Requesting The Department Of Human Services To Study The Feasibility Of Increasing The Medicaid Reimbursement Rates For Community Care Foster Family Homes, Expanded Adult Residential Care Homes, And Other Types Of Home And Community Based Service Care Providers And Services.
The resolution emphasizes that funding for these community-based care options is crucial as current reimbursement rates are insufficient, which has resulted in many caregivers opting out of accepting Medicaid patients. It highlights that in 2020, the reimbursement for CCFFHs was drastically lower than that for nursing homes, equating to about one-sixth of what nursing homes receive. By advocating for increased reimbursement rates, the bill aims to enhance the viability of community care settings, ultimately allowing for reduced hospital stays and potential long-term institutionalization.
Senate Concurrent Resolution 10, introduced in the 31st Legislature of Hawaii, requests the Department of Human Services to evaluate the feasibility of increasing Medicaid reimbursement rates for community care foster family homes (CCFFHs), expanded adult residential care homes (E-ARCHs), and other home and community-based service providers. The bill addresses the pressing need for alternative care options for patients requiring nursing home-level care amid limited nursing home capacities in Hawaii. CCFFHs and E-ARCHs provide essential caregiving services and support, significantly aiding those who are ill while alleviating the burden on families.
The sentiment surrounding SCR10 reflects a recognition of the critical role that community care homes play in the healthcare landscape of Hawaii. Supporters argue that increasing Medicaid reimbursement rates will empower more caregivers to accept Medicaid patients, thus improving access to necessary care and reducing the reliance on high-cost nursing home placements. However, the discussions may foster concerns regarding the sustainability of funding and the balance between community care and institutionalized care.
Notably, contention may arise regarding the implications of increased spending on Medicaid and the operational adjustments required by the Department of Human Services. Stakeholders might debate the effectiveness of the existing Medicaid payment models and whether alterations would achieve the intended outcomes. As SCR10 calls for a comprehensive study before any changes to reimbursement rates, the resolution invites full examination of both the fiscal impact on the state budget and the enhancement of services available to vulnerable populations in need of care.