In The News

Pfizer Booster for High-Risk Workers

In a statement released earlier this month, the CDC said that high risk of occupational exposure, such as healthcare workers, may receive the Pfizer booster shot at least 6 months after the two-dose primary series, based on their individual benefits and risks. The agency’s Advisory Committee on Immunization Practices (ACIP) had previously voted 6-9 against recommending a booster in this population.


Home Health Value-Based Purchasing Model Could Mean a Bigger Role for Palliative Care

Home Health Care News

Earlier this year, palliative care advocates were hopeful that a formal benefit for community-based services would be coming soon.

While that hasn’t happened yet, the clear momentum around a reimbursement pathway for community-based palliative care has prompted more home health agencies and other providers to launch programs of their own. That’s a trend likely to accelerate heading into 2022, thanks to the proposed expansion of the Home Health Value-Based Purchasing (HHVBP) Model and recent legislative updates on Capitol Hill



CMS Clarification on Late or Missing Election Statement Addendum

At NHPCO’s request, the Medicare Administrative Contractors (MACs) requested clarification from CMS when a hospice does not provide a requested addendum or does not meet the timeframe requirements. NHPCO has prepared a Regulatory Alert (09/23/21) with the detailed answer from CMS. A summary of the CMS answer: If the addendum is not present or does not meet the requirements, only the claim that is flagged for review would receive a claims denial and it would not invalidate the entire election.


Help CMS Improve Your Experience with Provider Resources

CMS is conducting a study to help us improve your experience with resources about the Medicare program and correct billing. Please share your thoughts with us by taking this survey. Responses are confidential, and the survey should take about 10 minutes to complete. Thank you for your time.



Pelosi Indicates Interest In More HCBS Funding Than House Proposed

Inside Health Policy By Maya Goldman 
House Speaker Nancy Pelosi (D-CA) indicated at a Service Employees International Union rally Thursday (Sept. 23) that she’d like to see more funding for Medicaid home- and community-based services in the final reconciliation bill than the $190 billion pushed by a House committee, and Senate Majority Leader Chuck Schumer (D-NY) committed to increasing federal funding for HCBS to a level that will incentivize states to improve offerings.
President Joe Biden’s original Build Back Better agenda calls for a $400 billion investment in Medicaid home care, which advocates have said would be the largest-ever infusion of cash in HCBS.
The House Energy & Commerce Committee passed a provision last week that would invest $190 billion in HCBS. Advocates were glad to see HCBS included in the committee’s bill but said that level of funding won’t be enough to make Medicaid home care services widely available and to improve the quality of home care jobs.
“We don't think $190 billion will quite get [us] there. So we want to make sure the number’s as close to $400 billion as we can possibly get,” April Verrett, president of SEIU Local 2015 and chair of the union’s National Home Care Council, said prior to Thursday’s rally.

Schumer committed at the rally to making sure the reconciliation bill increases federal funding for home- and community-based services.

Schumer said he wants to expand the availability of HCBS to eliminate waitlists and improve labor standards for direct care workers.
“We want to increase federal funding for these services to a level that will encourage widespread universal uptake by the states,” Schumer said. “As Majority Leader, I am committed to making sure our reconciliation bill delivers these goals together."

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