May 6, 2016 Edition of ASAP by Home Care Association of New York State

ASAP

A Weekly Publication Of HCA Home Care Association of New York State

Legislative Issues  Public Policy

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News

Volume 21, No. 18 May 6, 2016

New Innovations, Award Recognition, Learning and Networking at HCA Annual Conference HCA’s Annual Conference this week featured several new innovations, insights from political thought-leaders, a forecasting expert, sessions on home care marketing and value-based payments, an expert on tapping into ‘body intelligence,’ and in-depth workshops on everything from palliative care to health information technology, labor-law changes, grant opportunities, and more. If you didn’t attend, you missed out on some truly exceptional learning experiences – and lots of fun. See CONFERENCE p. 3

Robert Mechanic discusses value-based payments.

Meeting Next Week Focused on FLSA Distribution Needs, Concerns Survey attestation shared HCA will be meeting with the state Department of Health (DOH) next week to discuss the issues that members have encountered with receiving monies from their contracted MLTC plans to address new costs under the Fair Labor Standards Act (FLSA). These issues include: not receiving money from some MLTC plans; receiving money from plans but no explanation on how the amounts were determined; receiving amounts that vary in

Inside ASAP

See FLSA p. 2

New Innovations, Awards, Learning at HCA Annual Conference....1 Meeting Next Week Focused on FLSA Needs, Concerns..................1 HCC Members: Join us for May 18 Forum..........................................2 DOH Posts Final Physician Order Rule Championed by HCA..........7 Worker Wage Parity Certification Forms Due June 1.........................7 Learn More About Value Based Payment at 6/17 Program...............8 Minor Changes Proposed to ABN....................................................9 Publications................................................................................................10

Helping New Yorkers Feel Right At Home

Volume 21, No. 18 May 6, 2016

ASAP – a publication of the Home Care Association of New York State FLSA from p. 1

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HCC Members: Join us for May 18 Forum Focused on Issues of Importance to You

the amount per hour of services; requirements to document their overtime and travel costs by plan when it is very difficult to do so as many aides work with patients from different plans; and more.

HCA reminds our Home Care Council (HCC) of HCA members that we are holding a May 18 HCC Member Forum in New York City focused on issues of direct importance to you.

HCA will discuss these issues with DOH and request information on the distribution methods that plans indicated to DOH, the amounts that each plan gave their home care providers, and an update on the status of federal matching funds.

The Forum will be held from 10 a.m. to 12:30 p.m. at the Hunter College Brookdale Campus in New York City (425 East 25th Street). Among other issues, the May 18 Forum will focus on:

Survey This week, DOH also shared with HCA the attestation that it plans to require of home care providers in accompaniment to a soon-to-be released survey that will measure the actual FLSA costs faced by agencies.

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HCA gave feedback on the attestation, requested that DOH hold training on the survey when it is finalized, and reiterated our request that the survey be posted and submitted via the Health Commerce System.

New York City Human Resources Administration (HRA) updates; Quality Incentive Vital Access Provider Pool (QIVAPP) final awards; Fair Labor Standards Act funding; The final 2016-17 State Budget, the impact of the minimum wage increase and appropriations for providers.

Please join us for this important session by completing the registration form at the back of this week’s ASAP.

HCA will update members on any new FLSA funding developments after the DOH meeting.

ASAP is a weekly publication of the Home Care Association of New York State (HCA). Unless otherwise noted, all articles appearing in ASAP are the property of the Home Care Association of New York State. Reuse of any content within this newsletter requires permission from HCA. President: Editor:

