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...
600,000+ People Are Waiting Years for Home Care and Here's How You Can Help
TL;DR
More than 600,000 people are currently on Medicaid HCBS waiver waitlists across 41 states.
In Texas, some people wait 17–18 years for home care services.
In North Carolina, families who...
The CMS 80/20 Rule: What HCBS Agencies Should Start Tracking Now, Before the 2030 Deadline
TL;DR
CMS's 2024 "Ensuring Access to Medicaid Services" final rule requires that starting July 9, 2030, at least 80% of Medicaid payments for personal care, homemaker, and home health aide services...
What Colorado's OIG EVV Audit Means for Home Care Agencies
TL;DR: In July 2026, the federal Office of Inspector General reported that an estimated 52 percent of Colorado's Medicaid personal care claims had Electronic Visit Verification compliance problems,...
Oregon EVV Transition Guide for Home Care Agencies
TL;DR: Oregon is moving Medicaid in-home care onto a new statewide Electronic Visit Verification (EVV) system, run by Acumen with software from Direct Care Innovations (DCI). The rollout follows a...
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