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Public Comments

On July 14, the National MLTSS Health Plan Association submitted comments on the “Preserving Medicaid Funding for Vulnerable Population – Closing a Health Care-Related Tax Loophole” proposed rule. Per the Association:

This rule proposes to refine how CMS evaluates whether a health care-related tax is considered “generally redistributive.”

In our comments, we noted that we appreciate CMS’ efforts to strengthen the oversight and quality of Medicaid programs but raised concerns about the timelines and administrative burden on states, as well as the potential impact on individuals receiving long term-services and supports (LTSS).

The recommendations included:

  • Extending the transition period to three years for all states.
  • Providing clear implementation guidance and technical assistance to states.
  • Postponing finalization of the rule until further research and data analysis on provider-related taxes and impacts are conducted.

Read the full letter here.

In Pennsylvania, this rule would impact participants’ funding of approximately $1B in federal matching funds for HealthChoices, Community HealthChoices, and Behavioral HealthChoices. No immediate action is required. If you have any questions, contact Fady Sahhar.

The Commission on Accreditation of Rehabilitation Facilities (CARF) recently convened an International Standards Advisory Committee (ISAC) to develop new accreditation standards for an Integrated Primary Care specialty designation. A specialty designation requires a program seeking accreditation to meet an additional set of standards that reflects its expertise in a specific type of service delivery or for a specific population of persons served. Integrating primary care into a mental health or substance use disorder program allows the program to holistically address the behavioral health, physical health, and social needs of the persons served, enhance the level of care provided, and improve outcomes for the persons served. Through the efforts of the ISAC, the program standards for Health Home were also updated. The final standards will be published in CARF’s 2026 standards manuals for Behavioral Health, Child and Youth Services, and Opioid Treatment Programs.

CARF is seeking comments on each of the proposed descriptions and standards. The deadline to submit comments is Tuesday, February 25.

The Office of Long-Term Living (OLTL) collected public comments on the Agency With Choice (AWC) Request for Information (RFI) from March 11, 2022, through March 25, 2022. After numerous requests from providers and associations (RCPA included), the public comments were posted on the Department of Human Services’ (DHS) Long-Term Care providers web page under the heading “Agency With Choice – Public Input.”