CMS to Rollout Rule to Benefit Home Care Workers

The Centers for Medicare & Medicaid Services (CMS) proposed a new rule at the end of July that would allow states to make payments to third parties for healthcare practitioners (which would include home care workers and personal care assistants). The changes will make it easier for health care workers to have access to health insurance and their benefits. If finalized, this rule is estimated to stabilize the health care assistant workforce by providing the benefits to allow for full-time employment.


Plantation, FL -- (SBWIRE) -- 08/12/2021 -- The proposal calls for Medicaid state agencies to deduct form Medicaid payments for some practitioners to allow them the benefits. It would apply to the class of individual practitioners who currently have Medicaid as their initial source of revenue. A vast majority of this workforce provides home-based and community services, serving vulnerable populations, and the rule would help them to continue doing so.

The Reassignment of Medicaid Provider Claims proposed rule is a direct response to the 2020 U.S. district court that vacated the 2019 rule that did not allow states to make these payments to third parties. The rule also allows for more payment flexibility and lessens administrative burdens. By enforcing a new rule for third-party payments, programs would run more efficiently while simultaneously not adding any new responsibilities administration-wise.

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