Home Health Care News October 18, 2024
Andrew Donlan

The U.S. health care system is banking on home- and community-based services (HCBS) to help keep seniors and individuals with disabilities at home and away from more costly brick-and-mortar facilities. But for now, incongruent rates mean disparate access to those services state by state.

The Centers for Medicare & Medicaid Services (CMS) released the Medicaid Access Rule earlier this year. The goal of the rule was to enhance quality and transparency in HCBS across the country.

Included in the rule was the 80-20 provision, which broadly would force providers to pay 80% of HCBS reimbursement to direct care workers. CMS sees low pay as a reason for high turnover and reduced access in HCBS, and therefore believes enhanced pay from...

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