Puerto Rico’s adult day care sector enters 2026 shaped by a distinct set of pressures that differ from U.S. states. Rather than expansion or rural access alone, the central issue for providers is care continuity under operational disruption. Aging demographics, Medicaid-managed care structures, and recurring environmental risks have pushed adult day services to operate with […]
Washington, D.C.’s adult day care sector is entering 2026 under heightened regulatory attention as the District continues strengthening oversight across community-based and long-term care services. Unlike rural states where access is the primary challenge, D.C.’s focus is increasingly centered on care quality, documentation accuracy, and operational transparency in a dense, highly regulated environment. Recent
Wyoming’s long-term care landscape is entering 2026 under increasing strain, not because of policy expansion, but because of geography, workforce limitations, and service sustainability. Across the state’s rural and frontier regions, families and providers alike are confronting a growing reality: access to consistent, local care is becoming harder to maintain as distances grow, staffing remains
North Dakota’s adult day care and community-based care sector is entering 2026 shaped by continued reliance on Medicaid Home- and Community-Based Services (HCBS) to meet care needs across a largely rural state. Over the past several months, state Medicaid planning and budget priorities have reinforced the importance of sustaining community-based care models that allow older
Alaska’s adult day care and community-based care sector is entering 2026 shaped by continued reliance on Medicaid Home- and Community-Based Services (HCBS) to meet care needs across one of the most geographically challenging states in the country. Recent Medicaid planning and budget priorities reinforce the importance of sustaining community-based care models that allow older adults
South Dakota’s adult day care and community-based care sector is entering 2026 shaped by continued reliance on Medicaid Home- and Community-Based Services (HCBS) to meet care needs across a largely rural state. Policy direction over the past several months has reinforced the importance of maintaining access to non-institutional care options, particularly for older adults and
Delaware’s adult day care and community-based care sector is entering 2026 shaped by a steady expansion of Medicaid Home- and Community-Based Services (HCBS). State policy over the past several months has continued to emphasize aging in place, care coordination, and accountability across community services, reinforcing a long-term shift away from institutional care models. For
Rhode Island’s adult day care and community-based care sector is entering 2026 shaped by a continued policy shift away from institutional care and toward services that support aging in place. Over the past several months, the state has expanded and refined its Medicaid Home- and Community-Based Services (HCBS) framework, reinforcing a long-standing strategy to reduce
Montana’s adult day care and community-based care sector is entering 2026 shaped by policy decisions aimed at stabilizing services in a state defined by rural geography and an aging population. Over the past several months, Montana has expanded Medicaid support for home- and community-based services as part of broader efforts to address workforce shortages and
New Hampshire’s adult day care and community-based care sector is entering 2026 amid policy changes designed to stabilize the workforce and protect access to services for older adults and individuals with disabilities. Recent Medicaid rate adjustments and workforce-focused initiatives signal a continued commitment to home- and community-based services, even as providers navigate rising demand and
New Hampshire Strengthens Medicaid Support as Adult Day Care Services Face Rising Demand Read More »
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