty adjusting revenue streams.”

The IRS goes on to suggest that certain home care companies may not be subject to the mandates at all

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Illinois Court Grants Nine Children Denied HCBS Class Action Status

On February 13, in N.B., et al., v. Hamos, the United States District Court for the Northern District of Illinois (the Court) granted class action status to nine children (the Plaintiffs) with behavioral or emotional disorders who were denied home and community-based services (HCBS). This follows an October 2011 Amended Complaint (the Amended Complaint) by the Plaintiffs, as well as a December 2013 Memorandum Opinion and Order, whereby the judge refused the defendant Illinois Department of Human Services (DHS)’s motion to dismiss the case. 

Background

Severe Shortage of HCBS. The Amended Complaint references three reports showing a severe shortage of HCBS in Illinois (the State). The first was a report written by DHS in March 2010. This report stated that in Fiscal Year 2009, while DHS found that over 18,000 individuals aged 21 and younger had severe mental illnesses and emotional disturbances (MI/SED), only 220 received intensive community based services. Out of those 220, 145 received in-home services through the Individual Care Grant (ICG) Program, and 75 received services through Child Group Homes.

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NAHC 2014 March on Washington Conference & Exposition
The Mayflower Renaissance Hotel | Washington, DC | March 23-26, 2014

Washington, DC, is the place to be this spring! Join the National Association for Home Care & Hospice as we march for our profession and for the patients we serve.

NAHC will hold the 2014 March on Washington Conference & Exposition just steps from the White House and Capitol Hill. With so many pressing issues facing home care and hospice, participation in this year’s March is a must for all home care and hospice advocates.

The SGR bill will likely be coming to a head in Congress at the time that NAHC’s March on Washington takes place. Efforts to offset the cost of the bill pose a real and looming threat to home care and hospice providers.

NAHC strongly urges all its members to attend this year’s March. It’s a great chance to meet with your lawmakers and plead our industry’s case. We need to tell them why they should oppose cuts to home health and hospice payments, along with copayments, to fund the SGR fix.

While you are in DC you can attend cutting-edge courses in the areas of Medicare Home Health, Medicare Hospice, Medicaid Home Care and Private Duty. We urge you to take advantage of tips from NAHC staff and other experts in your field. We also hope you’ll make time to attend the National Cherry Blossom Festival and see thousands of splendid trees in bloom.

We look forward to seeing you in Washington, DC, on March 23-26, 2014!

To register, click here
By fax: 202.547.3660 
By mail: NAHC Meetings, P.O. Box 37558, Baltimore, MD 21297-3558

To make Hotel Reservations: The NAHC Discount Rate is $ 289.00/night (single/double) or $389.00/night (suite), click here.

Private Duty Nursing Supervisor

We have an opening for a Private Duty Nursing Supervisor in St. Louis, MO. Must have current Missouri RN license, at least two years of private duty nursing experience with medically fragile patients, and one year of private duty supervisory experience. The position is full time, Monday through Friday.

Responsibilities include:

- Creates Plan of Care. Documents patient status in an accurate, timely and concise manner and reviews all documentation for accuracy and completeness
- Competent and knowledgeable in performing baseline-nursing skills. Knowledge in wound care, tube feedings, tracheotomy care, catastrophic injury care, pulmonary care, ventilator care, spinal cord injury care, seizure disorder care, catheter care, and diabetes care strongly encouraged
- Communicates effectively with patients, families and physicians and other team members
- Demonstrates organization and leadership abilities by effective use of time and personnel through supervision and teaching.
- Maintains a committed and cooperative attitude with staff, promoting teamwork and harmony by readily assisting other staff and patients.
- Supervises employee at recerts, and supervises each employee annually and PRN.
- Maintains Recert/Evaluation calendar

We are a solid company and offer an attractive salary and benefits package that includes medical and dental insurance, vision-care plan, life insurance, and paid personal and vacation time. Please send resume to ConfidentialPrivateDutyNursing@gmail.com.


Private Duty Staffing Coordinator

Immediate opening for a Private Duty Staffing Coordinator in St. Louis, MO. We are looking for someone with a minimum of one year private duty nursing scheduling experience at a licensed homecare agency. The position is full time, Monday through Friday.

Responsibilities include:
- Record intake from prospective clients
- Obtain availability from nursing and aide field staff
- Coordinate private duty clients' needs with medical staff availability
- Assign nurses and aides to service patients
- Communicates effectively with patients, families and medical staff
- Maintains a committed and cooperative attitude with patients and staff

Job Requirements:
- Minimum of one year experience in private duty nursing scheduling
- Great interpersonal and telephone skills
- Strong organizational, time-management and computer skills
- Ability to multi-task
- Must be detail oriented and pleasant

We are a solid company and offer an attractive salary and benefits package that includes medical and dental insurance, vision-care plan, life insurance, and paid personal and vacation time. Please send resume to ConfidentialPrivateDutyNursing@gmail.com.

For information about placing an ad, contact Scott Baum at ads@nahc.org.

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