Joanne Cunningham, jcunningham@hcanys.org Roger L. Noyes, Director of Communications, rnoyes@hcanys.org Al Cardillo, Executive Vice President, Policy & Programs, acardillo@hcanys.org Patrick Conole, Vice President, Finance & Management, pconole@hcanys.org Andrew Koski, Vice President, Program Policy and Services, akoski@hcanys.org Alexandra Blais, Director of Public Policy, ablais@hcanys.org Laura Constable, Senior Director, Membership & Operations, lconstable@hcanys.org Celisia Street, Director of Education, cstreet@hcanys.org Mercedes Teague, Finance Manager, mteague@hcanys.org Jenny Kerbein, Director of Governance and Special Projects, jkerbein@hcanys.org Billi Hoen, Manager, Meeting and Events, bhoen@hcanys.org Teresa Brown, Administrative Assistant, tbrown@hcanys.org 388 Broadway, 4th Floor, Albany, NY 12207 Tele: 518-426-8764; Fax: 518-426-8788; Website www.hcanys.org

Volume 21, No. 18 May 6, 2016

ASAP – a publication of the Home Care Association of New York State

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CONFERENCE from p. 1 Perhaps the biggest highlight, however, was our awards ceremony, where we recognized six extraordinary caregivers and home care leaders whose selections were previously announced to the membership. To read their stories, please see our press release at: http://hca-nys.org/wp-content/ uploads/2016/05/ ADVISORYHCAAwards.pdf. These vignettes, however, provide just part of the story and power of hearing from the award winners in their own words: their heartfelt devotion to the practice of home care; the sacred duty of serving and caring for patients at the end stages of life and illness; and the commitment of home care leaders to advancing the cause of home care at all levels. Those who attended the program will enjoy remembering the experience through some of the photographs featured in this week’s edition of ASAP, and we hope that all readers of this week’s newsletter are inspired by what they’ve read already about the award winners and the joyous spirit of celebration revealed in our photos. In her speech to the membership on Thursday morning, HCA President Joanne Cunningham also highlighted several new initiatives at HCA designed to support home care providers, position the industry in the foreground of the political process and strengthen your internal processes for quality

Following our awards ceremony, awardees gathered to share smiles with their families, colleagues and leaders from their organizations. Featured on this page are three of HCA’s Caring Award Winners. Top photo (fourth from right): Linda Fraser Fraser, RN, BSN, CHPN, Palliative Care Nurse, Visiting Nurse Association of Hudson Valley. Middle photo (center): Gregg, Home Patti Gregg Health Aide, Visiting Nurse Service of Rochester and Monroe Counties – Finger Lakes Visiting Nurse Service. Bottom photo (center): Duarte, Jeffrey Duarte Operations Manager, United Odd Fellows – Rebekah Long Term Home Health Care Program and Certified Home Health Agency.

Continued on next page

ASAP – a publication of the Home Care Association of New York State Continued from previous page enhancement. These initiatives include: 

The unveiling of HCA’s “Bring The Vote Home” campaign, which will equip home care providers and caregivers with tools to help patients register to vote and vote from home if they are homebound, elderly or suffer from life-limiting illness. Members can expect more information on this important campaign, which will also utilize media outreach and other communications channels as a signal to lawmakers that home care constituents are getting vigorously engaged in the electoral process. As a result, we hope to convey the power of New York’s home care voting constituency so that elected officials pay close attention to their needs in the context of home care, yielding benefits for patients and system functionality. Learn Continued on next page

Top photo (at front): Caring Award Winner Angela Pinzon, Home Health Aide, Americare, Inc., with Pinzon colleagues and leaders at Americare. Middle photo (fourth from right): Orael Keenan Keenan, Advocacy Award winner, Director of Regulatory Compliance for Hospice Care Network, joined by colleagues and associates. ie Neander Bottom photo (second from right): Laur Laurie Neander, Ruth F. Wilson Award winner, President and CEO, Bassett Healthcare Network: At Home Care, with friends and colleagues.

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Volume 21, No. 18 May 6, 2016 

Continued from previous page more at www.bringthevotehomeny.org, and expect additional campaign materials coming soon. 

