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CMS Open Door Forum

The CMS Long-Term Services and Supports Listening Session scheduled for:

Tuesday, July 30, 2024,

2:00 PM – 3:00 PM Eastern Time (ET)

Please log on at least 15 minutes before call start time.

Conference Leaders: Jill Darling, CMS Office of Communications

**This Agenda is Subject to Change**


* Opening Remarks

        Moderator – Jill Darling (OC)

        Alissa Deboy, Director of the Medicaid Benefits and Health Program Group (MBHPG), CMCS

        Jennifer Bowdoin – Director of the Division of Community Systems Transformation, MBHPG


* Overview of Payment Adequacy Provisions of the "Ensuring Access to Medicaid Services Final Rule" [ https://www.govinfo.gov/content/pkg/FR-2024-05-10/pdf/2024-08363.pdf ]

Building on the information shared during the May 7th, 2024 Long-Term Services and Support Open Door Forum, CMS will share a brief overview of the home and community-based services (HCBS) provisions in the "Ensuring Access to Medicaid Services Final Rule" including a deeper-dive on what is commonly referred to as the “HCBS payment adequacy provision”. This provision of the final rule requires that within six years, states generally ensure a minimum of 80% of Medicaid payments for homemaker, home health aide, and personal care services be spent on compensation for direct care workers furnishing these services, subject to certain flexibilities and exceptions. CMS will also provide an overview of related reporting requirements.

After the overview, participants will have the opportunity to provide individual feedback on the questions below which will help inform implementation of this provision.

      Example Questions


* What additional information or clarification do you need from CMS to be able to report on the percent of Medicaid payments spent on compensation?
* What additional information or clarification do you need from CMS to be able to meet the minimum performance level?
* How much time do you need after the end of each calendar year to be able to report on the percent of Medicaid payments spent on compensation?
* Do you plan to report the data directly to states or would your organization use a third party to calculate and report the information to states?
* What recommendations do you have for how states collect the data from providers? Are there existing information systems you would want states to use to collect the data?
* States have flexibility to provide hardship exemptions from the minimum performance requirement for providers facing extraordinary circumstances. What types of factors or considerations do you think states should take into account in establishing their criteria for hardship exemptions?
* States also have flexibility to establish a separate small provider minimum performance level. What types of factors or considerations do you think states should take into account in establishing their criteria for which providers qualify for the small provider minimum performance level? What types of factors or considerations do you think states should take into account in establishing the minimum performance level that small providers need to meet?
* Do you have recommendations for how bundled payments (those in which multiple services are included in a single payment rates) or alternative payment models should be handled related to the HCBS payment adequacy reporting requirement or the requirement for states to meet a minimum performance level related to the percentage of payments for certain HCBS that is spent on compensation to direct care workers?

 

For questions related to the "Ensuring Access to Medicaid Services" final rule, please email: HCBSAccessRule@cms.hhs.gov

For general questions related to long-term services and supports, please email: LTSS@cms.hhs.gov__

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"This Listening Session is open to everyone, but if you are a member of the press, you may listen in but please refrain from asking questions during the Q&A portion of the call. If you have inquiries, please contact CMS at ""Press@cms.hhs.gov" <Press@cms.hhs.gov>". Thank you."

*NEW and UPDATED *"Listening Session "*Participation Instructions: *

This call will be a Zoom webinar with registration and login instructions below.

To participate by webinar:

Register in advance for this webinar:

https://cms.zoomgov.com/webinar/register/WN_vfsU5LSKR3atiW9T_AhrDg

    Meeting ID: 160 823 4591

    Passcode: 200020

After registering, you will receive a confirmation email containing information about joining the webinar. You may also add the webinar to your calendar using the drop-down arrow on the “Webinar Registration Approved” webpage after registering. Although webinars are now on a Zoom platform, we will only use the audio function, no need for cameras to be on.

TTY Communications Relay Services are available for the Hearing Impaired. For TTY services dial 7-1-1 or 1-800-855-2880. A Relay Communications Assistant will help.

For ODF schedule updates and E-Mailing List registration, visit our website at http://www.cms.gov/OpenDoorForums/ [ https://www.cms.gov/Outreach-and-Education/Outreach/OpenDoorForums/index.html?redirect=/OpenDoorForums/ ].

We encourage you to visit our CMS Podcasts and Transcript webpage where you will be able to listen and view the Long-Term Services and Support Listening Session webinar. Both the webinar recording and transcript will be posted to: https://www.cms.gov/Outreach-and-Education/Outreach/OpenDoorForums/PodcastAndTranscripts.html.

CMS provides free auxiliary aids and services including information in accessible formats. Click here [ https://www.cms.gov/about-cms/agency-Information/aboutwebsite/cmsnondiscriminationnotice.html ] for more information. This will point partners to our CMS.gov version of the “Accessibility & Nondiscrimination notice” page. Thank you.

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