Home Health Care News July 30, 2024
Joyce Famakinwa

There might be some recourse for home-based care providers that aren’t able to meet the requirements of the “Ensuring Access to Medicaid Services” rule’s 80-20 provision.

“We heard, consistently, that there were concerns about the applicability of the 80% threshold to small providers,” Melissa Harris, the deputy director of the Medicaid and benefits health programs group at the Centers for Medicare & Medicaid Services (CMS), said Tuesday during a CMS open door forum. “There might be other circumstances in which it would be a particular hardship for providers to meet the 80% threshold.”

Indeed, home-based care providers and industry advocates have been vocal critics of the 80-20 provision. While many industry insiders are in support of higher caregiver wages, they...

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