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Home-care and assisted-living providers urge higher Medicaid rates to keep clients at home

Social Services Appropriations Subcommittee · February 9, 2026
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Summary

Providers and association representatives told the Social Services Appropriations Subcommittee that longstanding Medicaid reimbursement rates for personal care, private-duty nursing and new-choice waiver-supported assisted living lag costs, forcing facilities to stop accepting waiver clients; speakers asked the committee to prioritize several RFAs to sustain in-home and assisted living care.

Home-care agencies, assisted-living operators and a statewide association told lawmakers Feb. 9 that Medicaid billing codes have not kept pace with inflation and workforce costs and that low reimbursement is forcing providers to limit or stop accepting waiver patients.

Rebecca Olson, executive director of Stonebridge Home Care, said her agency can't sustain providing…

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