The Midterms Changed Congress. They Didn't Change January 1.
TL;DR
The November 2026 midterms gave Democrats control of both the House and the Senate, and a lot of home care owners are asking whether the 2025 Medicaid cuts are about to be undone. The short...
New York's Adult Day Fraud Probe Is Real. So Is Adult Day's Value.
TL;DR: New York State, working with federal partners including the FBI, is investigating more than 100 social adult day care programs for Medicaid fraud and is weighing whether to reform or phase out...
Virginia's New DMAS-97 and DMAS-99: What Changed in 2026
TL;DR: Virginia's revised DMAS-97A/B plan of care and DMAS-99 assessment became mandatory on October 1, 2026, and DMAS says older versions now lead to denied service authorizations. The biggest...
How Do You Self-Direct? Every State Runs FMS Its Own Way
TL;DR: Self-direction exists in every state, but no two states run it the same way. Who sets a direct service worker's pay, who approves a shift before it is billed, whether the spending plan follows...
Fraud Headlines Hurt Honest Providers. Here's How Data Fights Back
TL;DR
Fraud stories about hospices, child care centers and home care billing are shaping how the public, legislators and regulators see every program that cares for people at home, including the...
Follow the Money: How California's Self-Determination Program Works
TL;DR
Most guides to California's Self-Determination Program (SDP) stop when the spending plan is approved, which is exactly when a family's real questions begin. This article follows one family...
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