Provider Survey: Projected Impact of Proposed Medicaid Access Rule and 80/20 Threshold Requirement

This 12 question survey is designed to ask providers of Medicaid-funded personal care/home care services certain questions in order to assess impacts of a proposed CMS regulation that could impact these services.  Your responses will be anonymous. Collective responses may be compiled to reflect the general sense of the home care industry.  This survey should take about 5 minutes or less to complete. Thank you for your participation!
 

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* 1. In what states do you provide personal care services?

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* 2. What is your estimated annual revenue?

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* 3. What populations do you serve with personal care services?

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* 4. CMS is proposing a new regulation for states to require providers to attribute 80% of payment for Medicaid personal care services (include home care) under HCBS waivers to compensation: salary, wages, overtime, payroll taxes and certain benefits (health and dental benefits, sick leave and tuition reimbursement). The other 20% of the rate would pay for everything else.


If CMS finalizes this regulation how would this impact your ability to provide services?

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* 5. Would this regulation, if finalized, require capping other expenses in order to maintain quality?

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* 6. Would this regulation, if finalized, impact your ability to take new referrals into your services?

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* 7.  In order to attribute 80% of a payment rate to wages, what would be the most likely cuts needed to ensure your services remain solvent?

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* 8. Would this regulation, if finalized, reduce your ability to provide for rural populations?

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* 9. Would this regulation, if finalized, reduce your ability to provide for underserved or primarily minority populations?

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* 10. In order to deliver quality and compliant care in the home it requires caregivers to be supported throughout the care journey. As such, should CMS consider the costs of any of the following positions to be included in the 80% "compensation"definition? Please select all that apply.

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* 11. Please rank the following non-wage related costs by size within your provider agency from 1-10 with 1 being the highest cost.

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* 12. What do you think is the biggest barrier to improving access to personal care services?

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