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...
Why Do Caregivers Quit? The Real Reasons Behind Home Care Turnover
TL;DR
Most agency owners assume caregivers quit over pay, but when caregivers are asked directly, poor communication and unreliable hours rank ahead of the paycheck. Turnover in home care has hovered...
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...
EVV Beyond Home Care: The STOP Medicaid Fraud Act and What's Next
TL;DR: A bill introduced in the House on September 28, 2026, H.R. 10618, would require Electronic Visit Verification (EVV) for Medicaid applied behavior analysis (ABA) therapy, including sessions in...
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...
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