HCA’s development of a Quality Management, Risk and Compliance Tool (HQMT), which we are shopping around to service vendors for purposes of automating this product and making it available for members as a single-source, webbased quality improvement platform. That platform will help providers track, benchmark and report all of the various quality best-practices, outcome measures and regulatory requirements for home care. This is a game-changer for home care quality improvement that is catching the attention of payors and regulatory agencies across the country.

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HCA’s sepsis screening tool, which is already being applied by IPRO as part of its federally supported sepsis prevention and intervention project. Sepsis, a little-understood condition resulting from severe infection, is the number one contributor to hospital readmissions in New York State. Its progression can be fatal, leading to organ failure and death, and it is common in all settings. This is why home care needs to pay attention: to identify risks, prevent the escalation of sepsis-causing infections, and take a systematic approach to transition patients to higher levels of care, when needed. Hospitals nationwide are keeping a close eye on the issue, and HCA’s sepsis screening tool has even caught the attention of a national chain of hospitals (which learned about the tool through recent publicity on the U.S. Centers for Disease Control and Prevention website). This hospital group wants to employ HCA’s responsive tool to combat sepsis throughout its system, and we hope that home care providers and other partners in New York State find similar value in using this new tool. Much like Continued on next page ilson explains some of the electoral From Top: Reid W Wilson and political trends; marketing guru Matt Seiden gives dner tips for marketing in home care; and Dan Gar Gardner dner, coauthor of Superforecasting: the Art and Science of Prediction, explains how leaders can get better at forecasting for their organizations.

ASAP – a publication of the Home Care Association of New York State

Volume 21, No. 18 May 6, 2016 

our HQMT platform, the HCA Sepsis Screening Tool is another proactive measure to raise the status of home care in pre-hospital clinical interventions. These are just a few of the initiatives that providers can expect to hear more about in the months to come as HCA continues to join its responsive advocacy strategy with a parallel aim of supporting providers in a proactive – and innovative – fashion to best position the industry and individual providers. During our Board Meeting on Wednesday, HCA’s Board and members had an opportunity to engage in a constructive discussion with Rebecca Fuller Gray, state Department of Health Director of the Division of Home and Community Based Services, on a specific regulatory question concerning home care: scofflaw violations related to licensure issues. HCA used the opportunity – and our Board’s input, observations and experience – to put a finer point on the need for better guidance, education and instructions to ensure that non-home care organizations do not commit scofflaw violations by initiating home-care-like business lines which are not permitted under their licensure – an especially urgent issue as provider partnerships function in less traditional roles under models like the Delivery System Reform Incentive Payment program and Value Based Payments. In cases where a home care intervention is deemed of value to the decision-makers in these models, these lead entities should turn to the existing home care infrastructure to step in: because that infrastructure has the experience, the skill set, and the appropriate licensure to do so. HCA thanks Ms. Fuller Gray for further advancing this important discussion. These are just a few of the sessions featured at HCA’s Annual Conference this week, along with our annual Political Action Committee fundraiser, and time spent networking with dozens of solution-oriented vendors in the Exhibit Hall. To learn more about our exhibitors so you can follow up with them, please visit our annual conference website at www.hcaannualconference.com. Please also go to the site to learn more about our exceptional sponsors who helped make this program possible. To them, HCA extends a special thanks. Please also save the date NOW for next year’s conference: on May 3 to 5, 2017, also at the Saratoga Hilton. 6

Joseph Cardillo Cardillo, PhD., closes out the program with insights from his award-winning book, Body Intelligence: Harness Your Body’s Energies for Your Best Life.

At right, Rebecca Fuller Gray Gray, Director of the Division of Home and Community Based Services, addresses the HCA Board about regulatory and licensure issues – specifically, scofflaw violations of licensure status.

