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The HCAOA Weekly is a brief update that will be distributed to HCAOA members each week. This communication complements our quarterly newsletter, The Voice, and will provide a vehicle for ensuring a regular flow of information on a more frequent basis. With ever evolving information in the home care industry, we want to ensure the lines of communication remain open and members have a source for quick, valuable news at their fingertips.
Table of Contents

Member News

Chapter News

Congressional Update

Congressional Corner

Member News

Credentialing Process in Senior Care Communities – Tell Us About Your Experience

HCAOA is once again seeking information from members regarding your experience with third party vendor credentialing companies that may be curbing access to seniors and their families seeking home care services. We are pursuing formal complaints in Florida and other states and want to hear from HCAOA members on this issue.

Senior care communities across the country are contracting with companies like Accushield to manage sign-in compliance and vendor credentialing for care providers who work in these settings. The practice of credentialing caregivers that come into assisted living and retirement homes may be inappropriately applied to caregivers employed by HCAOA member companies who are providing services to clients in these facilities. We consider this an unnecessary nuisance at the very least, but also could be costly and raises a serious concern if the process is interfering with a client’s access to quality home care services.

Have you had a similar experience with AccuShield or another company? Please contact and tell us about it.

Upcoming Dementia Webinar Series Scheduled Later this Month  

Please join us for a two part webinar series featuring Dr. Deborah Bier as she shares valuable tools and methods for home care providers to learn how to manage dementia behaviors and improving overall care for clients with dementia. 

Dr. Bier's work has successfully trained thousands of family and professional caregivers in dementia care best practices. She is an internationally respected educator and a beloved speaker. Dr. Bier holds a PhD in therapeutic counseling, a certificate in gerontology, and is a Certified Alzheimer’s Educator, Dementia Practitioner, and Dementia Care Partner. 

Webinar #1: Dementia Behavior Management in Home Care

Date/Time: January 17, 2019  1:00pm EST

Description: In this webinar, Dr. Deborah Bier will discuss how to create dementia behavior handling success within home care. In addition, this presentation will include ten “secrets” few in home care understand about dementia and behavior handling.
Register For This Webinar

Webinar #2: The 4 Keys for Managing Dementia Behaviors

Date/Time: January 24, 2019  1:00pm EST

Description: In this webinar, attendees will be introduced to the four keys for managing dementia behaviors. In addition, attendees will learn how to improve care in the home, how to retain caregivers and clients, and how to compete successfully with other agencies and facilities in your community. Dr. Bier will troubleshoot some sticky dementia cases as examples of the quick improvements that are possible. Attendees will come away with concrete methods to immediately improve your “dementia game."
Register For This Webinar

Join the HCAOA Conference Committee! 

Looking to become more involved in the HCAOA? Now is your chance! The HCAOA is currently seeking volunteers to join the Conference Committee and plan the 2019 Annual Leadership Conference that will be held September 22-23 at the JW Marriott Tucson Starr Pass in Tucson, AZ. 

Some Conference Committee benefits include:
  • Receive FREE conference registration to the 2019 Annual Leadership Conference 
  • Network with other HCAOA Members & Board Members
  • Share your thoughts and ideas to improve future conferences
If you are interested in joining the Committee that shapes the Annual Leadership Conference, please complete the interest form HERE by Friday, February 1 for more information.  Please contact Andrea Liford-Martinez at with any questions. 
Chapter News

HCAOA South Carolina

Register Today
Come attend our January chapter meeting. This is a great opportunity to come meet with fellow home care providers and network.
Michael Mahon, an Alzheimer's and Dementia Specialist Educator will be presenting the following topic:
"Dementia: Advice on ways to help home care agencies explain to their families the realities of this disease with love and understanding."
Date/time: Wednesday, January 23 at 9:00 AM
Location: The Crossings at Five Forks Assisted Living,
345 Five Forks Rd, Simpsonville, SC 29681
Cost: Free for HCAOA members, $40 for nonmembers
Click here to register
This event is being sponsored by Kindred at Home and Kindred Hospice.
Meeting location and refreshments are being provided courtesy of The Crossings at Five Forks Assisted Living.
Contact us today for a free tutorial
and account set up.

