  Issues
The list below includes just a few of the issues HCA is focused on.
State Budget/State Legislation: HCA advocates for a State Budget, legislative and regulatory environment that is favorable to the provision of high-quality, cost-effective home and community-based health care.
TPL Advocacy/Demand Billing Effort: HCA supports an extension of the Third Party Liability (TPL) Demonstration Program — to preserve the state's now well-established efficient method of reconciling Medicare/Medicaid payment responsibility for home health claims — and to prevent the need for anavalanche of Medicare demand billing as a result of the TPL's expiration.
Federal Issues: HCA advocates on federal issues that impact home care providers, including reimbursement and regulatory issues emanating from the U.S. Centers for Medicare and Medicaid Services (CMS) policies.
Long Term Home Health Care Program (LTHHCP): Also known as the "Lombardi Program" or the "Nursing Home Without Walls" program in New York State, the LTHHCP was designed to provide care in the home for those qualified to enter a nursing home but who have lesser care needs and prefer to remain in their homes. In addition to receiving home nursing care, participants receive assistance from home health aides and are often provided with social day care, home delivered meals, and transportation to and from medical appointments.
Health Personnel, Workforce and Home Care Infrastructure: Personnel are the backbone of home care — the visiting nurses, therapists, home health aides and other direct-care professionals who provide care to patients every day. HCA advocates for investments in workforce recruitment and retention and home care infrastructure.
Home Telehealth/Technology: Home telehealth is cutting-edge technology that allows providers to monitor patients remotely as a supplement to routine home health visits. HCA is currently advocating for state investments in home telehealth, creating an incentive for providers to use the new technology as an enhancement to standard patient care.
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