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DOH Posts Final Physician Order Rule Championed by HCA The state Department of Health (DOH) has finalized the rule allowing for written physician orders for home care within one year, extended from the previous deadline of 30 days. The final rule was reported in the May 4 State Register and is the subject of a “Dear Administrator Letter” posted to the Health Commerce System. HCA has posted the letter to our website at http://hca-nys.org/wp-content/ uploads/2016/05/DAL_Physician-Orders-for-Home-Care_5-5-16.pdf. The Department received three comments of support for the rule change during the public comment period, including statements of support from HCA; the Healthcare Association of New York State (HANYS); and Leading Age New York. These proposed changes, initiated and drafted by HCA, have been a long time in the making, and HCA this year succeeded in getting the Department of Health to consider these vitally needed changes. The proposal would align the state’s deadlines with the broader timetables allowed under Medicare. (However, the DAL stresses that the timeframe change applies to written authorization based on verbal orders.) The proposed changes were further recommended and advanced by the Home and CommunityBased Care Workgroup. They would apply to CHHAs, LHCSAs and LTHHCPs. Prior to this rule change, providers had to obtain signed physician orders within 30 days of the start of home care. Meanwhile, state regulations require a provider to obtain these orders prior to billing, and the state’s billing system itself does not allow for claims to be submitted after 90 days of the service date. No exception code currently exists to allow for home care billing after the 90-day window in cases where the physician signature is obtained late, even with the due-diligence of the home care provider to get the signatures timely. DOH has indicated, however, that this rule change (allowing one year to obtain physician signatures) will be joined by a separate, anticipated guidance for a new exception code allowing home care agencies to bill after 90 days when the physician signature is not obtained in that time. HCA greatly appreciates the Department’s support for this now-final rule change, which was announced in an update by Rebecca Fuller Gray, Director of the Division of Home and Community Based Services, during her presentation to the HCA Board of Directors this week at HCA’s Annual Conference. For more information, contact a member of HCA’s Policy staff.

Worker Wage Parity Certification Forms Due June 1 Different from FLSA attestation The next round of state-required vendor Home Care Worker Wage Parity Law certification forms is due June 1 for LHCSAs and other entities that contract with CHHAs, LTHHCPs and/or managed care organizations (MCOs) who serve New York City, Long Island and Westchester. CHHAs, LTHHCPs and/or MCOs that contract with LHCSAs are required to obtain a written certification on a quarterly basis from the LHCSA or other entity which attests to the LHCSA’s or other

ASAP – a publication of the Home Care Association of New York State Continued from previous page

Volume 21, No. 18 May 6, 2016 

Learn What Value Based Payment Really Means for Your Organization at June 17 HCA Program

entity’s compliance with the state’s Home Care Worker Wage Parity Law for defined certification periods and on a prospective basis.

HCA is holding a special must-attend, membersonly program on value based payments on June 17 in Nanuet. (A registration form is published at the back of this week’s ASAP.)

The form due June 1 covers the period June 1, 2016 through August 31, 2016 and is sent to the CHHA, LTHHCP and/or MCO, not the state Department of Health (DOH).

The certification forms developed by DOH are available at http://www.health.ny.gov/ health_care/medicaid/redesign/2016/docs/ att4_lhcsa_wp_certification.pdf.

The Obama and Cuomo Administrations are both moving quickly on these initiatives, including: a federal VBP pilot program in nine states; the paving of New York’s VBP Roadmap as a circuit extension of its Delivery System Reform Incentive Payment (DSRIP) program; continued emphasis on Accountable Care Organizations and bundled payment arrangements; and the Comprehensive Care for Joint Replacement Model (CJR), which began in parts of the state and nation on April 1.

In completing the form, HCA recommends adding a date after the signature and noting on the form that the certification covers the June 1, 2016 to August 31, 2016 period. The required wage parity levels for New York City, Long Island and Westchester are at http://www.health.ny.gov/health_care/ medicaid/redesign/mrt_61.htm. The wage parity certification forms are different from the Fair Labor Standards Act (FLSA) attestations that were required to be sent to DOH by April 1; these forms are at http://www.health.ny.gov/health_care/ medicaid/redesign/ fair_labor_standards_act.htm, and should still be emailed to DOH if not already done.

