Aides Cried Tears of Joy for Much-deserved Raises throughout North Carolina’s Assistive Care State Programs Offices

Submitted by Lee Dobson, Area Director, NC Government Affairs (GAO) and Shannon McCarson, Regional Director, Dogwood Group (DOG)

We worked together and made it possible. After many years of advocating for higher reimbursement rates within the state Medicaid programs, we finally received an increase in the hourly rate for personal care services (PCS). This achievement was made possible through the persistent advocacy efforts of our employees, clients, families, and government affairs team. Our Hearts for Home Care Advocates participated in email campaigns, home visits, legislative roundtables, home care lobby days in Raleigh, and professional lobbying efforts.

As a result of working together, this week assistive care state programs directors throughout the state were thrilled to pass along an increase to our deserving CNAs and HHAs who care for our Medicaid clients and have stuck with us through thick and thin.

Directors have been personally speaking to staff to share the great news. “One by one, as I spoke to our aides, I heard the same thing – gratitude, appreciation, tears of joy, and, yes relief, too,” said Mimosa (MIM) Division Director Joe Seidel. “The low Medicaid reimbursement rate made it impossible to pay more. I am glad to do it now.” This rate increase is a good place to start, and more needs to be done.

Let’s keep the momentum going by joining to be a Hearts for Home Care Advocate. We believe our aides deserve even more for the important work they do in keeping our clients safe at home. If you are not already part of our advocacy group, join today at heartsforhomecare.com to receive alerts that could influence future efforts to increase pay rates.

 

Reporting Success with Help from our Hearts for Home Care Advocates

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

With active engagement from our Ambassadors and other Hearts for Home Care advocates, together we accomplished the following legislative wins:

·         Obtained an Aide Rate Increase                                  
Lawmakers passed a rate increase for aides services in two (2) Medicaid program – Personal Care Services (PCS) and the Community Alternatives Program for Children (CAP-C) – taking the rate from $13.88 to $15.52, effective July 1, 2017, and to $15.60, effective January 1, 2018.  Due to a technical issue around budget neutrality, an increase was not passed for CAP for disabled adults (CAP-DA). However, we have the commitment of both the General Assembly as well as the Department to institute a fix in the 2018 session.     
Provision successfully passed the General Assembly
·         Protected Certificate of Need (CON) Once Again
There were as many as four bills introduced, but not passed, related to CON to either eliminate or modify CON law. As any change to remove or minimize CON law will negatively impact our existing Medicare offices, GAO will continue to work collaboratively with other health care settings behind-the-scenes to prevent the erosion of CON. Educating lawmakers on its implications is key.  
Provision successfully excluded
·         ID/DD Individuals to Access Services
A budget provision added some 400 slots to the Innovations Waiver program. Originally the provision included 250 slots. After lobbying, discussion, and debate that number was increased. While it won’t completely address the 900 individuals on the waiting list, these additional slots will help our HAB practice provide services to individuals in need.    
Provision successfully passed the General Assembly
·         Medicaid Reform Remains In Play
GAO was invited to a meeting with Secretary Mandy Cohen and Medicaid Director Dave Richard to discuss their plans to align mental health and physical health more quickly than 3 years after transition to managed care. In the development of this new waiver, they intend to include stakeholders as well as other protections. 
Bill is eligible to be taken up during a Special Session

NC Budget Writers are Behind Closed Doors

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

Budget negotiations are underway between the House and Senate to iron out the differences between their respective budget bills. Both contain funds for an increase to the Personal Care Services (PCS) program aide rate from $13.88 to between $15.52 and $15.78. BAYADA’s Government Affairs Office (GAO) continues to work with key lawmakers to garner support for an amendment to add funds to cover aide services under the Community Alternative Programs for Children (CAP-C) and Disabled Adults (CAP-DA). Language has been drafted and is being circulated. Budget writers are working behind closed doors as House Speaker Tim Moore and Senate President Pro Tempore Phil Berger have instructed conference chairs to have their committee reports completed by the end week.