PARCR - Posts Tagged with "Medical Assistance"

Legislative Alert

6/12/2014 - PARCR Admin

On Tuesday June 10, 2014 we were notified by Leading Age PA that in order to meet procedural deadlines, the House introduced HB 2328, the long-awaited budget bill for fiscal year (FY) 2014-15. The bill is a copy of the budget that was approved for FY 2013-14 and it will serve as a starting point for many amendments and negotiations to come. LeadingAge PA advocated with both the legislature and the Governor's Office for increases from last year's reimbursement rates. The biggest concern with the current fiscal shortfall is the reduction in the Federal Medical Assistance Percentage (FMAP) that may result in a loss of over $300 million for the Medical Assistance (MA) program.

It is important that the legislatures know and understand that the current MA funding at last year's appropriation amount is far from what is needed to maintain the level of care expected by our residents. What would be worse is if last year's funding levels were reduced this year because the state did not appropriate funding to offset the loss of FMAP funding. LeadingAge PA is currently working on launching a letter writing campaign for members to communicate this important issue to your legislators.

Please take time to speak with your Community’s Executive Director/CEO for more detailed information. We, PARCR, will keep you informed as we receive additional information.

As Community Representatives, we may be calling upon you to contact your legislators to inform them of how our Communities will be impacted and ask the legislators' assistance in addressing the needs of our residents.

Thank you, George

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November 2013

11/8/2013 - PARCR Admin

Home Care Licensure – Since the passage of Act 69of 2006 The Home Care Licensure Act, LeadingAge PA has been involved in discussion with the Department of Health on the impact for CCRC’s and attempting to resolve the issue of exempting CCRC’s from requiring this license. (update 9-25-13)

House Bill 1702 – Community Respite Services Act. This bill may require additional licensure for Adult Day Services. (update 10-17-13)

Federal MA Match to be Reduced in Pennsylvania – (update 10-22-13) Preventable Serious Adverse Events (PSAE) Act- Discussions and upcoming meetings about the July, 2013 draft to update language of the Department of Public Welfare’s 2010 proposed bulletin identifying PSAE’s for nursing homes. (update 10-23-13)

Medical Directors to Weigh-In on PSAE- (update 11-6-13)

Highlights from LeadingAge Ziegler 100 – LeadingAge (national) announced the availability of the LeadingAge/Ziegler 100 report, which provides rankings and characteristics of the largest 100 not-for-profit multi-site senior living communites in the U.S. Pennsylvania based communities are once again well represented. (update 10-22-13)

“I’m Sorry” Bill becomes law – SB379 – This bill defines a benevolent gesture and its impact on litigation. (update 10-24-13)

LeadingAge Annual Meeting and Exposition – October 27-30 in Dallas, TX – How many members of your CCRC’s administration attended?

Elder Abuse –House Committee to hold hearings to assist the committee in drafting an amendment to the Older Adult Protection Services Act (OAPSA.) (update 11-7-13)

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June Tidbits

7/11/2016 - PARCR Admin

Budget Negotiations

LeadingAge PA is requesting PARCR's advocacy now.

It is crunch time in Harrisburg for the 2016/2017 state budget, and we need your help to ask for increased Medical Assistance (MA) funding for nursing facilities. Gov. Wolf had originally proposed a 1% rate increase for nursing facility MA funding in his executive budget for the 2016-2017 fiscal year; however, due to cuts to the Department of Human Services (DHS) budget, this increase was removed.

While LeadingAge PA realizes that Pennsylvania has a serious fiscal problem and that lawmakers are struggling to pass a balanced budget, we are concerned that over the past five years, nursing facilities have seen increases in funding only twice. Meanwhile, the cost of salaries, benefits and food has continued to rise.

LeadingAge PA is working collaboratively with the Pennsylvania Health Care Association (PHCA) to request a 3.5% increase in Medical Assistance long-term care funding in the 2016-2017 FY budget. In addition, we are collectively requesting $16 million to fund the Non-Public Medical Assistance Day-One Incentive Payment, created by state legislators three years ago to preserve access to care. This funding is included in the Human Services Code.

Make calls to legislators in Harrisburg asking them to support our budget. Find your legislators and their contact information at [http://www.legis.state.pa.us/].

These talking points will help you communicate your message. This graph shows the difference between the increases in health care inflation and MA nursing facility rates. Please share it with your legislators. Please keep the LeadingAge PA team aware of your efforts both with your legislators and their staff by contacting Ana Puig, Director of Legislative Affairs, at ana@leadingagepa.org, (717)790-3948. June 30 is the deadline for an on time state budget for FY 2016-17. The LeadingAge PA Government Affairs team will monitor the budget process closely and will provide updates.

Community Health, Choices (CHC)

On June 9, 2016 the Department of Human Services (DHS) Secretary Ted Dallas announced that the commonwealth will lengthen the transition time for implementation of Community Health, Choices (CHC), the commonwealth’s proposed managed long-term services and supports program. Dallas said that as part of the ongoing commitment to ensure that everyone impacted by the CHC understands and is comfortable with the program prior to it going live, the first phase will now begin July 1, 2017 (rather than January 1, 2017) in the southwest.

LeadingAge PA and many other stakeholders requested that DHS defer the start of the program until all is ready. Learn more about the CHC program on the DHS website.

LeadingAge PA Annual Conference and Exposition

LeadingAge PA is holding its 2016 Annual Conference and Expostion, Be Bold! At the Hershey Lodge, Hershey, PA June 14 to June 17. The 2016 Annual Conference & Exposition is designed to inspire with strategies to explore change and innovation, grow and evolve as aging services leaders, and stay competitive in the provision of long-term services and supports to Pennsylvania seniors. PARCR will have a display table at the conference.

The pre-conference symposium, The Future of Managed Care and Medical Assistance, provides attendees with the opportunity to learn about Community HealthChoices and how it will impact care delivery systems and payment models and how Medicaid consumers will receive services in the future. The symposium is Tuesday, June 14, 10:00 a.m. - 4:00 p.m. at Hershey Lodge, Hershey. This video has details.

Annual Legislative Staff Breakfast

The LeadingAge PA Government Affairs team held its annual legislative staff breakfast at the Capitol on April 28. The intent of the breakfast was to continue developing relationships and have one on one interaction with key staff members that work for leadership and key committees that have significant impact on issues that affect LeadingAge PA and the seniors they serve. Ron Barth, CEO, and Anne Henry, senior vice president and chief government affairs officer, spoke about our priorities for the 2016-17 FY including the budget, Community HealthChoices, and the importance of allowing people to receive assisted living services under the Medical Assistance program. It was a great opportunity to answer questions and to share with the legislative staff that LeadingAge PA is the association of solutions.

The Older Americans Act (OAA) Reauthorization of 2015

President Barack Obama signed into law the Older Americans Act (OAA) Reauthorization of 2015, after it passed both chambers of Congress with unanimous support. LeadingAge commends the President for signing the OAA, which was 5 years overdue for reauthorization. Check for information on the importance of this Act More...

Five-Star Quality Measures

The Centers for Medicare & Medicaid Services (CMS) enhanced Nursing Home Compare (NHC) in April 2016 to include six new quality measures related to publicly reported readmission. They stated that a preview of the new measures would be available on April 7; however, the preview is still not available at this time. We will be releasing the new 5 Star Analysis Report from LeadingAge Quality Metrics this month once the new measures are available and we can include them in your report. Five of the six new measures will be used in the calculation of the Five-Star Quality Measures (QM) ratings beginning in July 2016. More...

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