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  NAHC Report: Issue# 2909, 5/19/2016
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Deadline Extended on House Letter to CMS Opposing Prior Authorization Proposal
House Medicaid Task Force Working on Proposals for 2017
For Your Information:Medicaid Managed Care — What You Need to Know
Job Corner: 1) Home Health Executive Director; 2) Education Coordinator/HHA Department Manager
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Deadline Extended on House Letter to CMS Opposing Prior Authorization Proposal
Tuesday, May 24, is the Deadline for Representatives to Sign the Letter

The National Association for Home Care & Hospice (NAHC) is asking everyone to contact their members of the U.S. House of Representatives to request that they cosign the letter being circulated by Congressmen Tom Price (R-GA-6) and James P. McGovern (D-MA-2) urging the Centers for Medicare & Medicaid Services (CMS) to rescind its prior authorization proposal for Medicare home health care services.

The deadline for signing the letter has been extended to Tuesday, May 24, so please act now using NAHC’s Legislative Action Center (available here) to contact your member of the U.S. House and request that they sign on to the letter today. By recruiting as many members of the U.S. House as possible to sign the Price-McGovern letter, NAHC members can help ensure CMS understands the concerns of the home health care community regarding this proposal.

In February, CMS issued a Paperwork Reduction Act Notice containing a proposal to institute a system of “prior authorization” on all home health services in five states. This proposal, which could easily expand to additional states, threatens Medicare beneficiaries and upstanding home health agencies because it would be costly, burdensome, and totally ineffective in preventing fraud and abuse.

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House Medicaid Task Force Working on Proposals for 2017

Last year, Republicans in the U.S. House of Representatives announced the establishment of the Medicaid Task Force to examine and develop changes to the Medicaid program. The Task Force is chaired by Rep. Brett Guthrie (R-KY). Subsequently the National Association for Home Care & Hospice (NAHC) has met him and his staff to discuss Medicaid-related and other legislation.

Rep. Guthrie, according to news reports, recently said that the Medicaid Task Force is working on proposals but will not release them until 2017. This will allow the Task Force to wait until after the national elections have determined control of Congress and the White House. Rep. Guthrie also indicated that reducing costs in Medicaid is one of the focuses of the Task Force. The National Association for Home Care & Hospice (NAHC) has argued for the expansion of home and community based services in Medicaid, which are not only higher quality and preferred by those receiving care but also more cost-effective than institutional care.

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Medicaid Managed Care — What You Need to Know

The greatest growth in home care is in Medicaid services.  This increase is triggered by the nationwide rebalancing of Medicaid spending on long-term care as more states shift their focus to home- and community-based care and away from institutional care in nursing homes.  The movement from fee-for-service to Medicaid managed long-term services and supports (MLTSS) requires increased awareness from home care and hospice financial managers.  Medicaid home care now accounts for $75 billion in spending, so come to FMC 2016 and hear what worked and what didn’t in 2015. 

Attending FMC 2016 is how you become part of the national leadership circle in home health and hospice finance.  We hope you’ll join us July 10-12 at the Red Rock Casino & Spa in Las Vegas.

Learn more about FMC 2016!  See the conference program and schedule here.

Register for discounted attendee hotel rates at the Las Vegas Red Rock Casino & Spa and the conference itself here.

Home Health Executive Director

Certified Home Health Agency operating in the Kansas City metropolitan area is seeking an Executive Director.  Organization has been part of the Kansas City community for over 30 years and is affiliated with a hospital system within the community.  Strong outcomes, financial performance and tenured staff.  Opportunities for growth and development of additional business models present.  Excellent opportunity for someone wanting to live in a culturally diverse city, with major sports teams, theatre, great seasonal weather and wonderful neighborhoods and school districts. 


The position provides direction, planning, and oversight for the entire organization and must have strong knowledge of the Conditions of Participation, Federal and State laws and Medicare program requirements. Strong leadership skills, computer skills and clinical expertise a must. Qualified candidate will be able to move the organization forward into new service areas, new programs and new technologies.

Education & Experience

  • Bachelors Degree Nursing, Masters in nursing or Business Administration preferred.
  • A minimum of 5 years’ experience in Management or executive level in home health agency preferred.
  • Knowledge of corporate business management including budget development and monitoring, market analysis and strategic planning, and licensure and/or regulatory compliance
  • Experience with McKesson software preferred.
  • Current and valid RN License in Missouri and Kansas

For more information, contact: Jenifer Bellamy, 909.625.8275,

Education Coordinator/HHA Department Manager

Our Education Coordinator meets the needs of our employees by providing for educational experiences needed to ensure a competent workforce. The Education Coordinator identifies the educational needs of our employees and meets those needs with the most appropriate methods including, but not limited to, one-on-one education, in-servicing, external conferences, joint visits, workshops and other activities. The right candidate will understand the role of each member of the agency, how those roles intersect and complement each other, and what is needed to have each employee capable of performing his or her role competently. The ability to analyze trends and performance improvement opportunities is essential. Oversight of the Home Health Aide Department is also an essential part of this position’s responsibilities. Performing home visits based upon patient and agency needs is also included.

Requires NJ RN, BSN or equivalent experience and actively pursuing BSN, minimum of 3 years certified home care experience, including 1 year instructional experience or 1 year supervisory experience. OASIS-C certification is preferred. Excellent interpersonal and communication skills, and strong organizational skills are required.

For consideration send your resume to

Visiting Health Services of New Jersey, Inc.
783 Riverview Drive
Totowa, NJ 07511

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