The Administration for Community Living (ACL) has offered grant funding to states and community-based programs to build and expand home and community-based services (HCBS) specifically for people with dementia since 2014. The purpose of these funds has been to develop models of home and community-based care for people living with dementia, including Alzheimer’s, and ultimately to identify models that could help realize a dementia-capable HCBS system.

.The new Special Supplemental Benefits for the Chronically Ill (SSBCI) likely holds the most interest for long term services and supports, housing and home and community-based service providers but lacks the detail around the services that can be provided. In 2020, MA plans will have the new option to offer “non-primarily health-related” supplemental benefits to chronically ill enrollees. These benefits do not need to be uniform across a population (e.g. all diabetics) and can vary based on each individual enrollee’s specific medical condition and needs.

In 2020, eligible MA health plans in all 50 states and territories may apply for the health plan innovations being tested under the VBID model, which is an expansion from the existing 25 states as required under The Bipartisan Budget Act of 2018. Beginning in CY 2021, the VBID model will also test including the Medicare hospice benefit in MA.

This tracker replaces the current “Regulatory Roundups” and will cover all grounds for our members, e.g. housing, nursing home, home and community-based services etc. This will be updated weekly, so you have the most up to date information.

Specific features of the new tracker include:

Center for Medicare and Medicaid Services (CMS) has given hospice providers the opportunity to review their HIS quality measure results using a HIS Provider Preview Report. The purpose of these reports is to give providers the opportunity to preview their quality measure results on each quality measure prior to public display on Hospice Compare.


Subscribe to Hospice