Weekly Newsletter
March 21, 2024
Corcoran Consulting Group, LLC
This Week at CT Healthcare At Home
  • Public Hearing: SB 365 Funding for Escorts and Training in Home Care
  • Public Health Committee Hearing: SB 1/SB 369 Addressing Healthcare Workplace Safety
  • CMS Revises Appendix B
  • Legislation Around OT Services Could Help With Staffing Woes
  • MedPAC to Congress: Freeze Hospice Rates in 2025
  • New Waived Tests
  • NAHC Workplace Safety Resources
  • Clinical Care Specialist- Home Health Certification (CCS-HH): New Date!
  • New England Home Care & Hospice Conference and Trade Show: Register Today!
  • Call for Nominations: Florence Wald Award for Excellence in End-of-Life Care
  • Statewide Hospice & Palliative Care Summit: Registration OPEN!
Legislative Update
On Thursday, March 14, Tracy Wodatch, Association Pres/CEO and Chris Pankratz, CEO of Masters in Home Care and Chair of Government Relations testified before the Human Services committee to support added funding for the safety and training of home care workers found in SB 365 An Act Concerning Safety in the Healthcare Workforce.
 
To access testimony, click links below:

Priority SB 1 An Act Concerning the Health and Safety of Connecticut Residents and SB 369 An Act Concerning Home Care Worker Safety were heard before the Public Health Committee on Tuesday of this week. 
 
Sections 1-9 of both bills propose the following:
  • Mandated intake data collection both for patient and those living in the home, including history of violence, substance use, weapons, and abuse
  • Workplace Violence Safety Training and Reporting
  • Medicaid and health insurance funding for escorts
  • DPH grant program for safety devices/technology
  • Work Group to study safety challenges and make recommendations
While the Association and its members fully support prioritizing the safety of the workforce caring for those in the community, we oppose the mandated intake data collection as outlined in the bill and offered support for funding escorts/safety/technology, training and the work group.
 
Among those who testified were (Click links to read testimony):
Also submitting written testimony were (Click links to read testimony):
News Update
Source: NAHC, March 18, 2024
 
The Centers for Medicare & Medicaid Services (CMS) has issued revisions to the Medicare State Operations Manual, Appendix B, also referred to as the Interpretive Guidelines for the home health Conditions of Participation(CoPs).
 
CMS has made several conforming changes to the regulatory tags and interpretive guidelines based on several final rules that have amended the home health agency (HHA) CoPs. Additionally, CMS combines the HHA survey protocol and interpretive guidelines into one document, updating Level 1 tags, and making clarifications and technical corrections to other guidance areas based on stakeholder feedback.
Source: DecisionHealth, March 14, 2024
 
Occupation therapy (OT) may soon be a qualified service under home health benefits, thanks to a new bill with bipartisan support titled the Medicare Home Health Accessibility Act. 
 
If signed into law, this would allow occupational therapists to initiate home health care, something they can’t currently do without another therapy service also ordered.
 
This could help agencies combat staffing shortages and save time for a lot of agencies, experts say.
 
There are many patients whose focus is improvement in activities of daily living (ADLs) that currently must have another qualifying discipline working with the patient in addition to OT to be covered under the Medicare benefit, explains J’non Griffin, senior vice president/principal of the coding and compliance departments with SimiTree Healthcare Consulting in Hamden, Conn.
Source: Hospice News, March 15, 2024
 
The Medicare Payment Advisory Commission (MedPAC) has recommended to Congress a freeze on hospice payment increases starting in 2025.
 
In its annual report to Congress, MedPAC urged policymakers to eliminate hospice base-rate increases for 2025.
 
“Based on the positive indicators of payment adequacy and strong margins, the Commission concludes that current payment rates are sufficient to support the provision of high-quality care without an increase to the payment rates in 2025,” MedPAC indicated in its report. “The Commission recommends that the Congress eliminate the update to the hospice base payment rates for fiscal year 2025.”
 
MedPAC commissioners maintained that hospice payment levels were “favorable,” due to increases in utilization and length of stay, sufficient access to capital, investor interest in the space and margin data.
Source: NAHC, March 18, 2024
 
Listed below are the latest tests approved by the Food and Drug Administration (FDA) as waived tests under CLIA (Clinical Laboratory Improvement Amendments of 1988).

Some home health and hospice agencies perform tests that are considered waived under the CLIA which requires the home health agency or hospice to have a CLIA Certificate of Waiver. Waived tests a home health or hospice agency may perform include, but are not limited to:

  • Blood glucose by glucose monitoring devices cleared by the FDA for home use
  • Prothrombin time home tests (PT/INR)
  • Dipstick or tablet reagent urinalysis
  • Flu test
  • Drug test
Source: NAHC
 
Ensuring workplace safety resources for home health providers is paramount to maintaining a secure and healthy work environment. Home health providers face unique challenges as they navigate various settings while delivering care. By prioritizing these resources, organizations can empower home health providers to provide quality care while safeguarding their well-being.
Membership News
 
New this year, your conference registration will include the MasterClass, which will take place mid-day on April 30 and will focus on Workplace Violence Safety and Prevention. We will have four keynotes covering each business line, and we are adding five more breakout sessions! Breakouts will cover leadership, workforce, private duty, home health, operations and hospice!