HomeCare September 19, 2025
The Alliance for Care at Home pushed back on the recommendations after public discussion
ALEXANDRIA, Virginia & WASHINGTON—At its September public meeting, the Medicaid and CHIP Payment and Access Commission (MACPAC) released draft recommendations for Medicaid payment policies intended to support the home- and community-based services (HCBS) workforce.
“The Secretary of the Department of Health and Human Services (HHS) should direct the Centers for Medicare & Medicaid Services (CMS) to require states to report, on a biannual basis, hourly wages paid to home- and community-based services workers who provide the following services: personal care, home health aide, homemaker and habilitation,” the draft recommendation said. “States should report descriptive statistics on hourly wages for each service, including mean, median and range....







