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  NAHC Report: Issue# 2768, 10/13/2015
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Medicare Part B Premiums for Some Beneficiaries Could Increase Without Congressional Action
CMS Posts Two Transmittals Updating the State Operations Manual
For Your Information: Web Event: Achieving Compliance with the New Federal Companionship Services and Live-in Overtime Compensation Rules
Job Corner: Assistant Vice President, Home Health/Hospice – Full Time
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Medicare Part B Premiums for Some Beneficiaries Could Increase Without Congressional Action
NAHC Attends Press Conference Highlighting Need for Legislation to Prevent Steep Increase in Medicare Premiums; Opposes Home Health Copays or Payment Cuts to Offset Cost

Democratic lawmakers in the U.S. House of Representatives, led by Minority Leader Nancy Pelosi (D-CA), held a press conference last week to highlight the need for Congress to pass legislation by October 15 to prevent a steep increase in Medicare Part B premiums for certain beneficiaries. Premiums could increase by approximately 50 percent for more than 15 million individuals, or 30 percent of Medicare beneficiaries, starting next year. The 30 percent of Medicare beneficiaries potentially affected would include individuals who are eligible for both Medicare and Medicaid, individuals with incomes over $85,000 annually, new enrollees, and those who do not receive Social Security.

Federal law protects 70 percent of Medicare beneficiaries from any Medicare premium increase that exceeds the annual increase in an individual’s Social Security benefits, through what is known as a “hold harmless” provision. However, federal law does not provide the same protection to the 30 percent of Medicare beneficiaries listed above. According to the Medicare trustees report released in July, the standard premium for affected beneficiaries would increase from $105 to $159 per month, and the annual deductible would rise from $147 to $223 in 2015. Medicare beneficiaries with incomes over $85,000 already pay more than the standard premium and would face even larger increases in their premiums.

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CMS Posts Two Transmittals Updating the State Operations Manual

The Centers for Medicare & Medicaid Services (CMS) released two Transmittals, both updates to the State Operations Manual (SOM), at the end of last week with one impacting home health and hospice providers and the other impacting hospices. 

Transmittal 148, Revisions and Deletion to the State Operations Manual (SOM) Chapter 9 Exhibit, provides example letters sent to deemed and non-deemed providers in various termination situations as well as reflecting changes in procedures for submitting appeals to the Departmental Appeals Board. 

Transmittal 149, State Operations Manual (SOM) for All Types of Providers and Suppliers Subject to Certification clarifies the meaning of the terms “marriage,” “spouse,” and other terms that implicate the spousal relationship wherever used in the appendices of the SOM and applies specifically to hospices. 

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Web Event: Achieving Compliance with the New Federal Companionship Services and Live-in Overtime Compensation Rules

Thursday, October 15, 2015, 1:00 PM – 2:30 PM Eastern

Program Description:

The U.S. Department of Labor (DoL) issued new rules that effectively eliminate the minimum wage and overtime compensation exemptions that had been applied to personal care services in home care. While the DoL originally planned for these changes to take effect on January 1, 2015, a lawsuit brought by NAHC and others delayed those rules until October 13. Chief Justice Roberts of the U.S. Supreme Court denied the request for a stay of the Court of Appeals ruling and NAHC is appealing the case to the whole Court. However, these rules go into affect pending the appeal outcome.

Program Objectives:

  • Understand the status of the lawsuit challenging the validity of the DoL rules
  • Identify the nature of the rule changes affecting "companionship services" and "live-in domestic services" under the Fair Labor Standards Act
  • Recognize the business options available to address new minimum wage and overtime compensation requirements
  • Identify the steps neccessary to achieve compliance with the new requirements

Panel of NAHC Experts:

  • Val J. Halamandaris, JD, President, NAHC
  • William A. Dombi, Esq., Vice President for Law, NAHC
  • Angelo Spinola, Shareholder, Littler Mendelson PC


Webcast and Recording
Member:  FREE      Non-member:  $150.00

Click Here to Register!


Assistant Vice President, Home Health/Hospice – Full Time


The Assistant Vice President, Home Health/Hospice executes direct administration of the Penn Highlands Healthcare System Home Health and Hospice departments as evidenced by achieving results in clinical quality, service excellence, human resources management and financial management. The Assistant Vice President assists in developing and implementing a strategic plan for the growth and development of the System's home health and hospice services.


  • 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 required;
  • 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

Penn Highlands DuBois is the best of modern health care technology, plus the best of small town America!

Located in the midst of the beautiful rolling hills and woodlands of Pennsylvania, you don't have to be a native to feel at home here. No matter where your roots, you'll quickly recognize that the staff at Penn Highlands DuBois (PHD), like other residents of the community, will make you feel right at home.

Penn Highlands DuBois (PHD) offers residents of west central Pennsylvania a rare combination of technologically advanced health care in a warm, friendly environment. Widely recognized as one of the leading health centers of its kind in the commonwealth, PHD is an oasis of clinical and technical excellence, with a focus on patient-centered care. Its rural setting is just far enough from the hustle of the city life to make it peaceful, but close enough to provide easy access to sought-after urban attractions.


KEYWORD SEARCH:  2015-8245

Please forward your resume and cover letter with salary requirements to Ann Bohac, HR Recruiter VNA Care Network & Hospice at    or visit our website at


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