{"id":41625,"date":"2023-08-03T14:45:58","date_gmt":"2023-08-03T18:45:58","guid":{"rendered":"https:\/\/mtelehealth.com\/?p=41625"},"modified":"2023-08-03T14:45:58","modified_gmt":"2023-08-03T18:45:58","slug":"cms-allows-states-to-extend-phe-era-flexibilities-for-hcbs","status":"publish","type":"post","link":"https:\/\/drmiltie.com\/at-home-testing\/cms-allows-states-to-extend-phe-era-flexibilities-for-hcbs\/","title":{"rendered":"CMS Allows States To Extend PHE-Era Flexibilities For HCBS"},"content":{"rendered":"\n\n\n<p>The U.S. Centers for Medicare &amp; Medicaid Services (CMS) has extended a COVID-19 pandemic-era waiver that will allow home- and community-based service (HCBS) providers to take advantage of flexibilities in their state programs.<\/p>\n\n\n\n<p>The Appendix K waiver allowed HCBS providers more wiggle room during emergencies, such as the COVID-19 pandemic. CMS introduced the waiver to support states in responding to the unique challenges brought on by the public health emergency.<\/p>\n\n\n\n<p>Under the previous policy, these flexibilities were set to expire six months after the expiration of the PHE \u2014 Nov. 11.<\/p>\n\n\n\n<p>However, the new guidance suggests that these flexibilities may remain in effect for a longer period of time beyond the six-month timeframe.<\/p>\n\n\n\n<p>\u201cIn the name of minimizing disruption to beneficiaries, providers and states, CMS is issuing this extension of the Appendix K expiration date,\u201d CMS wrote in its guidance. \u201cStates are nevertheless strongly encouraged to submit their section 1915(c) waiver actions and section 1115 demonstration amendments as quickly as possible to minimize Appendix\/Attachment K extensions for unreasonably long periods of time.\u201d<\/p>\n\n\n\n<p>In its guidance, CMS also wrote that if a state has not submitted a waiver action or demonstration amendment to incorporate certain Appendix K flexibilities, the flexibility would expire on Nov. 11.<\/p>\n\n\n\n<p>During the PHE, states utilized various flexibilities permitted under Appendix K \u2014 the use of telehealth or remote service provisions, increased payment rates and the expansion of self-directed service delivery models \u2014 to make changes to their HCBS programs.<\/p>\n\n\n\n<p>Although it is likely good news for HCBS providers, Darby Anderson \u2014 EVP and chief government relations officer at Addus HomeCare Corporation (Nasdaq: ADUS) and the public policy committee chair for the Partnership for Medicaid Home-Based Care (PMHC) \u2014 said he was not surprised by the move.<\/p>\n\n\n\n<p>\u201cI don\u2019t think lapsing of Appendix Ks alone is a daunting challenge for most states \u2014 but coupled with the redeterminations and other requirements of unwinding from the PHE \u2014 I think any additional responsibilities on states are taxing at this time,\u201d Anderson wrote in an email to Home Health Care News. \u201cWe have seen states struggle of late with the timely submission and receiving approval from CMS of submitted waiver amendments, so this will add to the volume of amendments to draft and submit and for CMS to approve.\u201d<\/p>\n\n\n\n<p>Because of that, CMS recommends states still submit their waiver submission as soon as possible.<\/p>\n\n\n\n<p>Some of the flexibilities provided through the Appendix K authority during PHE have proven to be sound policy, Anderson said.<\/p>\n\n\n\n<p>\u201cAlthough they change current policy requirements, they have not had any detrimental impact on beneficiaries, created benefits for direct care workers and\/or efficiencies for providers,\u201d Anderson wrote. \u201cOnline or other virtual in-service training capabilities creating flexibility for direct care workers and other telehealth capabilities are just a couple of examples.\u201d<\/p>\n\n\n\n<p>States will not need to amend existing and approved Appendix K applications to take advantage of the extended expiration date, CMS said.<\/p>\n\n\n\n<p>Instead, the new guidance serves as the \u201cnecessary documentation for states\u2019 approved Appendix K applications to expire on either Nov. 11 or the effective date of the section 1915(c) waiver amendment,\u201d whichever comes later, the agency wrote.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The U.S. Centers for Medicare &amp; Medicaid Services (CMS) has extended a COVID-19 pandemic-era waiver 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