These and other VBP policy constructs will challenge home care providers, but they also provide opportunities in an increasingly integrated health care environment. Providers must learn about how VBP is structured, which quality and outcome measures actually matter most under VBP, and how to position themselves for VBP by making clinical and operational changes.

Due to the recently passed increase in the minimum wage, the required wage levels for aides delivering services in the New York City wage parity region and other parts of the state will increase (see HCA’s state budget memo at http://hca-nys.org/wp-content/uploads/ 2016/04/StateBudgetOutcome040816.pdf ) starting December 31, 2016.

This must-attend program will provide an important table-setting for a series of drill-down workshops that HCA is launching to help agencies get ready for a VBP state and federal policy environment. Complete the registration form at the back of this week’s ASAP or download it from our Education and Events page at http://hca-nys.org/eventseducation/upcoming-events.

Throughout the discussions on a wage increase, HCA has continuously advocated 8

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that the state provide funding to help home care providers meet these new wage costs. These efforts resulted in partial funding and now HCA is working to ensure that the monies flow to providers expeditiously to help them with the first phase of the minimum wage increase. HCA has also been crunching the numbers to determine the total cost increases (including wage-related expenses) that agencies will face due to the wage increase, and then will use those figures to advocate for sufficient state funds. HCA has consistently advocated that the managed care plans receive rates that are sufficient enough for them and their home care contractors to meet wage parity and other mandates and that Medicaid fee-forservice rates be increased to account for the wage requirements. During this year’s state budget deliberations, HCA secured language in the Assembly one-house bill to require vital rate adequacy for critical costs necessary under state payments to home care and managed care plans. While the final budget did not include this provision, it did include language that requires consistency with federal guidelines in determining rate adequacy, and HCA will seek to further strengthen this through administrative and legislative refinements in the remaining weeks of this legislative session.

Minor Changes Proposed to ABN The U.S. Centers for Medicare and Medicaid Services (CMS) has proposed minor changes to the Advance Beneficiary Notice of Noncoverage (ABN). According to a notice in the May 2 Federal Register, minimal formatting changes were made, including the addition of language informing beneficiaries of CMS’s nondiscrimination practices and the availability of alternative forms of the ABN. Also, minor language and grammatical changes have been made to the form’s instructions “to improve provider/supplier comprehension and decrease the probability of errors in completing the ABN.” Home health agencies must furnish the ABN prior to providing an item or service that is usually paid for by Medicare but may not be paid for in this particular case because:  It is not considered medically reasonable and necessary;  The care is custodial;  The individual is not confined to the home; or  The individual does not need intermittent skilled nursing care. More information on the ABN is at https://www.cms.gov/Regulations-and-Guidance/Legislation/ PaperworkReductionActof1995/PRA-Listing-Items/CMS-R131.html?DLPage=1&DLEntries=10&DLSort=1&DLSortDir=descending. HCA will inform members once any final revisions are made to the ABN and when it should be used. 9

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Publications  “Implementing New York’s DSRIP Program: Implications for Medicaid Payment and Delivery System Reform,” by the Commonwealth Fund http://www.commonwealthfund.org/~/media/files/publications/fund-report/2016/apr/ 1871_bachrach_implementing_new_york_dsrip_v4.pdf?la=en  “Spousal Impoverishment Protections for Married Couples where One Spouse is in a Managed Long Term Care Plan – Pooled Trusts Allowed as an Option,” by the New York Legal Assistance Group http://www.wnylc.com/health/entry/165/ For more information, contact Andrew Koski at (518) 810-0662 or akoski@hcanys.org.

Cut Through the Volume: Learn What Value Based Payment Really Means for Your Organization

June 17, 2016 This is an HCA Members Only Program

DoubleTree by Hilton Hotel Nanuet 425 State Route 59 Nanuet, NY 10954

Cut Through the Volume: Learn What Value Based Payment Really Means for Your Organization

“This is the first time in the history of the Medicare program that HHS has set explicit goals for alternative payment models and value-based payments.” -Press release (January 26, 2015) from the U.S. Department of Health and Human Services (HHS).

