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https://www.mcknightshomecare.com/medicaid-must-do-better-experts-tell-commission/?utm_campaign=e916aea91b-NEWSLETTER_11_02_2022&u...
Submission: On November 02 via api from IE — Scanned from DE
Submission: On November 02 via api from IE — Scanned from DE
Form analysis 5 forms found in the DOM
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<div class="HMIRegistration__form-control HMIRegistration__input "><input class="form-control" type="email" id="root_subscriber_email" label="email" placeholder="*E-mail Address" value="">
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<option value="AL">Albania</option>
<option value="DZ">Algeria</option>
<option value="AS">American Samoa</option>
<option value="AD">Andorra</option>
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<option value="AT">Austria</option>
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<option value="BH">Bahrain</option>
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<option value="BJ">Benin</option>
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<option value="BV">Bouvet Island</option>
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<option value="KY">Cayman Islands</option>
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<option value="TD">Chad</option>
<option value="CL">Chile</option>
<option value="CN">China</option>
<option value="CX">Christmas Island</option>
<option value="CC">Cocos (Keeling) Islands</option>
<option value="CO">Colombia</option>
<option value="KM">Comoros</option>
<option value="CG">Congo</option>
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<option value="FJ">Fiji Islands</option>
<option value="FI">Finland</option>
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<option value="DE">Germany</option>
<option value="GH">Ghana</option>
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<option value="GD">Grenada</option>
<option value="GP">Guadeloupe</option>
<option value="GU">Guam</option>
<option value="GT">Guatemala</option>
<option value="GN">Guinea</option>
<option value="GW">Guinea-Bissau</option>
<option value="GY">Guyana</option>
<option value="HT">Haiti</option>
<option value="HM">Heard Island and Mcdonald Islands</option>
<option value="HN">Honduras</option>
<option value="HK">Hong Kong</option>
<option value="HU">Hungary</option>
<option value="IS">Iceland</option>
<option value="IN">India</option>
<option value="ID">Indonesia</option>
<option value="IR">Iran</option>
<option value="IQ">Iraq</option>
<option value="IE">Ireland</option>
<option value="IL">Israel</option>
<option value="IT">Italy</option>
<option value="JM">Jamaica</option>
<option value="JP">Japan</option>
<option value="JO">Jordan</option>
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<option value="KR">Korea</option>
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<option value="LR">Liberia</option>
<option value="LY">Libya</option>
<option value="LI">Liechtenstein</option>
<option value="LT">Lithuania</option>
<option value="LU">Luxembourg</option>
<option value="MO">Macao</option>
<option value="MK">Macedonia</option>
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<option value="MY">Malaysia</option>
<option value="MV">Maldives</option>
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<option value="MQ">Martinique</option>
<option value="MR">Mauritania</option>
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<option value="MM">Myanmar</option>
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<option value="NI">Nicaragua</option>
<option value="NE">Niger</option>
<option value="NG">Nigeria</option>
<option value="NU">Niue</option>
<option value="NF">Norfolk Island</option>
<option value="KP">North Korea</option>
<option value="MP">Northern Mariana Islands</option>
<option value="NO">Norway</option>
<option value="OM">Oman</option>
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<option value="PG">Papua New Guinea</option>
<option value="PY">Paraguay</option>
<option value="PE">Peru</option>
<option value="PH">Philippines</option>
<option value="PN">Pitcairn</option>
<option value="PL">Poland</option>
<option value="PT">Portugal</option>
<option value="PR">Puerto Rico</option>
<option value="QA">Qatar</option>
<option value="RE">Reunion</option>
<option value="RO">Romania</option>
<option value="RU">Russia</option>
<option value="RW">Rwanda</option>
<option value="SH">Saint Helena</option>
<option value="KN">Saint Kitts and Nevis</option>
<option value="LC">Saint Lucia</option>
<option value="MF">Saint Martin</option>
<option value="PM">Saint Pierre and Miquelon</option>
<option value="VC">Saint Vincent and The Grenadines</option>
<option value="SM">San Marino</option>
<option value="ST">Sao Tome & Principe</option>
<option value="SA">Saudi Arabia</option>
<option value="SN">Senegal</option>
<option value="YU">Serbia and Montenegro</option>
<option value="RS">Serbia-Montenegro</option>
<option value="SC">Seychelles</option>
<option value="SL">Sierra Leone</option>
<option value="SG">Singapore</option>
<option value="SK">Slovakia</option>
<option value="SI">Slovenia</option>
<option value="SB">Solomon Islands</option>
<option value="SO">Somalia</option>
<option value="ZA">South Africa</option>
<option value="ES">Spain</option>
<option value="LK">Sri Lanka</option>
<option value="SD">Sudan</option>
<option value="SR">Suriname</option>
<option value="SJ">Svalbard and Jan Mayen</option>