Michelle Lane direct line: 816-463-9281
Khali Benney direct line: 816-282-6607

HCAOA Illinois

Janurary Meeting
The Illinois chapter of HCAOA met on Tuesday, January 15 in Elmhurst.


Peter Miska, Owner/Administrator, Phoenix Home Care presented information on updates to Medicare Home Health Benefits in 2019. CMS has established five new conditions of participation pertaining to patients rights, care planning, quality assessment, infection prevention and emergency preparedness.


Dave Eggering provided an update on membership for the chapter. Karen Stephenson gave an update regarding the Chicago Fair Work Week ordinance and what HCAOA is doing with regards to this ordinance. A legislative update was also provided by chapter lobbyist, Tom Nolan.


If any HCAOA IL member, would like access to a recording of the monthly meeting, please contact Nataly Schwartz at


HCAOA Washington

In-Home Services Day

Day/Time: Wednesday, February 6, 2019, 7:00 AM
Location: Washington Library Room in the lower level of the Prichard Building
415 Sid Snyder Avenue SW, Olympia, WA 98504.

Sponsored by The Home Care Association of WA, WA State Hospice and Palliative Care Organization and the Washington Chapter of the Home Care Association of America

For the past seven years, the HCAOA Washington chapter has joined forces to meet with Washington State legislators to discuss important issues for In-Home Services agencies licensed under the Department of Health (DOH). In the real world, home health, hospice and home care agencies work cooperatively together all the time. Our associations typically have a very similar legislative agenda and legislators really appreciate the fact that we coordinate this day together instead of three different meetings! It’s also a fun way to get to know other in-home services providers from around the state and in your region.

The legislative session starts on January 14, 2019. We are contacting legislators early this year because our legislative day is less than a month away! As a reminder, Washington State has a biennial legislature where they develop the Operating Budget in the long 105-day session.

Please contact your local legislators and set up a meeting on February 6, 2019. Here is a link to find out who your state legislators are: Please use your home address and not your business location as they want to meet with their constituents who live in their districts.

Once you've made appointments, please send Leslie Emerick your appointment times at Leslie needs your legislative district, your legislators names and your contact information for the day. If you need additional assistance, please call 360-280-6142. We have some legislative districts that overlap between constituents and Leslie tries to consolidate those meetings. All meetings will be on the master agenda for the day.

Please begin calls for legislative appointments ASAP as their schedules will fill up quickly during the session!

Please schedule appointments to begin after 8:00 AM so that attendees can participate in the morning advocacy training activities. Most appointments can be scheduled via an email request, although it is often better to call the legislator's office directly. Some legislative assistants may request information regarding the issues we plan to present. Just explain to them what in home services are (home health, hospice and home care) and we will be talking about issues related to these services.

We will be in the Washington Library Room in the lower level of the Prichard Building. It’s a great room and we have it reserved until 2:00 pm. Food is available in two cafeterias on the Capital Campus. Dome Deli in the Capital Building and the Prichard Library Cafeteria.

Parking is not easy on campus but will be accessible early in the morning at the Visitor’s Center. Please pay for 8 hours of parking at the pay station so you don’t have to worry. It takes credit cards or cash. For additional parking see: Visitor Parking

Draft Schedule for In-Home Services Day, February 6, 2019
7:00-8:00 AM: Welcome and Introductions (Coffee and muffins or bagels provided)
  • Orientation, overview of Political Landscape
  • Review In-Home Services 2019 Legislative Priorities/Song Sheet
  • Review Handouts for Legislators
8:00 AM-4:00 PM
Legislative Visits Begin! Leslie will develop the legislative schedule as you begin to send her your appointment times. The constituent in the meeting should talk first about their agency and issues. Leslie will try to mix people from the three associations and regionally at a meeting if possible. It’s a great way to get to know your legislators and fellow in-home services providers. Rule number one: Be flexible and have fun! Wear comfortable walking shoes and dress semi-formally for meetings. It may be cold so dress appropriately for the weather.

