Medicaid Redetermination And What It Means For Home-Based Care

In less than two weeks, there may be far fewer eligible Medicaid beneficiaries. Medicaid membership ballooned during the pandemic. Millions of people were suddenly eligible for public health care when companies went through layoffs and when unemployment spiked. Over the past three years, states were told not to disenroll people who didn’t specifically request it. […]

White House Uses Home Care As Sticking Point In Support Of Medicaid Spending

President Joe Biden and his administration are using the importance of personal home care as a way to fight back against some Congress members’ desire to cut Medicaid funding. In a letter that opposed certain aspects of the “Congressional Republican agenda,” the White House criticized Republicans’ previous plans to repeal the Affordable Care Act, cut […]

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 […]

California to Pay for Healthy Food Delivery for Ill Residents

To keep their chronically ill residents at home and out of hospitals or nursing homes, states are beginning to look at food-as-medicine models that deliver healthy, nutritious meals under doctors’ orders. But there’s now a state that’s doing a lot more than looking. California has launched a new, three-year, $6 million pilot program spearheaded by […]

Louisiana Medicaid Recipients May Lose Home Care Benefits

Tens of thousands of Medicaid recipients in Louisiana, many of whom rely on home care services, are being warned they may soon lose benefits due to proposed state budget cuts. The Louisiana Department of Health began mailing notices Thursday to nearly 37,000 Medicaid enrollees, informing them that their eligibility may end on July 1 because […]

[Updated] The Trickle-Down Effect of Tax Reform on Home Health

The home health industry is one step closer to witnessing sweeping tax reform, with the bill on its way to President Trump’s desk. As such, the industry could see a windfall—though some cuts to Medicare and Medicaid could be triggered down the line. House and Senate lawmakers voted in favor of the Tax Cuts and […]

Removal of Flu Vaccine Measure to Boost Home Health Star Ratings

Home health agencies participating in the Centers for Medicare and Medicaid Services’ (CMS) Quality of Patient Care (QoPC) Star Rating program could see a slight uptick in their average ratings on Home Health Compare, thanks to CMS’ proposed removal of the influenza immunization measure. Currently, home health agencies must be able to report on five […]

How Agencies Can Win with Targeted Probe & Educate

The Centers for Medicare and Medicaid Services (CMS) has certainly kept the home health industry on its toes, with 2017 being a banner year for regulations and proposals. Between the now on-hold home health groupings model (HHGM), and the new conditions of participation (CoPs) set to take effect on January 13, 2018, home health providers […]

$374 Million Home Health Care Fraud Case Concludes

The FBI has wrapped up the largest ever home health care fraud case, which centered around a $374 million scheme in Texas and involved seven individuals, the agency stated in a post on Monday. The sentencing of Cynthia Stiger, 52, of Dallas, in October to 10 years in prison marked the end of the major fraud case, which spanned eight […]