CMS To Review New York’s CDPAP Overhaul Amid Controversy

New York’s tumultuous ongoing transition to a single fiscal intermediary for the state’s self-directed home care program, the Consumer Directed Personal Assistance Program (CDPAP), has caught the attention of the U.S. Centers for Medicare & Medicaid Services (CMS). CDPAP is a New York Medicaid home care program that allows eligible individuals to hire the caregiver […]

CMS Rescinds Guidance For Medicaid’s Health-Related Social Needs

The U.S. Centers for Medicare and Medicaid Services (CMS) has revoked guidance related health-related social needs (HRSN) through Section 1115 waivers. Industry advocates say the move is indicative of the broader administration priorities to reduce Medicaid expenditures. Broadly, states use these programs to pay for health related social services, including meals and temporary housing. Damon […]

2024’s Hidden-Gem Stories: CenterWell’s View of Home Health, What Provider Margins Actually Look Like, InnovAge’s Turnaround

In a year filled with attention-grabbing, newsworthy articles, it can be easy for some stories to fall through the cracks, no matter how compelling. As the year comes to a close, it’s the perfect time to revisit some of the Home Health Care News stories that warrant a second viewing. These stories cover the truth […]

CMS Home Health Admission-To-Service Policy Misses The Heart Of Providers’ Capacity Issues

With the 2025 home health final payment rule came the admission-to-service policy — an update to the Medicare Conditions of Participation. In many ways, experts consider it a formalization of measures home health providers are already taking. Broadly, the policy has two parts. The first part requires home health providers to develop, implement and maintain […]

‘We Need A Break, Please!’: Home Health Providers Sound Off On CMS Over Rate Cuts

“Opposed.” That was the one-word response a home health provider left for the Centers for Medicare & Medicaid Services’ (CMS) during the comment period on the 2025 home health proposed payment rule. This comment was an anomaly, in terms of its brevity. While most respondents expressed similar sentiments, they chose to utilize more words to […]

CMS Highlights 80-20 Provision Exceptions That Could Be Lifelines For Providers

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 […]

CMS’ Daniel Tsai Stands Behind ‘80-20’ Provision, Medicaid Access Rule In Congressional Hearing

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 […]