Democratic Senators 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, potentially affecting how both Medicare and Medicaid fund home-based care. Details on implementation timelines, eligibility criteria, and financing mechanisms have not yet been specified. If enacted, the framework could reshape payment structures and access requirements for home health and HCBS providers serving dual-eligible and Medicaid-only populations.
Medicaid managed care organizations would need to prepare for expanded HCBS obligations, potential new dual-eligible coordination requirements, and shifts in state-federal financing if the proposal advances to legislation.
LTSS · Managed Care
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