The Alliance has worked with home care champions in the Senate to file amendments to the Ways & Means budget to improve home health care services. The HCA now needs home care agencies and advocates to send a message to gain support these proposals TODAY by clicking here!
Below is a list of the items the Alliance will be leading on and supporting in the FY16 Senate budget process.
Restoring Home Nursing Rates: Senator Jennifer Flanagan
• Purpose: This budget language seeks to restore the MassHealth rate for home health nursing visits past 60 calendar days of care to the payment level prior to the rate cut of December 1, 2008. This amendment creates a consistent rate for as long as an individual on MassHealth requires home health care.
Improved MassHealth Rates for Home Health Aide Services: Senator Barbara L’Italien
• Purpose: Since 2007, home health aide rates to agencies from MassHealth have remained at $24.40 per hour, which is meant to cover aide salary, benefits, travel, supervision and administrative costs for the employing home health agency. This amendment seeks to raise the rate MassHealth reimburses home health agencies for home health aide services by 12% at a cost to MassHealth of $1.75 million.
Study of MassHealth Third Party Liability: Senator Anne Gobi
• Purpose: A study is necessary because correct reimbursement coverage determinations for Medicare/Medicaid dual eligibles are far more complex in home health care than in other medical services as the services and program coverage rules are very similar. The process of submitting all or most MassHealth home health claims for review and re-review to Medicare is highly costly to both agencies and the state. The rate of Medicare coverage has also been steadily declining.
Homemaker Salary Reserve: Senator Michael Barrett
• Purpose: Appropriate $3 million from the Community First Trust Fund for a FY16 Homemaker Salary Reserve. This request will continue a campaign to support essential workers by providing an annualized wage and benefit increase of approximately 32 cents an hour to over 26,000 homemakers and personal care homemakers.
Community-Based Safety Net Adjustment: Senator Kathleen O’Connor Ives
• Purpose: Treat non-profit home health agencies that provide a significant number of home health visits to MassHealth patients as safety-net providers eligible for upward rate adjustments.
FMAP Trust Fund: Senator Michael Rodrigues
• Purpose: On January 1, 2014, Massachusetts began receiving an enhanced Federal Medical Assistance Percentage (FMAP) for certain Medicaid expansion populations through the ACA. This amendment creates a trust fund to house this funding and dedicate it to Medicaid and low-income health programs.
Expand Elder Service Home Care Income Eligibility: Senator Barbara L’Italien
• Purpose: Raise the income eligibility standard for State Home Care Program services funded by Elder Affairs to those below 300% of the Federal Poverty Level.
For more information on what was included in the Senate Ways & Means budget, visit this previous blog post.
Return to www.thinkhomecare.org.