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Homecare Accounting
Medicaid Work Requirements Start January 1, 2027: The Medical Frailty Fight and What Home Care Agencies Need to Do Now
Forty-three states and DC must impose an 80-hour monthly work requirement by January 1, 2027. The medical frailty exemption is where home care lives, and your claims may be the proof.
Christian Soriaga, CPA
10 hours ago6 min read
2027 Caregiver Wage Floors: What Is Confirmed, What Is Not, and What It Does to Home Care Margins
California, Colorado and Michigan have published January 1, 2027 minimum wages. New York, the state with the highest home care aide floor, has not. What that means for margins.
Christian Soriaga, CPA
6 days ago7 min read
The Medicaid 80/20 Rule in 2026: What Got Delayed, What Did Not, and the 2030 Deadline
CMS delayed two Access Rule provisions in 2026 but not the 80% pass-through. The real timeline to 2030, and what a shrinking Medicaid census does to your 20%.
Christian Soriaga, CPA
Sep 156 min read
MaineCare Cuts Off $47.9 Million Home Health Biller Amid Billing Investigation
MaineCare suspended payments to Community Home Health Care after allegations of billing for services not provided. The provider received nearly $48 million from 2019 through 2025 but remains licensed.
Christian Soriaga, CPA
Aug 192 min read
Home care’s technology priorities sharpen around compliance, scheduling and billing
A new home care survey identifies compliance, scheduling and billing as leading technology priorities while highlighting growing AI use and the need for stronger financial data practices.
Christian Soriaga, CPA
Aug 183 min read
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