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PHI New York is working to strengthen the direct-care workforce and prepare New York State to care for a growing population of elders and people with disabilities by promoting effective national and state policy solutions.

Increasing Compensation and Economic Stability

As New York begins to implement home care worker wage parity as a result of Medicaid Redesign, we will monitor and continue to ensure that home care workers are compensated efficiently to become economically stable. Sufficient compensation should include not only wages, but also access to other benefits as well.

Improving Training

Despite having a large number of training programs and requirements for home care aide training, New York has ample opportunity to improve the training and preparation of its aides. The State should consolidate the training into those programs that use adult-learner techniques, provide workforce supports to facilitate the transition into employment, and help the aide make the transition through peer support.

Increasing Advancement Opportunities

As New York transitions into a more streamlined (and mandatory) use of care management, the role of the home care aide will become more valuable. We will encourage the State DOH to implement the MRT “Workforce Flexibility and Scope of Practice” workgroup’s recommendations, which aims to expand the scope of practice of home health aides while also improving the coordination, efficiency, continuity of care, and health outcomes for clients. This will be complemented by efforts to develop advancement opportunities for this workforce within our own Pathways System and in collaboration with other organizations.

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