Senate Democrats Propose Medicare Home Care Benefit and Medicaid HCBS Expansion
A group of Democratic senators released a policy framework Wednesday to create a new Medicare home care benefit and expand Medicaid home- and community-based services. The proposal represents a significant shift in federal long-term care policy. The framework aims to improve access to home-based care and stabilize payment structures for providers. Timing for legislative action remains unclear, but the proposal signals renewed congressional interest in expanding home care coverage under both Medicare and Medicaid.
Medicaid managed care organizations with LTSS responsibilities would see expanded HCBS obligations, potentially affecting network adequacy requirements, capitation rates, and care coordination models if the framework advances legislatively.
LTSS · Long-Term Care · Managed Care
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