Medicaid Access Regulation: State Medicaid Agency Comments & Fact Sheet

NAHC and our partners with the Partnership for Medicaid Home-Based Care (PMHC) and the Home Care Association of America (HCAOA) are pleased to publish the attached fact sheet outlining concerns included in comment letters submitted by state Medicaid agencies regarding the Medicaid access rule’s 80-20 provision.

Several states expressed serious concern with the 80 percent direct compensation proposal, citing lack of data from CMS to support and implement the proposal, potential exacerbation of existing workforce shortage issues especially in small and rural communities, adverse impacts on affordability, and lack of agency authority to implement the policy, amongst other issues. The fact sheet also includes a link to a compilation of all the comments submitted by state government agencies and their representative organizations (which is also attached for reference). The document is intended to be a quick way to educate policymakers on concerns with the proposal, using the arguments put forward by a bipartisan group of government agencies responsible for administering the programs.

See Attached Fact Sheet