Here are the highlights of the proposed rule:
Positive Elements of Proposed Rule:
However, the requirement mandating that 80% of Medicaid reimbursement goes to worker compensation is so significant, that the good is overshadowed by this requirement. Under the proposal, compensation includes salary, wages, OT, health insurance, sick leave, mileage reimbursement, payroll taxes. Everything else would fall under the remaining 20% including workers’ compensation, unemployment insurance, supervision, scheduling, training, IT and other administrative functions.
During the panel, Kroll urged all agencies providing Medicaid HCBS to send comments to CMS. HCAOA members interested in submitting a comment may do through the online Legislative Action Center.
HCAOA has formed a workgroup tasked with developing comments on the proposed rule and is partnering with NAHC on a formal, written comment to CMS. Members of the HCAOA Medicaid Access workgroup include Ford Allison of TEAM Services Group, Veronica Charles of Maxim, Jim Fetzner of Long-Term Care and Medicaid Innovations, Ryan Green of BrightSpring Health, Bryant Greene of Always Best Care Senior Services, Dave Lamb of CareMaster Medical Services, Matt Walker of Village Caregiving, and Jeff Wiberg of Family Resource Home Care.