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:: NAHC Report
 
NAHC Report: Issue# 2454, 6/20/2014
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ARTICLE ARCHIVES MEMBER RESOURCES eNEWSLETTERS CARING STORE
Senator Baldwin and Representative Kind Send Letter to HHS Secretary on the ACA’s Employer Mandate
CMS Issues Update, Clarifications to Hospice Policy Chapter of Benefit Policy Manual
For Your Information: National Council on Medicaid Home Care will Host “Call with the Experts” Teleconference on June 24
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Senator Baldwin and Representative Kind Send Letter to HHS Secretary on the ACA’s Employer Mandate
Seek Relief for Medicaid Home and Community-Based Providers

Senator Tammy Baldwin (D-WI) and Rep. Ron Kind, (R-WI) recently sent a bipartisan, bicameral letter to Sylvia Matthews Burwell, the new Secretary of Health and Human Services (HHS), on the subject of the Affordable Care Act's (ACA) Employer Mandate. Specifically, the letter sent by Senator Baldwin and Rep. Kind focuses on the negative affect that the Employer Mandate has on, "Medicaid dependent home and community-based providers."

The letter continues to highlight the unique circumstances that are facing Medicaid dependent providers of home and community-based care stating that:

"These providers…which serve primarily Medicaid beneficiaries and operate on very slim margins, have raised unique concerns about complying with the ACA's employer responsibility requirements. We…request that you explore options to assist Medicaid dependent home and community-based providers in fulfilling the ACA's employer requirements…

We are concerned that Medicaid dependent home and community-based providers could face significant financial burdens in complying with the employer responsibility requirements in the ACA. The penalty for failing to provide health coverage to full-time employees would disproportionally affect these providers and their direct care workers, which may result in unemployment and reduced payment access to essential services…[W]e urge you to continue to work with relevant stakeholders to find a viable solution to ensure that direct care workers can continue to provide vulnerable patients with home and community-based services under the ACA."

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CMS Issues Update, Clarifications to Hospice Policy Chapter of Benefit Policy Manual

CMS recently released Change Request (CR) 8727 Updates and Clarifications to the Hospice Policy Chapter of the Benefit Policy Manual.  The purpose of the changes is to incorporate policy language from existing regulations, prior rules, an Office of Inspector General Memorandum Report, and two Change Requests, and to clarify existing policy. 

A summary of the changes is provided below. Hospices may use this table to educate applicable staff and to make changes to the necessary agency documents and literature.

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National Council on Medicaid Home Care will Host “Call with the Experts” Teleconference on June 24

The National Council on Medicaid Home Care will host it’s next “Call with the Experts” teleconference on Tuesday, June 24, 2014 from 3:00pm – 4:00pm EST.

This is a regular call hosted by the Council where subject matter experts provide valuable information on crucial issues facing Medicaid home care.

The focus of the June call will be an update on the Companionship Services Exemption and the ACA Employer Mandate advocacy effort. Bill Dombi will update members on the recently filed lawsuit regarding the Companionship Services Exemption as well as progress with the ongoing advocacy efforts to delay the implementation of the ACA Employer Mandate. Participants will also have an opportunity to ask questions.

This teleconference is set for Tuesday, June 24, 2014 at 3:00PM – 4:00PM EST. The teleconference is open to all Medicaid Council members without charge. Feel free to include any and all of your staff. The teleconference will include two-way communication capabilities.

To access the teleconference:
Call-in: 877-722-1471

Passcode: 1189334780
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