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Payment Rates for Medicaid Home- and Community-Based Services: States’ Responses to Workforce Challenges
The payment rates for Medicaid Home- and Community-Based Services (HCBS) have been a longstanding concern, further exacerbated by the COVID-19 pandemic. State HCBS programs prioritize addressing the associated workforce challenges. While the American Rescue Plan Act provided some flexibility and funding, many of these policies are ending, raising concerns about accessibility for the 4 million Medicaid beneficiaries who rely on HCBS. The Kaiser Family Foundation conducted a survey, capturing insights from state officials responsible for HCBS administration. Key findings reveal that all responding states have taken steps to combat workforce shortages, including raising payment rates. Additionally, most states reported shortages in HCBS workers, with many facing permanent provider closures, reflecting the critical need for sustained efforts to support this essential healthcare sector.
Medigy Insights
The Medicaid Home- and Community-Based Services (HCBS) sector has long grappled with workforce challenges, worsened by the pandemic. Addressing these challenges is a top priority for state HCBS programs. While federal funding and flexibilities from the American Rescue Plan Act initially assisted, many of these provisions are ending. A survey conducted by the Kaiser Family Foundation sheds light on state responses. All states have taken measures to combat workforce shortages, such as raising payment rates. Shortages are most acute among direct support professionals, personal care attendants, nursing staff, and home health aides. Many states have witnessed permanent HCBS provider closures, underscoring the need for sustained efforts in this critical healthcare sector.
Continue reading at kff.org
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