CPC Statement on Home Care Reform
***FOR IMMEDIATE RELEASE***
Date: August 31, 2022
Press Contacts: Wayne Ho, President & CEO | (212) 941-0920 x 143 | email@example.com
CPC Statement on Home Care Reform
Like the other hundreds of nonprofit home care agencies around the State, Medicaid funding rules prevent CPCHAP from doing this on our own without committing Medicaid fraud or abandoning our patients, who are older adults and disabled people. The State has determined and enforced 24-hour cases since the 1970s. Home care regulations and compensation are determined by the State, contracted by the NYC Human Resources Administration (HRA) and Managed Care Organizations (MCOs), and backed by the Court of Appeals decision and 1199SEIU union agreements. Home care agencies do not, and cannot, determine these regulations and compensation. Home care agencies do not have the authority to end 24-hour cases because of these regulations and the Patients’ Bill of Rights. The State decides on the authorization of converting 24-hour cases into two 12-hour split shifts.
We are committed to doing right by our workers, and we have been advocating for State-level reform for all home care workers for since 2017. CPCHAP is a high-road employer that consistently passes audits on worker compensation by the State and City, and CPCHAP was the first nonprofit home care agency advocating for systemic reform for both home care workers and patients. CPCHAP has only 49 24-hour cases, which is less than 1.6% of our 3,000 home care caseload and which is less than 0.5% of the State's 11,000 24-hour cases. CPCHAP has also requested split shift authorization on all existing cases, but the State has consistently declined split shifts for the majority of our cases.
The NYS Department of Health, via Medicaid funding through the NYC Human Resources Administration and Managed Care Organizations (MCOs), assigns 24-hour live-in care for patients with acute needs. However, according to the NYS Department of Labor, Medicaid only pays for 13 hours of these shifts, with the understanding of eight unpaid sleep hours and three unpaid meal hours. Because CPCHAP is a 100% Medicaid funded agency, the State provides for 13 hours of reimbursement for each 24-hour case, which CPCHAP then provides directly to the home care worker. When home care workers have interruptions, CPCHAP has implemented an easy-to-use system for compensating our home care workers for those interruptions, which is not reimbursed. In fact, CPCHAP paid $2.7 million for overtime, interruptions, transportation, and other compensation, which was not reimbursed by Medicaid and which led to a $2.4 million deficit last fiscal year.
CPCHAP has earned a reputation as a “go to” preferred agency among home care workers because we uphold the rights and dignity of each of our workers and because we provide their preferred shifts to the extent that caseload and Medicaid allow. On average, our home care workers have been with CPCHAP for 5-10 years, and 80% of our workers have previously been employed by other home care agencies. In a recent survey, our home care workers rated CPCHAP as 8 out of 10 in their satisfaction and reported that they are highly satisfied with CPCHAP because we reimburse for time that other agencies do not. Reflecting the sentiments of a true representation of CPCHAP home care workers, one wrote the following, “I’ve worked for this agency since 2017, and I can honestly say this has been the best company that I have ever worked for and with. They treat everyone like family and they do not discriminate. No matter your age, race, or gender, this agency makes you feel like you’re part of their growing process and family.”
The 13-hour rule, or only paying for 13 hours of a 24-hour live-in shift, is unsustainable and unfair to home care workers, who deserve to be fully compensated for every hour in their patients’ homes. CPCHAP is in full support of ending our 24-hour shifts and providing two 12-hour split shifts going forward and would do so ourselves if we could; however, despite our best attempts, we have been unsuccessful because of State policies and Medicaid regulations. We will continue to work with allies, workers, and patients to advocate for the Governor and State Legislature to end 24-hour shifts and to ensure Fair Pay for Home Care, which will build a just and caring economy in New York State. We are doing all we can to do right by home care workers, serve patients, and reform the Medicaid system.
Learn more about CPCHAP and its advocacy efforts here.
按此處了解更多有關 CPCHAP 及其主張。