National Association for Home Care & Hospice: 2016 Potential Home Care Regulatory Priorities

The National Association for Home Care & Hospice (NAHC) is seeking member input on its regulatory priorities for 2016. Please complete this questionnaire by Friday, January 15, 2016. Only one form per agency, please.

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* How would you prioritize each of the regulatory issues below?

  Lowest Priority Highest Priority
Require national uniformity and inclusion of home care & hospice in the health care reform insurance exchange "essential health benefits."
Ensure the role of home health in improved and integrated care delivery models.
Establish procedures for timely & accurate adjustments to the case-mix system.
Monitor and refine Medicare home health outlier policy and ensure payment.
Improve application of wage index for Medicare home health and hospice.
Provide fair and targeted reimbursement for medical supplies.
Eliminate inequities in partial episode payments.
Reimburse home health agencies and hospices for telehealth and provide for regulatory flexibility.
Ensure use of statistically valid sampling methodology for postpayment review.
Ensure home care services under managed care.
Ensure access to Medicaid home care services.
Promote Medicare-Medicaid coordination.
Reform Medicare home health market basket index.
Establish fair and appropriate standards for rebasing of Medicare home health rates.
Establish a fair and equitable Value Based Purchasing (VBP) system.
Establish reasonable policies & procedures for face to face encounters.
Identify federal specialists to resolve survey discrepancies and establish an Information Dispute Resolution (IDR) process.
Ensure training is conducted and consistent for home health and hospice surveyors.
Increase flexibility in the application of the Conditions of Participation.
Ensure fair application of Immediate Jeopardy Citations and appeal rights.
Develop appropriate policies for equitable and consistent implementation of survey and certification penalties and sanctions.
Require federally funded criminal background checks.
Ensure the use of appropriate quality indicators and accuracy of Home Health Compare.
Make certain that home health agencies have a role in new health care delivery models.
Establish referral standards and discharge planning regulations.
Require Medicare to fully assess and report on the impact of its new rules.
Ensure reasonable screening, moratoria and compliance plan provisions for home health agencies and hospices.
Ensure reasonable enrollment and participation requirements for home health agencies.
Ensure claims review decisions at all levels of appeal are consistent.
Develop quality of care standards and accountability for Medicaid personal care services.
Reverse or fully fund changes to companionship services exemption to the Fair Labor Standards Act.
Monitor efforts to audit improper employee classifications as independent contractors.
Oppose public authorities or other measures that restrict consumer choice.
Ensure fairness in government fraud and abuse activities.
Ensure reasonable application and implementation of home health surety bond requirement.
Ensure that Medicare appeals determinations meet federal timeliness standards.

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* Thank you for providing feedback regarding NAHC's 2016 Regulatory Priorities. Please consider providing the following demographic information for NAHC's data analysis (optional).

Please state your affiliation.

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* In which state(s) does your company provide home care OR in which state(s) is your association? Please list all applicable states.

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* Please check all the types of services provided by your company.

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* What is the annual home care revenue for your company?

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* Describe your company. Please check all that apply.

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* What percentage of your revenue comes from Medicare?

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* What percentage of your revenue comes from Medicaid?

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* What percentage of your revenue comes from Private Pay?

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* What percentage of your revenue comes from revenue sources other than Medicare, Medicaid, and Private Pay?

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