Virginia is ending the live-in caregiver EVV exemption October 1.
Virginia’s live-in EVV change, Texas respite billing, Florida and Michigan cutovers, Indiana enrollment changes, and the first free MCO Denial Snapshot.
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Latest issue Issue 13: Virginia is ending the live-in caregiver EVV exemption October 1. Read now →
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Latest issue · September 14, 2026
Virginia is ending the live-in caregiver EVV exemption October 1.
Issue 13 leads with Virginia’s live-in caregiver EVV change, then covers Texas respite billing, Florida and Michigan cutovers, Indiana enrollment paperwork, and the new free MCO Denial Snapshot.
Shared client listA simple way to keep payer, authorization, EVV and access changes from getting lost.
Ten-state operator pulseCurrent updates across Michigan, Illinois, Florida, Virginia, Texas, Ohio, Pennsylvania, Indiana, Massachusetts and Oregon.
Dates to watchSeptember and October deadlines that can affect authorizations, eligibility, EVV and claim routing.
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A few small changes can still turn into unpaid visits.
Plain-English operator updates across ten states, plus a simple shared-client-list method for keeping payer, form, EVV, login and authorization changes from becoming denials.
Five dates control a retroactive Medicaid claim.
A practical retroactive-eligibility workflow, ten-state operator pulse, live deadlines, and a control plan for protecting access, authorization, enrollment, and transaction flow.
The denial code is the last event—not the first.
A denial diagnosis field guide, seven-state program-lane pulse, federal industry watch, and a control plan for correcting root causes instead of symptoms.
The rate can go back to July 1. The cash still has to catch up.
Retroactive Virginia rates, North Carolina eligibility rerouting, Texas cutovers, and a control plan that closes only on corrected payment.
The quiet part of August is implementation.
State-by-state implementation risk across rates, enrollment, authorizations, portals, EVV, payer changes, and eligibility.
The deadline passed. The suspensions started.
Georgia revalidation suspensions, Ohio payment holds and enrollment controls, North Carolina reverification, and the enforcement pattern operators could no longer treat as theoretical.
What we cover
The developments shaping home care.
HomeCare Weekly Pulse filters a crowded news cycle through the lens of the people responsible for operating, financing, supporting, and improving home care.
Policy & regulation
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Why does it matter?
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What should operators watch?
We identify the practical implications, open questions, and next developments to monitor.
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HomeCare Weekly Pulse serves the operators, professionals, and industry partners who need to understand where home care is moving.
Agency owners & executives
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Operators & revenue leaders
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Technology & service partners
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Free MCO Denial Snapshot
Fill out the short interest form. Julio will call you first, and no claim files or PHI are uploaded publicly.
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Free operator resource
The Medicaid Revenue Leak Checklist
Review EVV, authorizations, eligibility, MCO workflow, billing controls, and denial tracking before small process gaps become delayed cash.
Professional education & certification
Home Care Revenue Institute
HCRI builds professional competency in Medicaid-funded HCBS/LTSS revenue operations through structured education, state qualification, assessment, and HCRS™ certification.
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News tips, conference access, interviews, and industry announcements.
My Care Operator covers the business and operation of home care for a Monday distribution of 15,000 home care professionals.