Setting A Rate Floor Gains Traction in Delaware

Representative Debra Heffernan, Vice Chair of the House Health and Human Development Committee, has offered to sponsor and draft a bill that would set a reimbursement rate floor for skilled nursing care for all payers under the state’s Medicaid equal to what Medicaid pays directly.  This bill would go a long way in helping home health care providers have consistency in their plans.  Rep. Heffernan represents an area north of Wilmington along the Delaware River, east of Fairfax.   Two other representatives have offered to sponsor the bill as well, and an additional representative has offered to co-sponsor the bill.

Making The Rounds in North Carolina

Submitted by Lee Dobson, Area Director, NC Government Affairs (GAO)

BAYADA Chief Government Affairs Officer Dave Totaro and I met with key lawmakers this past week, seeking their support for a rate increase for aide services under three Medicaid programs – Personal Care Services, Community Alternatives Program for Disabled Adults (CAP-DA), and CAP for Children (CAP-C)- in two different settings: in-home care and adult care homes.  While the lift is heavy, $47.8 million to bring the rate from $13.88 to $17.00 over two years, our conversations were positive.  We also met with the newly appointed but not yet confirmed Secretary of Health & Human Services, Dr. Mandy Cohen.  A good round of meetings!

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Dave Totaro, Lee and Dobson Rep. Carla Cunningham, who is a nurse

Monroe, NC Offices Visit With Representative Dean Arp

Submitted by Lee Dobson, Area Director, NC Government Affairs (GAO)

As a new Hearts for Home Care ambassador, MON Clinical Service Manager Rachel Cauble was a bit nervous about organizing a home visit until she realized who she was inviting.  “As my Sunday school teacher, it was easy to get him to agree,” said Rachel.  “And it goes to show that lawmakers are regular people.”  Representative Dean Arp visited with MON and MP staff on February 17 and toured the skills labs before heading to the home visit.  Prior to his stroke, our client, Mr. Jones was a HVAC mechanic.  Rep. Arp, as an engineer, connected quickly with our client as they shared stories of challenging service calls that Mr. Jones was able to fix.  This was a great opportunity for Rep. Arp to learn of home health care and the challenges we face due to the low reimbursement aide rate.  He indicated that the House of Representatives is looking at ways to stretch the Medicaid dollar and to find a way to help.  Click here to read the press release and view more pictures.

 

Photo: MON staff with Rep. Arp
Photo2: MP staff with Rep. Arp

Monroe, NC Offices Visit With Representative Dean Arp

Submitted by Lee Dobson, Area Director, NC Government Affairs (GAO)

As a new Hearts for Home Care ambassador, MON Clinical Service Manager Rachel Cauble was a bit nervous about organizing a home visit until she realized who she was inviting.  “As my Sunday school teacher, it was easy to get him to agree,” said Rachel.  “And it goes to show that lawmakers are regular people.”  Representative Dean Arp visited with MON and MP staff on February 17 and toured the skills labs before heading to the home visit.  Prior to his stroke, our client, Mr. Jones was a HVAC mechanic.  Rep. Arp, as an engineer, connected quickly with our client as they shared stories of challenging service calls that Mr. Jones was able to fix.  This was a great opportunity for Rep. Arp to learn of home health care and the challenges we face due to the low reimbursement aide rate.  He indicated that the House of Representatives is looking at ways to stretch the Medicaid dollar and to find a way to help.  Click here to read the press release and view more pictures.

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MP staff with Rep. Arp
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MON staff with Rep. Arp

Delaware: Moving Forward In 2017

Submitted by Shannon Gahs, Associate Director, DE Government Affairs (GAO)

Governor John Carney took office in January, inheriting a budget deficit of $350 million.  As a result, the General Assembly is reviewing all planned expenditures for 2017.  I attended public hearings on all parts of the budget affecting the Department of Health and Social Services and testified on the need for a rate floor in Medicaid-contracted services.

Legislative Roundtable and Ambassador Relationship Leads to Action in PA

Submitted by Laura Ness, Director, PA Government Affairs (GAO)

Recently, Community Liaison and 2016 BAYADA Ambassador of the Year Mike Sokoloski hosted a roundtable with PA Representative Aaron Kaufer.  BAYADA started building a relationship with Representative Kaufer before he was elected to the General Assembly.  As a result of our relationship, Representative Kaufer took an interest in our issues early on and learned more about the state’s human services programs.

During the roundtable, we spoke about our need for increased reimbursement rates for personal assistant services under the Office of Long-Term Living and the need to equalize access to home and community based service by allowing presumptive eligibility*.  Equalizing access was an issue of great interest to Representative Kaufer, and since the roundtable, the Government Affairs Office (GAO) has been in touch with the Representative multiple times to determine next steps in the process.

GAO looks forward to working with Representative Kaufer and others to ensure presumptive eligibility is allowed for home health care in the state.

*Presumptive eligibility: Individuals can be presumed eligible for Medicaid services while their full application is being processed.  Presumptive eligibility grants greater access to care and allows the individual to receive medically necessary treatment.

NC Department of Health & Human Services (DHHS) Secretary Announced

Submitted by Lee Dobson, Area Director, NC Government Affairs (GAO)

Dr. Mandy Cohen has been appointed by NC Governor Roy Cooper as the new Department of Health & Human Services Secretary to lead Medicaid.  Cohen, an internist, carries a wealth of experience and knowledge having recently served as the Chief Operating Officer and Chief of Staff for the Centers for Medicare & Medicaid Services in Baltimore.  She plans to partner with healthcare providers, consumers, regulators, and lawmakers for a healthier state. BAYADA submitted formal comments on four Medicaid clinical policies.  Special thanks to the division director review teams for their insight and guidance in drafting these recommendations.

Caption: Dr. Mandy Cohen

South Carolina: First Ask

Submitted by Lee Dobson, Area Director, SC Government Affairs (GAO)

This year, will be the first year in many years that we will be working with lawmakers to garner support for a much needed Medicaid rate increase.  We are partnering with other providers, as well as the South Carolina Association for Home & Hospice Care to ensure a unified voice.  Lawmakers return to Columbia on January 10, where we will work with leadership in both chambers. Senator Hugh Leatherman, Sr. of Florence will remain the chair of Finance and Senator Harvey Peeler, Jr. of Cherokee will lead Medical Affairs.  In the House, Representative Brian White will remain chair of Ways and Means.

North Carolina: We’re Off To The Races

Submitted by Lee Dobson, Area Director, NC Government Affairs (GAO)

Lawmakers return to Raleigh, NC for the start of the 2017-2019 legislative session on January 11.  We expect to see a few changes in committee assignments and leadership, especially in House Appropriations for Health & Human Services (HHS), with the election defeat of Representative Marilyn Avila.  However, we anticipate (and are thrilled) that Representative Nelson Dollar will remain Chair of HHS Appropriations and Representative Josh Dobson will assume the leadership position of vice-chair on that committee.  Senators Ralph Hise and Louis Pate will remain Co-Chairs of Senate Appropriations for HHS.  Our reimbursement priority is to increase the Medicaid aide rate from $13.88 to $17.00 over two years.