LTSS Worker Wage Pass-Through

States can enact policies with the potential to help improve pay for direct care workers and/or make sure that most Medicaid reimbursement dollars that cover direct care go to workers who provide that care. The Scorecard includes one such policy, wage pass throughs, in which states require providers receiving Medicaid reimbursement to pass through either a certain dollar amount or percentage of reimbursements to direct care workers. About 20 states had a policy in place as of 2022. It is not yet clear how these policies are being implemented or monitored or what impact they will have.- States will need to monitor progress of implementation as well as indicators of workforce strength such as worker volume, workforce stability, and worker compensation.