A Primer on Home and Community-Based Services

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April 8, 2021

Home and Community-Based Services (HCBS) provide Medicaid beneficiaries opportunities to receive services in their own home or community rather than institutions or other isolated settings. These programs serve various targeted population groups, such as people with intellectual or developmental disabilities, physical disabilities, and mental illnesses. 

In the absence of other viable public or private options to finance current and future LTSS needs for people of all ages, Medicaid will continue to be the major financing and delivery system for Home and Community Based Services for millions of Americans. Addressing community-based provider shortages and streamlining access to community-based care that supports functional independence and enhancing the quality of life will remain key objectives of states’ rebalancing efforts as the need for Medicaid HCBS continues to grow.

At CareVoyant, we are empowering home and community-based services providers by developing cost-effective software solutions for care delivery and revenue cycle management.

Home Health care plays a growing and critical role in providing care at home for adult and pediatric patients. Despite all the challenges facing the home health care industry, it will continue to grow and play an integral part in providing care at home.  Several emerging trends will define that ascent in the year ahead.

Through 2021 and after, home care agencies need to identify key trends that will aid or hurt their business models and continually reconfigure themselves for success.  In this article, we are bringing out the top home care predictions for 2021 and beyond.

Consumer Directed Services (CDS) are home healthcare services offered by Medicaid or Medicaid waiver programs where the consumer (Patient) can hire the caregiver and coordinate the services authorized. 

Medicaid or Medicaid Waiver programs authorize Consumer Directed Services with limits on the number of hours of services provided per day or per month. These limits add another layer of challenge to the agencies. They have to limit the services provided under authorized hours even though they do not have complete control over the hiring of caregivers and managing their services.

When services go over authorized hours, the agencies face the uncomfortable task of telling the caregivers that they may not get paid for the services provided over authorized hours.

An effective software platform should have the functions and features to help agencies manage the challenges posed by Consumer Directed Services. 

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Home Healthcare Industry News

‘A Monumental Advance’: Newly Unveiled American Jobs Plan Would Invest $400B into Home-Based Care

President Joe Biden is trying to make good on one of his main campaign promises. The Biden administration on Wednesday unveiled a new $2 trillion infrastructure proposal to create jobs, build roads, fix bridges and more. On top of that, the proposal — officially dubbed the American Jobs Plan — would substantially increase funding for home- and community-based services (HCBS).

Only 26% of Home Health Workers Have Been Vaccinated

As COVID-19 vaccination efforts continue across the country, just over half of front-line health care workers have received at least the first dose. Of these workers, home health professionals are the least vaccinated.

That’s according to a recent survey from the Kaiser Family Foundation (KFF) and The Washington Post.

Home Health Providers, Hospitals Are ‘Fishing in the Same Pool’ for Nursing Talent

Private duty homecare providers have a lot of opportunities for growth—but also face significant hurdles, from increased spending on personal protective equipment (PPE) to potential challenges like a $15/hour federally mandated minimum wage and other worker protections, National Association for Homecare and Hospice President Bill Dombi said at a recent panel

SNF-at-Home Concept Earning ‘Very Positive Feedback’ in Congress, Among Special Interest Groups

An innovative care concept designed to keep patients at home and out of skilled nursing facilities (SNFs) is reportedly gaining ground in Congress and among special interest groups.

The concept — known as “Choose Home” — is a type of SNF-at-home model that leverages both medical and non-medical home care services for certain patients.


 
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About CareVoyant

CareVoyant is a leading provider of cloud-based integrated enterprise-scale home health care software that can support all home-based services under ONE Software, ONE Patient, and ONE Employee, making it a Single System of Record.  We support all home care lines of service, including Home CarePrivate Duty NursingPrivate Duty Non-MedicalHome and Community Based Services (HCBS)Home HealthPediatric Home Care, and Outpatient Therapy.

CareVoyant functions – Intake, Scheduling, Clinical with Mobile options, electronic visit verification, eMAR/eTAR, Financial, Secure Messaging, Notification, Reporting, and Dashboards – streamline workflow, meet regulatory requirements, improve quality of care, optimize reimbursement, and bring operational efficiency.

For more information, please visit CareVoyant.com or call us at 1-888-463-6797.


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