<option value="SZ">Swaziland</option>
<option value="SE">Sweden</option>
<option value="CH">Switzerland</option>
<option value="SY">Syria</option>
<option value="TW">Taiwan</option>
<option value="TJ">Tajikistan</option>
<option value="TZ">Tanzania</option>
<option value="TH">Thailand</option>
<option value="TP">Timor-Leste</option>
<option value="TG">Togo</option>
<option value="TK">Tokelau</option>
<option value="TO">Tonga</option>
<option value="TT">Trinidad and Tobago</option>
<option value="TN">Tunisia</option>
<option value="TR">Turkey</option>
<option value="TM">Turkmenistan</option>
<option value="TC">Turks and Caicos Islands</option>
<option value="TV">Tuvalu</option>
<option value="UG">Uganda</option>
<option value="UA">Ukraine</option>
<option value="AE">United Arab Emirates</option>
<option value="UK">United Kingdom</option>
<option value="US">United States</option>
<option value="UY">Uruguay</option>
<option value="UZ">Uzbekistan</option>
<option value="VU">Vanuatu</option>
<option value="VA">Vatican City</option>
<option value="VE">Venezuela</option>
<option value="VN">Viet Nam</option>
<option value="VI">Virgin Islands</option>
<option value="VG">Virgin Islands, British</option>
<option value="WF">Wallis and Futuna</option>
<option value="WS">Western Samoa</option>
<option value="YE">Yemen</option>
<option value="ZM">Zambia</option>
<option value="ZW">Zimbabwe</option>
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<div class="HMIRegistration__row ">
<div class="HMIRegistration__column u-col12">
<div class="HMIRegistration__form-control--checkbox ">
<div class="HMIRegistration__checkbox"><span class="HMIRegistration__sprite "><span class="HMIRegistration__sprite-border u-active"></span><span class="HMIRegistration__sprite-checkmark u-active"><svg width="15" height="15"
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</svg></span><span class="HMIRegistration__sprite-fill u-active"></span></span><span class="HMIRegistration__text u-active">McKnight’s Home Care Daily Pulse</span></div>
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<div class="HMIRegistration__row HMIRegistration__opt-in-email" style="display: none;">
<div class="HMIRegistration__column u-col12">
<div class="HMIRegistration__checkbox"><span class="HMIRegistration__sprite"><span class="HMIRegistration__sprite-border "></span><span class="HMIRegistration__sprite-checkmark "><svg width="15" height="15" class="widget-svg">
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</svg></span><span class="HMIRegistration__sprite-fill "></span></span><span class="HMIRegistration__text ">I would like to receive relevant information via email from McKnight's Home Care .</span></div>
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<div class="HMIRegistration__row HMIRegistration__opt-in-email" style="display: none;">
<div class="HMIRegistration__column u-col12">By registering you consent to the collection and use of your information to provide the products and services you have requested from us and as described in our
<a href="/privacypolicy" target="_blank">privacy policy</a> and <a href="/termsandconditions" target="_blank">terms and conditions</a></div>
</div><button class="HMIRegistration__submit" type="submit">SIGN UP FOR OUR NEWSLETTERS</button>
<div class="HMIRegistration__us_privacy-policy privacy__terms" id="newsletter-asset" style="display: block;"><a href="https://www.haymarketmediaus.com/haymarket-media-medical-privacy-policy/" target="_blank">Privacy Policy</a> |
<a href="https://www.haymarketmediaus.com/haymarket-medical-business-terms-conditions/" target="_blank">Terms & Conditions</a></div>
</form>https://www.mcknightshomecare.com/
<form class="search focus-label d-flex" id="mobile-search" aria-hidden="false" action="https://www.mcknightshomecare.com/">
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</form><form class="HMIRegistration__form" novalidate="">
<div class="HMIRegistration__row ">
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<div class="HMIRegistration__form-control HMIRegistration__input "><input class="form-control" type="email" id="root_subscriber_email" label="email" placeholder="*E-mail Address" value="">
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<div class="HMIRegistration__row ">
<div class="HMIRegistration__column u-col12">
<div class="HMIRegistration__form-control "><select class="HMIRegistration__select">
<option value="">*Select a Country</option>
<option value="AF">Afghanistan</option>
<option value="AL">Albania</option>
<option value="DZ">Algeria</option>
<option value="AS">American Samoa</option>
<option value="AD">Andorra</option>
<option value="AO">Angola</option>
<option value="AI">Anguilla</option>
<option value="AQ">Antarctica</option>
<option value="AG">Antigua and Barbuda</option>
<option value="AR">Argentina</option>
<option value="AM">Armenia</option>
<option value="AW">Aruba</option>
<option value="AU">Australia</option>
<option value="AT">Austria</option>
<option value="AZ">Azerbaijan</option>
<option value="BS">Bahamas</option>
<option value="BH">Bahrain</option>
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<option value="BI">Burundi</option>
<option value="KH">Cambodia</option>
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<option value="CA">Canada</option>
<option value="CV">Cape Verde</option>
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<option value="CN">China</option>
