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Community providers warn reduced authorizations, lower fees and Medicaid cuts threaten rural veteran care
Summary
Community home‑care providers and advocates told legislators that reduced authorization lengths, a lower 2025 fee schedule, and looming Medicaid cuts risk eroding rural provider participation and veterans' access to in‑home and specialty services.
Community providers and a small‑business home health operator told a House Veterans' Affairs subcommittee that recent VA process changes and pending Medicaid reductions are already constraining access for veterans in rural areas.
Amanda Newman, CEO of Western Illinois Home Health Care, said her agency — which serves a 10‑county rural area and contracts with VA community care networks — has seen authorizations reduced from 12 months to six months or less and reductions in non‑bundled fee schedules that she said make travel‑heavy rural work financially unsustainable. "Community care is not an alternative to the VA. It is an extension of it," Newman told the…
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