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...
How the Home Care Scorecard Evolved: From CEO Ratios to Weekly KPIs
TL;DR
Home care has been arguing about the same question for two decades: which numbers actually tell you whether the agency is healthy? The answer has moved twice. Stephen Tweed gave the industry...
Adult Day Care vs. Adult Day Health in Hawaii
TL;DR
Hawaii has two completely different daytime care programs for kupuna and adults with disabilities, and confusing them can cost families months of wasted planning and cost providers their...
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