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  NAHC Report: Issue# 2712, 7/27/2015
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NAHC Submits Comments on Medicaid Managed Care Proposed Rule
Before August Break, Contact Lawmakers to Support Bill Allowing Nurse Practitioners and Physician Assistants to Certify Home Health Services
For Your Information: Major Players in Passing Medicare and Medicaid Legislation: Michael Joseph “Mike” Mansfield
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NAHC Submits Comments on Medicaid Managed Care Proposed Rule

The National Association for Home Care & Hospice (NAHC) recently submitted comments to the Center for Medicare & Medicaid Services (CMS) on a proposed rule addressing Medicaid managed care (click here to see previous NAHC Report article regarding announcement of the proposed rule). The comments submitted by NAHC reflect those expressed by the beneficiary advocacy community, and also highlight several issues specific to provider interests.

In a letter to CMS Acting Administrator Andy Slavitt, NAHC expressed support for the proposed rule’s establishment of a framework for developing Medicaid managed care models, particularly Medicaid Long Term Services and Supports (MLTSS). “NAHC commends [CMS] for offering a proposed rule for public comment that is a thoughtful and comprehensive consideration of the issues and concerns presented with Medicaid managed care,” NAHC stated in the letter. “We share the view that it is essential that some level of structure be implemented to guide the ever-increasing shift of Medicaid programs to managed care models, particularly with MLTSS.”

While expressing support for the proposed rule’s overall framework, NAHC expressed several NAHC recommendations to improve it. One NAHC recommendation is to require states and contractors to develop plans to comply with the Americans with Disabilities Act (ADA) and the U.S. Supreme Court decision in Olmstead v. L.C. While the CMS proposed rule references compliance with the ADA and Olmstead, NAHC believes that it should include “a specific obligation” for state Medicaid plans and contracting MLTSS plans to establish compliance plans with regards to Medicaid managed care development. “Such a compliance plan would aid in CMS’s review of any pertinent state plan amendments or waiver applications from a state,” NAHC stated. “With respect to the MLTSS plans, a compliance plan requirement would help operationalize compliance, making it an achievable process measure and an outcome goal that can be better audited.”

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Before August Break, Contact Lawmakers to Support Bill Allowing Nurse Practitioners and Physician Assistants to Certify Home Health Services

With Congress’s annual August break quickly approaching, there is limited time remaining to encourage your members of Congress to indicate their support for the Home Health Care Planning Improvement Act of 2015 (S. 578/H.R. 1342) before lawmakers leave Washington, D.C., to travel back to their home states. The U.S. House of Representatives is scheduled to adjourn at the end of this week, and the U.S. Senate is scheduled to adjourn next week, for the August break.

Last week, three members of the House of Representatives joined on the bill as cosponsors: Representatives Raul Grijalva (D-AZ-3), Gerald Connolly (D-VA-11), and Jackie Walorski (R-IN-2). With these additions, 129 Representatives and 34 Senators have now indicated their support for the legislation.

As previously reported, NAHC is working with key champions in Congress to receive a Congressional Budget Office score of the legislation and technical assistance from the Centers for Medicare & Medicaid Services so that the bill can move forward in the Committee process. More Congressional cosponsors would increase the likelihood of the bill being included in a future Committee markup, so NAHC has set the attainable goal of 40 supporters in the Senate.

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Major Players in Passing Medicare and Medicaid Legislation
To celebrate the 50th Anniversary of the enactment of Medicare and Medicaid legislation on July 30, the National Association for Home Care & Hospice is recognizing individuals who played an important role in passing the legislation throughout July.

Michael Joseph “Mike” Mansfield rose from humble beginnings to achieve a distinguished career as both the longest serving Senate Majority Leader and longest serving US Ambassador to Japan in history.

Born in New York City in 1903, Mansfield’s mother passed away when he was three years old and so his father sent him to live with his aunt and uncle in Great Falls, Montana. At the age of 14, Mansfield withheld his true age in order to join the U.S. Navy during World Ward I, later serving in the U.S. Army and US Marine Corps as well. Following his service, he returned to Montana and began working in the copper mines in Butte, the town where he met and fell in love with his future wife, a local school teacher, who encouraged him to continue his education. At the University of Montana in Missoula, he studied and became a professor of history.

Mansfield began his career in politics in 1942 when he was elected to the U.S. House of Representatives where he served five terms. In 1952, he won election to the U.S. Senate where he pursued his interest in foreign affairs. The Senate Majority Leader at the time, Lyndon Johnson, selected Mansfield to serve as Majority Whip. When Lyndon Johnson was elected Vice President under President John F. Kennedy, Mansfield became Majority Leader. In this position from 1961 to 1977, he successfully shepherded the New Frontier and Great Society programs through Congress, including Medicare and Medicaid legislation.

While he held great power and influence as Senate Majority Leader, Mansfield’s approach was much different than his predecessor’s. Unlike Lyndon Johnson, Mansfield used a soft touch with his colleagues and largely stayed above the fray. He said, “There’s a great deal of individualism and breakdown of comity in Congress. There’s too much reaching for the sound bite on TV and not enough cooperation between the two parties and the two branches. Politics is getting too expensive.” After stepping down as Majority Leader, Mansfield served as U.S. Ambassador to Japan under Presidents Jimmy Carter and Ronald Reagan from 1977 to 1989.


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  • Bachelors Degree in Nursing, Business Administration, or related field required; Masters Degree in Nursing, Business Administration, or related field preferred.
  • System management experience preferred.
  • Five years home health/hospice nursing experience preferred.
  • Two years management experience in home health/hospice setting required.
  • Demonstrates effective communication and collaboration skills with physician and all other members of the health care team
  • Progressive and successful work history
  • Specialty certification preferred

Interested candidates please submit a resume and cover letter for consideration. FAX:  814-788-8046 OR E-MAIL:


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