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News & Updates: National Updates

CMS Okays Non-Skilled Home Care Benefit in Medicare Advantage

Friday, February 2, 2018  
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Courtesy of the National Association for Home Care & Hospice (NAHC)

The Centers for Medicare & Medicaid Services (CMS) announced that non-skilled in-home care will be included in Medicare Advantage plans in 2019 as a supplemental benefit.


The CMS decision is an important change to supplemental benefit because it allows payers to cover services like non-skilled in-home support for daily maintenance and activities, which is a first. CMS will also include portable wheelchair ramps and other assistive devices and modifications, as necessary, in the supplemental benefit. These benefits are meant ameliorate the damage caused by physical injuries and ailments and prevent hospitalization or re-hospitalization.

The CMS announcement will allow supplemental benefits if they “compensate for physical impairments, diminish the impact of injuries or health conditions, and/or reduce avoidable emergency room utilization.”

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