California’s developmental disabilities system is entering a period of structural change. As of November 2025, the Department of Health Care Services (DHCS) has announced its intent to submit a proposed amendment to the state’s 1915(c) HCBS Waiver for Individuals with Developmental Disabilities (Waiver CA-0336) by November 28, 2025, with a

Communication is a core part of successful home care operations. Every agency depends on accurate updates, clear instructions, real-time visibility, and a smooth flow of information between caregivers, administrators, clients, and family members. When communication breaks down, agencies experience missed visits, incorrect documentation, unnecessary back-and-forth messages, and delays in care.

Managing payroll and invoicing remains one of the most complex responsibilities for home care agencies. Caregivers often work varying schedules, visit lengths shift based on client needs, and billing rules can differ from one payer to another. When these details are tracked through spreadsheets or outdated systems, even a small

Louisiana’s home care and adult day care providers are entering a high-pressure time of year. November brings fluctuating visit schedules, increased caregiver workload, and tighter Medicaid scrutiny. For many agencies, this is also the month when outdated EVV systems begin to visibly slow operations — leading to errors, mismatched visit

The Compliance Pressure on Home Care Agencies Home care agencies today face constant pressure to stay compliant with evolving Medicaid requirements, EVV mandates, audit expectations, and state-level reporting rules. Every visit must be verified, every care task documented, and every billable minute tracked accurately. Even a small documentation gap can