HCBS Waiting Lists Remain ‘An Incomplete Picture Of Need’

The number of states with waiting lists for people in need of home- and community-based services (HCBS) hasn’t seen much variation between 2016 and 2024, according to a new data analysis from the KFF. In fact, there have been about 700,000 people on waiting lists, or interest lists, in most years since 2016. Total enrollment […]

What Home Care Leaders Think Of Kamala Harris’ Medicare Home Care Proposal

With the “sandwich generation” top of mind, Vice President and presidential candidate Kamala Harris unveiled plans for a new Medicare home-based care proposal earlier this month. The proposal would include non-medical home care services under the Medicare umbrella, aiding seniors in need of activities of daily living support. The policy – if enacted – would […]

How Home-Based Care Providers Hurdle Tricky Payment Issues

Whether it’s Medicare, Medicaid, Medicare Advantage (MA) or private pay, home care and home health leaders are both navigating tricky payer environments in their respective sectors. MA penetration continues, as do cuts to traditional Medicare payments in home health care. In home care, billing rates have recently risen on the private-pay side, while Medicaid payment […]

Where Home-Based Care Providers Are Growing, And Why

As home-based care demand continues to increase, several leaders are thinking about the unique growth trajectories at their companies. At Impact Healthcare, growth has been achieved by not overextending. In recent years, the company has seen 35% year-over-year growth, except for in 2020. “When I think about our growth trajectory, it’s making sure that we […]

While Home Care Is Touted As A Panacea, Rates And Regulations Hold Providers Back

The U.S. health care system is banking on home- and community-based services (HCBS) to help keep seniors and individuals with disabilities at home and away from more costly brick-and-mortar facilities. But for now, incongruent rates mean disparate access to those services state by state. The Centers for Medicare & Medicaid Services (CMS) released the Medicaid […]

8 Charged In $68M Home Care, Adult Day Fraud Scheme

An indictment was unsealed on Wednesday in Brooklyn, New York, charging eight defendants with allegedly scheming to defraud Medicaid of approximately $68 million. This was done through the operation of two social adult day care organizations and a home care financial intermediary that paid kickbacks and bribes for services not provided. According to court documents, […]

Years After Implementation, EVV Remains Inconsistent Pain Point For Home Care Providers

Electronic Visit Verification (EVV) was established as law in 2016 under the 21st Century Cures Act to address fraud and abuse in home-based care delivery. The law provides federal guidelines, but individual states can determine which service codes are included. However, years after nationwide implementation, EVV still remains a burden for home care providers. Simply […]

Amid Ongoing Controversy In New York, Public Partnerships Is Awarded CDPAP Contract

Public Partnerships LLC (PPL) — an Alpharetta, Georgia-based financial management services company — has been awarded the fiscal intermediary contract in New York. PPL will take over as the sole administrator of the state’s Consumer Directed Personal Assistance Program (CDPAP). “We are excited to have the opportunity to serve CDPAP consumers and personal assistants,” Maria […]

CMS Releases HCBS Continuity Of Coverage Requirements

The Centers for Medicare & Medicaid Services (CMS) has released additional information around continuity of coverage for home- and community-based services (HCBS) beneficiaries. The agency issued an informational bulletin last month reminding states of federal renewal requirements and available flexibilities to ensure continued coverage for individuals eligible for HCBS through Medicaid. This bulletin continues CMS’ […]

In What Could Be A Tailwind For HCBS Providers, MACPAC Pushes For Easier Medicaid Enrollment

For seniors looking to gain access to home- and community-based services (HCBS), wait times can be a major roadblock. Policy aimed at reducing those wait times could also have a positive effect on providers. In a recent MACPAC meeting, Tamara Huson, a senior analyst and contracting officer at the organization, presented early findings on the […]