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Mr. Damon Terzaghi

National Alliance for Care at Home

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National Alliance for Care at Home

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Webinar on Medicaid & Reconciliation

Posted By Damon Terzaghi 05-19-2025 10:33 AM
Found In Egroup: Home Care \ view thread
Good Morning Alliance Members: On Thursday, May 22nd, from 2-3pm eastern time we will host an update on the Medicaid portions of the reconciliation bill. This discussion will include additional information on where we are in the process; next steps; and timing. Additionally, we will provide a deeper-dive ...

Welcome to the Medicaid Community

Posted By Damon Terzaghi 04-04-2025 03:10 PM
Found In Announcements
Hello Alliance Members: Welcome to our new Medicaid community! For those of you who have not participated in communities previously, here are a few highlights of how we can use this space: Share resources from The Alliance, member organizations, partners, policy researchers, etc. to help keep each ...

Medicaid MLR Analysis

Posted By Damon Terzaghi 11-19-2024 01:24 PM
Found In Egroup: Home Care \ view thread
Good Afternoon Everyone: I wanted to make sure that you saw the Alliance Daily article about the MLR Analysis we performed on Medicaid MLTSS plans. As you may know, MLR is a calculation used to measure revenue received by a health plan that was used to pay for services and for quality improvement ...

Medicaid "Fill Rate" Survey Results

Posted By Damon Terzaghi 09-13-2024 02:25 PM
Found In Egroup: Home Care \ view thread
Over the summer of 2024, legacy NAHC (now the Alliance) surveyed members regarding important measures of access to Medicaid-funded home and community-based services. The survey focused on two main issues: the proportion of Medicaid-funded referrals that providers accept or reject; and the proportion ...

Medicaid "Fill Rate" Survey Results

Posted By Damon Terzaghi 09-13-2024 02:24 PM
Found In Library: Private Duty Community

RE: Survey on Medicaid Rejection and Fill Rates

Posted By Damon Terzaghi 08-06-2024 12:00 PM
Found In Egroup: Home Care \ view thread
Good Morning Private Duty Community: I want to send a gentle reminder that our fill-rate survey is still out in the field and we're requesting responses by the end of the day on Friday. We have a fairly low response rate so anything you can do to respond and encourage others to participate would be ...

Survey on Medicaid Rejection and Fill Rates

Posted By Damon Terzaghi 07-10-2024 12:57 PM
Found In Egroup: Home Care \ view thread
Dear Members: We are currently collecting information on Medicaid-funded participants, including the referral rejection rate and the number of authorized hours that are provided (ie: fill rate). This information will be used to inform our policy and advocacy work, particularly in light of the recent ...

NAHC Analysis of the Medicaid Access Final Rule

Posted By Damon Terzaghi 04-23-2024 09:35 AM
Found In Egroup: Home Care \ view thread
Good Morning NAHC Members: Our analysis of the Access Final rule is available online at: NAHC Analysis of the Medicaid Access Rule A high-level summary includes: The final rule maintains the requirement that 80% of Medicaid payments for three specific services be paid to direct care workers ...

White House Fact Sheet: Medicaid Access Rule

Posted By Damon Terzaghi 04-22-2024 08:46 AM
Found In Library: Private Duty Community

White House Fact Sheet: Medicaid Access Rule

Posted By Damon Terzaghi 04-22-2024 08:46 AM
Found In Egroup: Home Care \ view thread
Good Morning Everyone: Earlier this morning, the White House released a fact sheet stating that the Medicaid Access Final Rule will be published today in the Federal Register. The Fact Sheet says that the rule will include the full 80% required pass-through that was included in the proposed regulation. ...

Medicaid Access Rule Talking Points

Posted By Damon Terzaghi 04-05-2024 09:28 AM
Found In Library: Private Duty Community

Medicaid Access Rule Talking Points

Posted By Damon Terzaghi 04-05-2024 09:28 AM
Found In Egroup: Home Care \ view thread
Good Morning Everyone: We are expecting CMS to release the Final Medicaid Access Rule, which will likely contain some version of the 80-20 passthrough policy, before the end of April. In preparation for the release, our Medicaid Advisory Council developed the attached "talking points" to help you ...

CMS Issues Medicaid Guidance on Change Healthcare

Posted By Damon Terzaghi 03-15-2024 04:43 PM
Found In Egroup: Home Care \ view thread
A few minutes ago, CMS issued a Center Informational Bulletin (CIB) that provides guidance and flexibilities to mitigate the impacts on providers resulting from the Change Healthcare Hack. In the guidance, CMS advises state Medicaid agencies that certain requirements will not be enforced, until June ...

CMS Sends Access Rule to OMB for Review

Posted By Damon Terzaghi 01-29-2024 09:50 AM
Found In Egroup: Home Care \ view thread
On Friday, January 26, 2024, the Centers for Medicare & Medicaid Services (CMS) sent the final Medicaid Access Rule (CMS-2442-F) to the Office of Management and Budget (OMB) for review and clearance. OMB review is the last step in the process prior to release of a regulation in the Federal Register. ...

eSRP/Kaleida Cyberattack

Posted By Damon Terzaghi 01-18-2024 01:57 PM
Found In Egroup: Home Care \ view thread
Good Afternoon NAHC Members: We've had several inquiries regarding a cyberattack that occurred late last week that has limited the ability of providers using the eSRP/Kaleida system to submit bills and/or EVV data. We wanted to poll members: 1) Has this issue impacted you. If so, which state(s) ...

One Page Factsheet on EVV and Home Health

Posted By Damon Terzaghi 12-06-2023 02:27 PM
Found In Egroup: Home Care \ view thread
As you may recall, the requirement for State Medicaid agencies to implement EVV for Medicaid-funded home health services is effective in less than a month, with a January 1, 2024 deadline. Some states are already operational while others will not be able to implement on time. However, the majority of ...

One Page Factsheet on EVV and Home Health

Posted By Damon Terzaghi 12-06-2023 02:26 PM
Found In Library: Private Duty Community

New Webinar: Medicaid and Dual Eligibility

Posted By Damon Terzaghi 08-21-2023 03:50 PM
Found In Egroup: Home Care \ view thread
Good Afternoon Everyone: You may have seen that we recently added a new webinar to our schedule, "Making Sense of Medicaid: Dual Eligibility." In this presentation, NAHC will be providing an overview of the interactions that occur when an individual is eligible for both Medicare and Medicaid. We ...

Medicaid Access Rule: Comments Submitted

Posted By Damon Terzaghi 07-03-2023 02:27 PM
Found In Egroup: Home Care \ view thread
Earlier today, we submitted joint comments with the Home Care Association of America. In the letter, NAHC and HCAOA express support for many of the provisions in this proposed rulemaking. We specifically support and provide comments that we believe would strengthen and improve the following provisions ...

Medicaid Access Rule: Comments Submitted

Posted By Damon Terzaghi 07-03-2023 02:26 PM
Found In Library: Private Duty Community