The key to coverage is whether the individual requires skilled nursing or therapy and whether care would be safe and effective if skilled care was not provided. (And the individual meets other qualifying criteria: is homebound and has proper provider … [Read more...] about Know Jimmo | Home Health Care is Available for Medicare Beneficiaries with Long Term, Chronic, and Terminal Conditions
Home Health
Center for Medicare Advocacy Statement on Vice President Harris’ Proposal re: Medicare and Home Care
For Immediate ReleaseOctober 8, 2024Washington, DC - Today, Vice President Harris announced an historic proposal to expand Medicare coverage of care for critical services.The Center for Medicare Advocacy strongly supports this proposed … [Read more...] about Center for Medicare Advocacy Statement on Vice President Harris’ Proposal re: Medicare and Home Care
Medicare Home Health Coverage Was Expanded by Congress in 1980
Medicare home health coverage is often erroneously described as a short-term, acute care benefit. This is not true. Although it may be implemented in this way, under the law people who meet the threshold qualifying criteria (legally homebound and … [Read more...] about Medicare Home Health Coverage Was Expanded by Congress in 1980
Medicare’s Coverage of Home Health Aide Care: A Case Study
Mr. P, a 56-year-old Ohio resident, has quadriplegia resulting from an accident. He uses a wheelchair for mobility and relies on a Medicare-certified home health agency (HHA) for ongoing skilled nursing services. Mr. P also requires home health aide … [Read more...] about Medicare’s Coverage of Home Health Aide Care: A Case Study
CMS 2025 Home Health Care Notice of Proposed Rulemaking Released
The Centers for Medicare & Medicaid Services (CMS) released the 2025 Home Health Care Notice of Proposed Rulemaking last week. It was published in the Federal Register today at 2024-14254.pdf (govinfo.gov). The Center for Medicare Advocacy (the … [Read more...] about CMS 2025 Home Health Care Notice of Proposed Rulemaking Released
Medicare-Covered Home Health Care Declining
2024 Medicare Payment Advisory Commission Report to CongressHome health agencies provided services to 15% fewer traditional Medicare beneficiaries from 2019 to 2022.[1] In-person home health care visits declined during that time by more than 30%, … [Read more...] about Medicare-Covered Home Health Care Declining
Medicare Program Cannot Afford Medicare Advantage “Stability” – Especially as New Study Shows Inferior Home Health Care Provided by MA Plans
MA OverpaymentAs discussed in a recent CMA Alert (Feb. 22, 2024), the Centers for Medicare & Medicaid Services (CMS) has issued proposed MA payment rates for 2025 (“Rate Notice”), which will be finalized by April 1, 2024. As described … [Read more...] about Medicare Program Cannot Afford Medicare Advantage “Stability” – Especially as New Study Shows Inferior Home Health Care Provided by MA Plans
When Should Medicare Coverage be Available for Home Health Care?
Home health care can be covered by Medicare if it meets the following criteria:Medicare Coverable Home Health ServicesIf the triggering conditions described above are met, the beneficiary is eligible for Medicare coverage of home health … [Read more...] about When Should Medicare Coverage be Available for Home Health Care?
Senate Finance Committee Confirms Medicare Home Health Coverage Can Be Long-Term
At a September 19, 2023 hearing, held by the Subcommittee on Health Care of the Senate Finance Committee and entitled “Aging in Place: The Vital Role of Home Health and Access to Care,” Subcommittee Chair Senator Benjamin L. Cardin (D – MD) confirmed … [Read more...] about Senate Finance Committee Confirms Medicare Home Health Coverage Can Be Long-Term
Make Your Voices Heard!
Please Respond to CMS Request for Information About the Importance of Home Health AidesCMS has provided an important opportunity for beneficiaries, and their advocates, to convey experiences and concerns about the devastating lack of access to … [Read more...] about Make Your Voices Heard!