The State of America’s Direct Support Workforce Crisis 2022

The longstanding direct support workforce crisis, exacerbated by the COVID-19 pandemic, has led to closures of critically needed services and a denial of access to community-based supports.
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Capitol Correspondence - 10.05.21

ANCOR Submits Written Comments to Proposed Rule Impacting Reassignment of Medicaid Provider Claims

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The Centers for Medicare and Medicaid Services (CMS) recently proposed a rule seeking to affirmatively clarify that states may make payments to third parties on behalf of individual practitioners for benefits if the practitioner voluntarily consents to it. In its news release and rationale, CMS highlights that this will support and strengthen stabilization of the home- and community-based services workforce.  

In ANCOR’s written comments, we requested clarification of the term “individual practitioner” and the proposed rule’s impact on the direct care workforce crisis. ANCOR urged recognition that the proposed rule will not support the stability of home- and community-based services without significant investment in the entire direct care workforce and necessary protections and oversight to ensure no further funding shortfalls.