Home-Based Care Providers Break Down ‘Unintended Consequences’ of CMS’ Proposed Medicaid Rule

Posted Wednesday, August 16, 2023

proposed rule from CMS, which would require at least 80% of Medicaid reimbursement for home- and community-based services go toward worker compensation – received over 2,100 submissions during its public comment period.

Gratitude and appreciation for CMS regarding its efforts to enhance the HCBS workforce were received in many of the comments, however, concerns persist over how the rule would affect HCBS providers across the country.

“While we understand and appreciate the linkage between caregiver wages and recruitment and retention, the non-uniformity of state program requirements and the disparity in reimbursement rates — both across and within states — preclude the implementation of a standard minimum percentage threshold for direct care workers’ compensation,” Darby Anderson, EVP and chief government relations officer for Addus HomeCare Corporation (Nasdaq: ADUS), wrote in a comment.

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