Summary Medicaid Third-Party Liability (TPL) refers to situations in which another individual, insurance company, or legally responsible organization may be required to pay for healthcare services provided to a Medicaid beneficiary. Because Medicaid generally operates as the payer of last resort, other legally liable sources of payment must usually be

Summary Switching home care software providers can help agencies improve scheduling, caregiver management, billing, reporting, and daily operations. However, one of the biggest concerns during a software transition is what happens to the information already stored in the existing system. Client records, caregiver profiles, visit histories, service authorizations, Electronic Visit

Summary Client complaints are an important source of feedback for home care agencies. Whether a concern involves caregiver punctuality, missed visits, communication, service quality, or billing, agencies need a reliable process to receive, investigate, and resolve complaints. When complaints are handled through phone calls, emails, paper forms, or spreadsheets, important

Summary Electronic Visit Verification (EVV) is an important requirement for many Medicaid-funded home care services in the United States. It helps verify essential information about services delivered during home visits. However, some clients may feel uncomfortable with EVV technology. They may have concerns about GPS tracking, privacy, personal devices, or

Summary Receiving payment for a Medicaid home care claim does not always mean the billing process is completely finished. In some situations, a state Medicaid agency or managed care organization may later determine that a payment was incorrect and seek to recover all or part of the amount. This process

Summary Managing participant incidents is an important responsibility for adult day care centers. Whether an incident involves a fall, a behavioral concern, a transportation issue, or another unexpected event, documenting what happened is only the first step. Adult day care staff may also need to notify the appropriate people, complete

Summary Client discharge and service closure are important parts of home care agency operations. Whether a client no longer requires assistance, moves to another care provider, enters a healthcare facility, or chooses to discontinue services, agencies need a structured process to close services appropriately. Managing these activities manually can create

Summary Every home care client has individual preferences that influence how they want to receive assistance. These may include preferred visit times, daily routines, communication styles, caregiver preferences, and personal care arrangements. For home care agencies, keeping track of these details becomes challenging when information is scattered across intake forms,

Summary A client’s care needs do not always remain the same between scheduled home care visits. Changes in mobility, daily routines, personal care requirements, health conditions, or family support can create new challenges for home care agencies.   When these changes occur, agencies need a clear process for receiving updates,