Home Health Care News June 13, 2021
Joyce Famakinwa

The Medicare Advantage (MA) opportunity isn’t one that has happened overnight for home care providers, with some industry insiders even describing it as a “slow burn.” In more recent years, a shift has begun to take place, however.

Although MA has become a bigger piece of the overall Medicare program puzzle, home care only stepped into the picture in 2019. The previous year, the U.S. Centers for Medicare & Medicaid Services (CMS) issued a final rule that mandated non-medical in-home care services as a benefit for MA plans.

CMS continued to stretch the flexibility around the rules, allowing coverage for benefits that “have a reasonable expectation of improving or maintaining the health or overall function” for individuals with chronic conditions.

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