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Providers urge Pennsylvania to expand LIFE access, allow provider assessments and boost Medicaid reimbursement
Summary
Provider groups told the committee that streamlining enrollment (including allowing LIFE providers to perform functional eligibility assessments), improving outreach and raising reimbursement toward 60% of the AWAP would expand access and stabilize the LIFE program, which providers said saves the state money.
Representatives of Leading HPA, Life Northwest Pennsylvania, the Lutheran Foundation for Long Term Living and other provider groups told the House Aging & Older Adult Services Committee that streamlining enrollment and modest rate increases would increase access to LIFE (PACE) services and produce net savings for Pennsylvania.
Chuck Quinnen, senior vice president of government affairs for Leading HPA, said the LIFE model reduces hospitalizations and institutional care and urged a minimum reimbursement target of 60% of the amount that would otherwise be paid (AWAP) under Community HealthChoices. "For every individual who receives care through LIFE instead of CHC, the state Medicaid budget saves over $39,000 each year," Quinnen said, adding that the change would require roughly "a little over $19,000,000" in…
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