This may look overwhelming to the new participants, but don’t worry! We have a training in the morning to go over the talking points for the day and put you with more experienced attendees.
The need for mobile printing has never been greater. Now you can print full-page documents practically anywhere – from your smartphone, tablet or laptop. Learn how printing at the point of care is saving clinicians time and helping with compliance, while improving productivity patient safety. Try a full-page mobile printer for free.

HCAOA Virginia

Save the Date

Please save the date for the HCAOA Virginia chapter meeting on Wednesday, February 20 2019.

Keep an eye on your inbox for more information about this upcoming meeting.
If you have any questions, please contact Nataly Schwartz at

HCAOA Connecticut

Labor Committee to Consider Minimum Wage Increase, Paid FMLA

The General Assembly’s Labor and Public Employees Committee voted Tuesday, January 15, along party lines, to introduce bills that would increase the minimum hourly wage and adopt a paid family and medical leave program. Proposed bills concerning the policies have already been introduced by the two majority Democratic caucuses in the House and Senate. Details of the bills are not yet available.

Gov. Lamont has indicated his support for an increase in minimum wage and paid FMLA.

In 2018, legislation would have increased the minimum wage to $15 per hour over four years; it did not pass. Also last year, bills were considered that would have established a Family and Medical Leave Insurance program to provide wage replacement benefits to certain employees taking leave under the state's FMLA or the family violence leave law. One would have provided up to 12 weeks of family leave benefits over a 12-month period in an amount equal to 100% of the employee's weekly earnings, up to a maximum of $1,000 per week. The program also provided two additional weeks of benefits for a serious health condition during pregnancy that results in incapacitation. Leave could be used to care for grandparents, grandchildren, siblings and others. The other bill would have authorized 16 weeks of benefits every 24 months.

The public, including HCAOA Connecticut members, will have an opportunity to comment on the bills in a public hearing after the bills are filed.
Congressional Update

Democrats Announce Bill to Address Minimum Wage

House Education and Labor Cmte Chairman Bobby Scott, along with Democratic House and Senate leaders, introduced a bill on Wednesday that would gradually increase the federal minimum wage to $15 by 2024, index future minimum wage increases to median wage growth, and ensure all workers are paid at least the full federal minimum wage by phasing out the subminimum wages for tipped workers, youth workers, and workers with disabilities.

The Raise the Wage Act was introduced with 181 House cosponsors. Senator Bernie Sanders introduced a companion bill in the Senate with 31 cosponsors.

See link to press statement from Chairman Scott.

Joint Employer Status

As reported by the Bureau of National Affairs, the NLRB has now pushed the public comment deadline to Jan. 28. The U.S. Court of Appeals for the D.C. Circuit raised new questions about the extent to which the board can determine who is an “employer” for unfair labor practice and collective bargaining liability under federal law. It said courts, not the board, should be setting some broad parameters about how the term is defined in common law.

The court also said that the analysis should at least take into account some forms of indirect control by franchiser companies and those in staffing and other arrangements. Worker advocates have long argued that indirect control is a hallmark of complicated business relationships that leave employees without a seat at the table with the folks who actually help set the terms and conditions of their jobs. The business community says focusing on it creates new legal responsibilities for companies concerning another business’s workers.

The decision is a possible fly in the ointment for the current NLRB, which wants to limit joint employment to situations in which a company has some form of direct control over the workers.

The board cited the “unique circumstance” created by the D.C. Circuit’s ruling as the reason for extending the public comments deadline. What the NLRB eventually does with its joint employer proposal remains to be seen.
Congressional Corner

State of the Union Address Could be Impacted by Government Shutdown

In an unexpected development, Speaker Nancy Pelosi sent a letter to President Donald Trump on Wednesday asking he delay his Jan. 29th State of the Union address, or deliver it in writing, unless the government is reopened.

The California Democrat said a State of the Union address has never been delivered during a government shutdown “since the start of modern budgeting” in fiscal 1977. Pelosi also cited security concerns because the Secret Service and the Department of Homeland Security are not funded.

Wednesday marks the 26th day of the government shutdown over border security funding, the longest in modern history.

Home Care Association of America
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