Skip to Main Content
National Association for Home Care & Hospice
Twitter Facebook Pintrest
:: NAHC Report
  NAHC Report: Issue# 2847, 2/19/2016
Follow us on: 
Medicaid Provisions Affecting Home Care in the President’s FY2017 Budget
Private Duty Conference Highlights: Meeting Operational and Compliance Challenges, Part I — A Session Detail
For Your Information: NAHC Announces the March on Washington Conference
Email Center


Manage Your Account Contact the Editor Ensure Delivery Advertise in NAHC Report

Medicaid Provisions Affecting Home Care in the President’s FY2017 Budget

As previously reported in the February 9, 2016, edition of NAHC Report (available here), U.S. President Barack Obama has released his $4.1 trillion fiscal year (FY) 2017 budget proposal, which contains proposals of significant concern to the home care and hospice community. However, the President’s budget also includes several Medicaid proposals regarding delivery reform to incentivize home and community-based services; access to and coverage of services; quality and cost-effectiveness; and the integrity of the Medicaid program. Following are summaries of these Medicaid proposals as included in the President’s FY2017 budget:

Delivery System Reform

Allow Full Medicaid Benefits for Individuals in a Home and Community‐Based Services State Plan Option. This proposal provides states with the option to offer full Medicaid eligibility to medically needy individuals who access home and community‐based services through the state plan option under section 1915(i) of the Social Security Act.  Currently, when a state elects to not apply the community income and resource rules for the medically needy, these individuals can only receive 1915(i) services and no other Medicaid services.  This option will provide states with more opportunities to support the comprehensive health care needs of individuals with disabilities and the elderly. [$9 million in costs over 10 years]

:: Read Full Article

Private Duty Conference Highlights: Meeting Operational and Compliance Challenges, Part 2 — A Session Detail

Angelo Spinola of Littler Mendelson P.C. in Atlanta, Georgia, gave a presentation at the Private Duty Home Care Conference that explored the ins and outs of private duty home care compliance. “The burden you have as an employer is significantly higher than in any other area of labor employment law,” he acknowledged.

“The lawsuits come, and agencies start becoming compliant,” Mr. Spinola said. “We need to break this cycle and start developing compliance programs now.”

One of the key points Mr. Spinola stressed is how agencies define “work” and how hours are coded. “You have to have a compensation agreement with your employees that outlines the different payment structures for different types of work. It has to be clear in your policy.” Mr. Spinola discussed the regular rate, how to calculate it, when it applies, and how you use it to determine overtime payments. “You and your agency have to be responsible for keeping track of wages and hours. Let’s take a look at where the holes might be in your compliance program,” he suggested.

:: Read Full Article

NAHC Announces the March on Washington Conference
Mayflower Renaissance Hotel, April 3–5, 2016

NAHC is hosting the 2016 March on Washington Conference in the splendid city of Washington, DC. Now is a critical point as we face new rules that could challenge our mission to serve America’s aged, disabled, and ill. Join us as we work to make home care and hospice the center of health care in our country.

The nation’s capital is the heart of legislative activity that affects home care and hospice. That makes it the perfect place to raise awareness of the vital work we do. Together, we can deliver a unified message to those who make the policies that shape our business. Take advantage of this chance to lobby your lawmakers, connect with colleagues, and attend educational sessions led by experts in our field.

Register and Book Your Hotel!

View the Conference Program!


©  National Association for Home Care & Hospice. All Rights Reserved.