medicaid hcbs

Biden Moves To Increase Pay For Medicaid Home Care Aides. Will It Work?

The federal Centers for Medicare and Medicaid Services (CMS) has moved to increase pay for home care aides and others who provide personal care for frail older adults and younger people with disabilities. It has proposed new rules requiring Medicaid home care agencies to direct at least 80 percent of program payments for personal care services to compensation for care [...]

By |2023-05-05T11:04:31-04:00May 5th, 2023|Medicaid|0 Comments

Even After Covid, Could Congress Ignore The Long-Term Care Needs Of Older Adults?

Is it possible that Congress will do nothing to improve long-term services and supports for older adults and younger people with disabilities or assist their families? Even after 603,000 people over age 65 were killed by Covid-19 in the past two years. Yes, it is possible. The House version of President Biden’s Build Back Better plan included many provisions aimed [...]

By |2022-01-03T12:29:47-05:00January 3rd, 2022|long term care reform|0 Comments

What Are States Doing With New Federal Funding For Medicaid Home-Based Long-Term Care?

What would you do if the federal government gave you a chunk of $12 billion to spend on Medicaid home and community-based care for frail older adults and younger people with disabilities? That is a real question governors have been wrestling for months. And we now are getting a good sense of the answer: Mostly, they will spend the windfall [...]

By |2021-10-21T09:32:27-04:00October 21st, 2021|Medicaid, Uncategorized|0 Comments

Where Long-Term Care Reform Goes Now

Last week, President Biden agreed to drop his proposed $400 billion increase in the federal share of Medicaid’s home-based long-term care services. He made the concession to reach a deal with a bipartisan group of 21 senators on a much broader physical infrastructure bill. But the flaws in the current system of supports and services for older adults and young [...]

By |2021-06-30T10:38:34-04:00June 30th, 2021|long term care reform|0 Comments

Will Senate Moderates Sink Biden’s Medicaid Home-Based Long-Term Care Plan?

President Biden’s proposed massive expansion of Medicaid home-based long-term care is running into trouble in the Senate. And it may be done in, not by hard-core conservatives, but by a small group of self-styled Senate moderates. In his American Jobs Plan, Biden proposed increasing the federal share of Medicaid’s home and community-based services (HCBS) program by $400 billion—the largest increase [...]

By |2021-05-27T15:38:27-04:00May 27th, 2021|Medicaid|3 Comments

Americans Want Government To Help Them Age At Home, Buttressing Biden’s Medicaid Long-Term Care Agenda

A new public opinion survey shows broad bipartisan backing for more public support for long-term care, especially at home, even as congressional Republicans appear to be lining up against the idea. According a  new survey by The Associated Press-NORC Center for Public Affairs Research, 63 percent of respondents say government should support programs to help low income people receive supports [...]

By |2021-05-03T17:22:41-04:00May 3rd, 2021|long term care reform|0 Comments

Biden Should Look Beyond Medicaid to Expand Long-Term Care

The Washington Post reports that business lobbyists are quietly trying to kill President Biden’s efforts to increase federal spending on Medicaid home and community-based (HCBS) long-term care services. The reason: The White House wants to fund the $400 billion increase—part of the president’s $2.2 trillion infrastructure spending program-- by raising corporate taxes. And make no mistake, business opposition could sink [...]

By |2021-04-22T14:32:18-04:00April 22nd, 2021|long term care reform, Uncategorized|0 Comments

Biden Begins An Important, Much-Delayed, National Debate About Long-Term Care Reform

President Biden’s $400 billion plan to expand Medicaid’s home and community based services (HCBS) for people receiving long-term services and supports (LTSS) already has accomplished one major goal: It has policymakers and opinion leaders talking about how we care for frail older adults and younger people with disabilities. We not had a long-term care conversation like this since Congress created [...]

By |2021-04-08T14:58:50-04:00April 8th, 2021|Joe Biden, long term care reform, Medicaid|1 Comment

Biden Proposes The Biggest Medicaid Home-Based Long-Term Care Expansion In History, But….

In his American Jobs Plan, President Biden has proposed increasing federal support for home-based long-term care by a staggering $400 billion over eight years. A $50 billion annual increase would represent a roughly 40 percent increase in the $129 billion Medicaid spent on long-term care in 2018 and a 70 percent increase in that year’s home and community-based services (HCBS) [...]

By |2021-04-01T10:22:18-04:00April 1st, 2021|Medicaid, Uncategorized|29 Comments