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<option value="CC">Cocos (Keeling) Islands</option>
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<option value="KM">Comoros</option>
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<option value="CR">Costa Rica</option>
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<option value="ET">Ethiopia</option>
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<option value="HM">Heard Island and Mcdonald Islands</option>
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<option value="TN">Tunisia</option>
<option value="TR">Turkey</option>
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<option value="MW">Malawi</option>
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<option value="MV">Maldives</option>
<option value="ML">Mali</option>
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<option value="PE">Peru</option>
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<option value="PL">Poland</option>
<option value="PT">Portugal</option>
<option value="PR">Puerto Rico</option>
<option value="QA">Qatar</option>
<option value="RE">Reunion</option>
<option value="RO">Romania</option>
<option value="RU">Russia</option>
<option value="RW">Rwanda</option>
<option value="SH">Saint Helena</option>
<option value="KN">Saint Kitts and Nevis</option>
<option value="LC">Saint Lucia</option>
<option value="MF">Saint Martin</option>
<option value="PM">Saint Pierre and Miquelon</option>
<option value="VC">Saint Vincent and The Grenadines</option>
<option value="SM">San Marino</option>
<option value="ST">Sao Tome & Principe</option>
<option value="SA">Saudi Arabia</option>
<option value="SN">Senegal</option>
<option value="YU">Serbia and Montenegro</option>
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<option value="TG">Togo</option>
<option value="TK">Tokelau</option>
<option value="TO">Tonga</option>
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<option value="TV">Tuvalu</option>
<option value="UG">Uganda</option>
<option value="UA">Ukraine</option>
<option value="AE">United Arab Emirates</option>
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<option value="WF">Wallis and Futuna</option>
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News
MEDICAID MUST DO BETTER, EXPERTS TELL COMMISSION
Diane Eastabrook
October 31, 2022
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Medicaid’s barriers to access are making it difficult for hundreds of thousands
of people to thrive in their communities under the program, according to policy
experts who testified last week before the Medicaid and CHIP Payment and Access
Commission.
Systemic failures, including housing barriers, access to information and a
shortage of caregivers are just a few of the challenges that seniors and people
with disabilities encounter when trying to receive home- and community-based
services, according to Henry Claypool, technology policy consultant for the
American Association of People with Disabilities.
Medicaid beneficiaries in many states are on wait lists for caregivers because
there simply aren’t enough available workers. A 10% increase in the Federal
Medical Assistance Percentage (FMAP) to state Medicaid programs under the
American Rescue Plan Act helped boost wages for home care workers. However,
Claypool said pay is still too low to attract enough caregivers. He also said
training for HCBS workers is lacking and needs to be more focused on social
determinants of health, which help patients thrive in their homes and
communities.
“They don’t really need a lot more training in clinical skills,” Claypool
explained. “They should receive better wages when they help people move around
and facilitate their day. The challenge is if this frontline workforce is seen
as an extension of a nurse, you’ll typically medicalize the person’s routine.”
ACCESS ISSUES
Medicaid access to HCBS varies by state and often within states. Tennessee’s
Medicaid program, known as TennCare, is trying to tap technology to make
services more equitable across urban and rural communities. However, many of the
rural poor in that state can’t tap services through technology because they
can’t afford broadband.
“One of the challenges is broadband is not reimbursable [under Medicaid],” Katie
Evans Moss, chief of long-term services at TennCare, told the commission. “So,
how do you implement enabling technology in a rural area where poor families
can’t afford internet service. That becomes a challenge and yet that is not
something we are permitted to include as a reimbursable service.”
BIAS REMAINS
Moss also said there remains a bias within Medicaid favoring institutional care.
She said Medicaid enrollees often get directed into skilled nursing following a
hospital stay, which ultimately becomes long-term.
“We have individuals going into nursing facilities who can’t maintain their home
in the community. Then we say we have a housing problem,” Moss explained. “ If
we had been able to help them to keep their home while they were in an
institutional stay, maybe we wouldn’t have that problem in some of those
situations.”
Medicaid and CHIP Payment and Access Commission is a nonpartisan agency that
makes policy recommendations to Congress and the Department of Health and Human
Services on Medicaid issues. The commission meets regularly during the year to
gather information and analyze data for its recommendations.
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