Public Partnerships LLC, also known as PPL, is competing to become the exclusive administrator of New York’s Consumer Directed Personal Assistance Program (CDPAP). This program enables seniors and individuals with disabilities to choose their own caregivers, with payment coming from the state’s Medicaid program. New York’s CDPAP has been in the headlines for months. Gov. […]
Category: Medicaid
There might be some recourse for home-based care providers that aren’t able to meet the requirements of the “Ensuring Access to Medicaid Services” rule’s 80-20 provision. “We heard, consistently, that there were concerns about the applicability of the 80% threshold to small providers,” Melissa Harris, the deputy director of the Medicaid and benefits health programs […]
Medicaid home- and community-based services (HCBS) vary by state, in many ways. And while it makes the space a complex one for providers to navigate, a greater understanding of the complexities allows for more success. Broadly, Medicaid is a state and federal partnership. The federal government sets rules and parameters. The state takes those parameters […]
How Personal Care In Acute Care Settings Could Become Popularized, Benefiting Patients And Providers
In March, the U.S. Centers for Medicare & Medicaid Services (CMS) approved a request from one state to allow more personal care service delivery within acute care facilities. Though not yet widespread, the amendment could open doors for providers and patients needing personal care in alternative settings in the future. One change to a Medicaid […]
Last month, the New York state budget for 2025 passed. It will bring on sweeping changes for home care stakeholders and recipients in the state. The budget makes major changes to New York’s Consumer Directed Personal Assistance Program (CDPAP). Under New York’s CDPAP, individuals seeking care are allowed to hire a caregiver of their own […]
When the “Ensuring Access to Medicaid Services” rule was finalized last week, the 80-20 provision stole the show, due to its unpopularity among home-based care leaders. But experts have pointed out that the rule is much more than just the 80-20 provision. “The rule, including the preamble, was over 1,000 pages, and I joke that […]
A senior Centers for Medicare & Medicaid Services (CMS) official stood behind the “80-20 rule” — which has drawn major pushback from the home-based care industry — during a congressional hearing Tuesday. Last week, the “Ensuring Access to Medicaid Services” rule was finalized. The impetus behind the rule is to strengthen access to home- and […]
Now that the Medicaid Access Rule has been finalized, home-based care’s company leaders have had time to digest it, and consider what it means for the future of the space. While some acknowledge the good in the Centers for Medicare & Medicaid Services’ (CMS) reform efforts, others are facing the grim realities tied to the […]
One policymaker is attempting to put a halt to the 80-20 rule. At the start of the week, the “Ensuring Access to Medicaid Services” rule was finalized. The 80-20 provision is, arguably, the most controversial component of the Medicaid rule. In summary, the provision calls for 80% of Medicaid payments for home- and community-based services […]
Home-based care dealmaking remains in a lull, one it hasn’t been able to shake since the historical M&A highs of 2020 and 2021. “We didn’t expect it to be that flat and that consistent for 2023,” Mark Kulik, senior managing director at M&A firm The Braff Group, said during a presentation at Home Health Care […]
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