Both the state and federal governments are pushing ambitious agendas to promote “value” over “volume” in our health care system – and the stakes are high for home care. As one news article proclaimed, the trip toward Value Based Payment (VBP) systems will, indeed, be a “bumpy ride.” Ironically, the discussion about achieving “value over volume” has been overwhelming in its abundance and sheer volume of information: a cascade of technical design information from the state’s Roadmap planning process … pages of analysis from Washington think-tanks … and the clamor of top government officials giving word to this agenda at every turn.

These and other VBP policy constructs will challenge home care providers; but they also provide opportunities in an increasingly integrated health care environment. Providers must learn about how VBP is structured, which quality and outcome measures actually matter most under VBP, and how to position themselves for VBP by making clinical and operational changes. This must-attend program will provide an important table-setting for a series of drill-down workshops that HCA is launching to help agencies get ready for a VBP state and federal policy environment.

“The problem with the majority of how health care is paid for today is that the more you do, the more you get paid, whether or not the patient got better … Really very little of our total payment in health care is actually tied to performance, and we need to change that … there is going to be consolidation, there’s going to have to be closure of certain services, and those services are going to have to be replaced with other services that better meet the needs of the community.” -State Medicaid Director Jason Helgerson, quoted in “The ‘Bumpy Ride’ to ValueBased Health Care,” City and State Magazine (May 27, 2015)

June 17, 2016 - DoubleTree by Hilton Hotel Nanuet - 425 State Route 59 - Nanuet, NY 10954

Cut Through the Volume: Learn What Value Based Payment Really Means for Your Organization

AGENDA June 17, 2016 8:30 am Registration and Breakfast

12:45 – 1:30 pm Networking Lunch 1:30 – 2:45 pm Developing Your Home Health Team for Success with Value Based Purchasing Kim Skehan, RN, MSN, Senior Manager Mark Tsiames, Principal Simione Healthcare Consultants

9:00 am Welcome – HCA 9:15 – 10:15 am New York State’s VBP Health Care Policy Priority New York State is moving quickly toward a VBP environment for the entire state Medicaid Program. Hear from one of the principal state policymakers overseeing the state’s vision about how to move Medicaid into a payment structure that: rewards and incentivizes quality; is patientcentered; and focuses on outcomes for patients. 10:15 – 11:30 am The Federal VBP Landscape, Priority VBP Initiatives and How Home Care Can Best Participate Allen Dobson, PhD, Co-Founder, Dobson and Davanzo The U.S. Centers for Medicare and Medicaid Services (CMS) has begun to roll out several payment policy initiatives that focus on VBP. These initiatives inspire innovation in payment through the creation of Accountable Care Organizations, bundling demonstrations and other creative payment changes. This session will provide an overview of VBP initiatives at the federal level. It will also focus on one specific payment innovation – the Comprehensive Care for Joint Replacement (CJR) model, which is currently functioning in many areas of the nation. The post-acute role of home care makes providers especially well positioned to deliver on the CJR initiative, as its target outcomes and goals get broadened to other regions. 11:30 – 12:45 pm VBP Focus on Clinical Outcomes and Targets Arnie Cisneros, President, Home Health Management

Strategic

Arnie Cisneros is one of home health’s most innovative strategists, and he has unique knowledge about the experience of providers participating in the federal government’s nine-state VBP demonstration. Cisneros is an expert who can speak to clinical issues as well as the broader strokes of health care policy, providing insights on how to retool your clinical assessment protocols and other internal clinical decision-making practices to maximize opportunities in a VBP environment.

