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By Brian Cavoli, host of the Home Care Agency AI Acceleration Series
It's an exciting time in our industry. AI is no longer a future conversation for home care. It's happening now, inside agencies of all sizes. Across the industry, agencies are using AI to grow sales, support caregiver recruiting, streamline operations, strengthen service delivery, and reduce administrative burden. The opportunity isn't limited to one department or one type of agency. Whether you're focused on growth, staffing, care quality, or operational efficiency, AI is at the center of the conversation. The Connecticut Department of Social Services is inviting Connecticut home care and personal care assistant waiver adult family living providers to a meeting to discuss the future of the Adult Family Living (AFL) Service in Connecticut.
Home care providers shouldn't be penalized for outcomes driven by Medicaid reimbursement rates, workforce shortages, or housing availability — factors well outside their control. That's the key message in HCAOA's formal comments to the Centers for Medicare & Medicaid Services responding to the agency's proposed 2028 Medicaid HCBS Quality Measure Set (see our recent blog gathering member feedback).
The New Jersey Legislature continues to move forward with legislation that would make several significant updates to the State’s regulatory framework governing health care service firms, including many private duty home care agencies operating in New Jersey.
Last week, HCAOA’s government relations team was on Capitol Hill to meet with federal officials and congressional staff, advocating on program integrity, the W-2/agency model for home care delivery, and the Medicaid Access Rule.
The U.S. Department of Veterans Affairs has informed HCAOA that it's now working on the 2027 VA fee schedule, which includes reimbursement rates for home care services delivered to veterans. Here's your opportunity to provide input on next year's rates.
Advocacy Update: CMS Issues 6-Month Moratorium on Medicare Home Health & Hospice Enrollment5/13/2026
Today, the Centers for Medicare & Medicaid Services (CMS) issued a six-month nationwide moratorium on enrolling new home health and hospice agencies, the administration’s latest action to curb fraud, waste, and abuse.
The Centers for Medicare & Medicaid Services (CMS) is seeking public comment on proposed updates to the Medicaid Home- and Community-Based Services (HCBS) Quality Measure Set for 2028. You can read the official notice from CMS here. Comments from the public are due on May 28, 2026.
According to the New Jersey Division of Consumer Affairs, all Health Care Service Firm (HCSF) registrations will now expire on September 30, 2026, instead of June 30. Additionally, renewal applications must be submitted before October 1 each year, along with any required financial reports, statements, or audits that are required to be submitted as a condition of renewal. HCSFs that have already renewed their registration for 2026-27 will be automatically extended to September 30, 2027, and will be issued a registration with the new expiration date. The division intends to amend N.J.A.C. 13:45B-13.5 to effectuate this change.
By Ashlee Jensen, Altum Coaching Services
If you’re leading in home care today, you’ve likely felt it: The role is expanding. And in many cases, it’s happening faster than teams can realistically adapt. What once felt manageable now feels layered. Responsibilities have grown. Expectations continue to shift. Much of your time is spent filtering constant change — regulations, compliance updates, narrowed reimbursement rates — while still showing up for your team. An amendment adopted earlier this week in the state House of Representatives establishes minimum caregiver training requirements for home care agencies in Connecticut.
HCAOA Connecticut, along with CT Association for Healthcare at Home, negotiated the final details of House Bill 5143 with leaders of the Aging Committee and the Department of Consumer Protection. Florida's Agency for Health Care Administration (ACHA) has released an updated draft rule that sets clearer standards for home health aides who care for medically fragile children. Rule 59A-8.0099 reflects feedback gathered during workshops earlier this year and builds on recent state legislation. Here's a plain-language breakdown of what's changing and what it means for agencies.
Home care leaders from across the country gathered in Washington, DC, April 21-22 for National Home Care Advocacy Day 2026. Roughly 120 HCAOA members representing 31 states met with senators, representatives, and congressional staff to discuss federal policies affecting care at home.
Soon more than 100 HCAOA members will convene on Capitol Hill to talk with members of Congress about the policies shaping our industry. If you can't make it, you don't have to sit on the sidelines — join in our Advocate from Anywhere campaign.
HCAOA submitted formal comments to the Centers for Medicare & Medicaid Services March 30 in response to its Request for Information on its CRUSH initiative — short for Comprehensive Regulations to Uncover Suspicious Healthcare — which seeks public input on new regulations to combat fraud, waste, and abuse in federal health care programs.
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