Why California is a Hotbed for In-Home Palliative Care

A Medicaid program in California is increasing access to palliative care services in people’s homes. For about a year, home-based palliative care has been a mandated benefit in California’s Medicaid program, Medi-Cal. Most Medi-Cal beneficiaries are enrolled in managed care plans that contract with agencies that provide these palliative care services, according to a Next […]

12 Home Health Workers Indicted for $87 Million Medicaid Fraud

Two sisters and 10 of their employees have been indicted after a federal grand jury said they spent years using their home health care companies to defraud the Pennsylvania Medicaid program. Home health care companies owned and operated by sisters Arlinda Moriarty and Daynelle Dickens received more than $87 million in Medicaid payments for services that were never […]

Home Health Quality on the Upswing, Readmission Rates Hold Steady

The quality of home health care improved across most major domains between 2016 and 2017, although the rate of hospital admissions remained static for the fifth straight year. That’s according to data in the Home Health Chartbook 2018, prepared by Avalere Health for the Alliance for Home Health Quality and Innovation. The document compiles data […]

Federal Bill Would Expand Crackdown on Medicaid Home Health Fraud

Democratic Rep. Peter Welch of Vermont on Tuesday unveiled bipartisan legislation to combat Medicaid fraud and abuse originating outside of institutional health care settings. The bill would build on the authority of state Medicaid Fraud Control Units (MFCUs) and expand the scope to encompass all Medicaid services including non-institutional settings, such as home health care. […]

Medicaid Officials Target Home Health Aides’ Union Dues

Home Health Care News Perspective: Union fees for home care workers have long been in the crosshairs. HHCN previously reported on how the home care industry paved the way for the Supreme Court’s landmark Janus ruling and how workers have begun to file lawsuits seeking reimbursement of union fees in the wake of that case.  […]

Fresh Research Supports a Medicare Benefit for At-Home Personal Care

Results from a program in Maryland suggest that a Medicare benefit to cover at-home personal care services could be feasible, according to new research findings. “We think the Maryland experience is instructive,” researcher Karen Davis told Home Health Care News. Davis is professor emerita in the Department of Health Policy and Management at the Johns […]

Rhode Island Secures Rate Escalators for Medicaid Home Care Program

Home care providers in the state of Rhode Island have secured a much-needed Medicaid rate increase for the home care and hospice program. The 2019 state budget includes a 10% unencumbered increase for Medicaid fee-for-service personal care attendant services and a 29% increase for Medicaid FFS skilled nursing, therapeutic care and hospice, both effective July 1, […]

New York Overbilled Medicaid Home Care Program by $75 Million

New York’s Medicaid agency claimed reimbursement for some in-home care services that were not in accordance with Medicaid requirements, to the tune of $74.8 million, according to the Office of Inspector General. The state did not provide documentation of services claimed, claimed reimbursement for services that were not authorized or supported, and for claims which […]