Does your team have a clear understanding of what VBP means, and its potential impact on your clinical and financial operations? All employees, no matter what their roles, have the capacity to advance your agency’s capabilities for measuring and improving performance in an environment that rewards value over volume. In this session, you’ll learn key components to develop staff for a successful VBP model, including steps to enhance your QAPI program, OASIS review and CAHPS survey activities in ways that promote better outcomes and support your bottom line. Learn how to make your team ready, willing and able to take this important step. 3:00 – 4:15 pm VBP Data and Dashboards Diane Link RN, MHA BlackTree Healthcare Consulting Data is critical to an agency’s success in a home care VBP environment. This presentation will reveal which data is the most important, how to create benchmarks that work most effectively, how to utilize data to track your most problematic agency inefficiencies, how to prioritize improvement based on data, and how to develop dashboards to track trends and promote decision-making. 4:15 pm

Closing Comments

June 17, 2016

Cut Through the Volume:

DoubleTree by Hilton Hotel Nanuet 425 State Route 59 Nanuet, NY 10954

Learn What Value Based Payment Really Means for Your Organization REGISTRANT INFORMATION – Please register by June 3.

Hotel Information

Name: __________________________________________________________________________ Title:____________________________________________________________________________ Agency:_________________________________________________________________________ Address:_________________________________________________________________________ City/State/Zip:____________________________________________________________________ Phone:________________________________ Ext._________ Fax: _________________________ Email: ___________________________________________________________________________ (Required)

DoubleTree by Hilton Hotel Nanuet 425 State Route 59 Nanuet, NY 10954 (845) 623-6000

There are a limited number of rooms available for the evening of June 16th at a group rate of $125. Please call the hotel by May 16, 2016 to reserve your room, be sure to mention our group code: HC2.

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Additional Members from same organization $170 per person x ____ = $________ Total:

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PAYMENT – Please check method of payment: ________MasterCard

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*Make checks payable to: HCA Education and Research and mail to 388 Broadway, 4th Floor, Albany, NY 12207. Checks must be received by June 17. ______________________________________________________________________________ Card Number _______________________________________ Expiration Date

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HCA Cancellation Policy HCA registration cancellations received by June 3 are refundable less a 25% administrative fee. No refunds will be issued after this date. Cancellations must be received in writing at info@hcanys.org. Substitutions are permitted. Please note DoubleTree’s cancellation policy when making your reservation.

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For more information on this or other HCA Educational Programs – call (518) 426-8764.

HCC MEMBER Forum Notice Please join the staff of HCA and member colleagues from the Association and the home care community for the next Home Care Council of HCA MEMBER Forum. Participation in HCA Member Forums gives you an opportunity to interact with HCA staff and members, and exchange valuable information with your colleagues.

Home Care Council of HCA Member Forum Wednesday, May 18, 2016 10:00am to 12:30pm Hunter College Brookdale Campus 425 East 25th Street (between 1st Ave. and FDR Drive) The Osborn Room (Mezzanine Level) New York, New York 10010

Some of the vital issues to be covered include: • HRA Update; • Quality Incentive Vital Access Provider Pool (QIVAPP) final awards; • Fair Labor Standards Act (FLSA) funding mechanism. • Final State Budget 2016-17; • Minimum wage increase; • Other policy changes.

A continental breakfast will be served.

Payment of $25 per person

Registration

Please check method of payment:

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*Make checks payable to: HCA and mail to 388 Broadway, 4th Floor, Albany, NY 12207. Checks must be received by May 11.

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Email:_________________________________________________________ Phone:_________________________________________________________ (Required for registration) Cancellation Policy Cancellations received by May 11 will receive a full refund less 25% of total due as an administrative fee. Cancellations received on January22 or later will forfeit their registration fee along with those who register and do not attend. Substitutions are permitted. Please contact Teresa Brown at (518) 426-8764 or tbrown@hcanys.org to cancel.

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FAX TO: (518) 426-8788 For more information, contact Andrew Koski at (518) 810-0662 or at akoski@hcanys.org