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:: NAHC Report
NAHC Report: Issue# 2420, 5/1/2014
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NAHC Discusses Moratoria with the CMS Program Integrity Group
NAHC’s National Council on Medicaid Home Care Examines Health Homes
For Your Information: Underserved Populations Network Offers Two Free Webinars in May

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NAHC Discusses Moratoria with the CMS Program Integrity Group

The National Association for Home Care & Hospice (NAHC) recently participated in a conference call with officials from the Centers for Medicare & Medicaid Services (CMS) Program Integrity Group to discuses the implementation of the moratorium on new home health agencies in designated areas. NAHC sought clarification in the following areas:

Approved enrollment record

CMS confirmed that any enrollment application that has not have been approved will be denied. An approved enrollment application means that all the steps required for enrollment must be completed. CMS stated that even after the tie-in notice has been issued additional steps take place to assure the provider is eligible to be enrolled in Medicare. NAHC expressed concern for those providers who are very far along in the process but had not completed the enrollment process when the moratorium takes effect. These providers may have invested large sums of money and years preparing for Medicare enrollment only to be told that they will not be approved.  Although CMS appreciated NAHC’s concern they believed that is was necessary for any provider in an area where a moratorium has been issued to have a complete and approved enrollment record in the system prior to the effective date of the moratorium.

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NAHC’s National Council on Medicaid Home Care Examines Health Homes
A New Business Opportunity for Home Care

The health care system is currently undergoing a profound service delivery evolution caused by the Affordable Care Act (ACA) and other reforms. One such patient population particularly affected is the chronically ill. This population stands to greatly benefit from enhanced skilled integration and coordination of care, particularly through the new Medicaid health home model.

While they may have to modify their business models to accommodate such an opportunity, home care agencies are perfectly poised to capitalize on health homes. As explained below, home health agencies can be participating providers should the state choose to include them. Some states have already explicitly adopted home care agencies as partners in their health home models.  For those five states, home care agencies currently not participating should advocate for participation.  Agencies in the ten other health home states should advocate for express home health agency inclusion, as well as their own participation.  Those agencies in the remaining 35 states lacking health homes altogether should push for state adoption of this model, along with agency (and their own) inclusion.

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Underserved Populations Network Offers Two Free Webinars in May

The Underserved Populations (UP) Network is hosting the following two webinars in May that may be of interest to the home care and hospice community:

Wednesday, May 14, 2014 ? 3-4PM (ET)

Best Practices for Care Transitions: Engaging Emergency Departments and Urgent Care Centers

  • Overview of the opportunity to improve patients’ transitions out of emergency departments and urgent care centers—two healthcare settings not yet widely involved in care transitions QI efforts
  • Discussion of Rhode Island’s Safe Transitions Best Practices, with a focus on the emergency department and urgent care settings, and how home health agencies are an important part of the process
  • Sharing of lessons learned and strategies for sustainability

Guest Speaker:

  • Rebekah Gardner, MD
    Senior Medical Scientist, Healthcentric Advisors
    Assistant Professor of Medicine
    Alpert School of Medicine, Brown University

Wednesday, May 28, 2014 ? 3-4PM (ET)

Alzheimer’s Disease: A New Way of Understanding for the Home Care Worker

  • Gain insight in to what is truly happening to the person with Alzheimer’s or a related dementia
  • Work from the "photo album” philosophy
  • Discuss techniques for better communication and strategies for maximizing care

Guest Speaker:

  • Jane Mark
    Consultant on Dementia Care,
    Sandwich Caring

Register now at:

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