Home Health Care News April 5, 2024
Patrick Filbin

Medicaid payment rates for home- and community-based services (HCBS) vary drastically across states, causing workforce instability and access challenges for services.

That’s according to a recent report from the Medicaid and CHIP Payment and Access Commission (MACPAC). MACPAC makes recommendations to Congress, the U.S. Department of Health and Human Services (HHS) and states on issues affecting Medicaid.

“Variability in payment rate assumptions can incentivize workers to switch to higher-paying services, creating access challenges” Robert Nelb, principal analyst with MACPAC, wrote in the report.

Medicaid payment policies significantly impact the HCBS workforce. Much like other corners of the home-based care industry, there’s a growing shortage of HCBS workers due to high demand and headwinds exacerbated by the COVID-19 pandemic.

States have...

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