Category: Medicaid

Direct Care Innovations is well-educated regarding the latest policies and ready to help your home healthcare business understand the new rules and regulations. California’s Proposition 35 is a groundbreaking measure aimed at strengthening the healthcare system for vulnerable populations. By ensuring higher payments for doctors treating low-income residents, this legislation also can improve the overall quality […]

Using Electronic Visit Verification (EVV) technology offers significant benefits for home healthcare agencies, enhancing compliance, efficiency, and quality of care. Direct Care Innovations offers a mobile application to track time and ensure EVV compliance for services delivered remotely in homes or community settings. We understand the value EVV brings and its potential to transform homecare […]

State Medicaid agencies are increasingly mandating community reinvestment requirements in contracts with Medicaid managed care organizations (MCOs). These requirements necessitate that MCOs reinvest a portion of their profits back into the communities they serve to improve health outcomes. At least ten states have adopted or are implementing such requirements. Direct Care Innovations provides solutions that […]

In partnership with states nationwide, risk-based Managed Care Organizations (MCOs) coordinate essential healthcare services for Medicaid enrollees living with intellectual and developmental disabilities (IDD). Over the last decade, COVID-19 and other global and national events have greatly influenced the utilization of risk-based MCOs. Direct Care Innovations has adapted to these changes and continues to support […]

With the ever-increasing growth of Medicaid and Medicare managed care, Direct Care Innovations is at the forefront of providing solutions that help agencies navigate these complex systems. On average, 100 million enrollees receive federal health benefits, representing a significant portion of the CMS budget. The Office of Inspector General (OIG) has released a strategic plan […]

Medicaid and Medicare have long provided access to a spectrum of healthcare services, particularly for underprivileged populations. Direct Care Innovations has been following the Centers for Medicare and Medicaid Services (CMS) as they have been updating regulations to provide efficient fiscal and operational administration without compromising quality health services. With the final CMS rule rollout […]

Since the introduction of EVV across the home health industry, several other benefits have been discovered beyond verifying home health care visits and preventing Medicaid fraud. For this reason, EVV compliance is a crucial tool that many of Direct Care Innovations‘ clients find significantly beneficial. Let’s examine three surprising benefits of EVV and how they […]

Over the last few years, several updates have been made to Medicaid and managed care. With the Medicaid unwinding process taking place, the Centers for Medicare and Medicaid Services (CMS) and Managed Care Organizations (MCOs) are working together to help Medicaid-eligible members retain their current coverage. Direct Care Innovations is watching these changes closely to […]

Direct Care Innovations specializes in collaborating nationwide with self-directed agencies, also known as consumer-directed agencies. As part of a broader spectrum of long-term services aiding aging adults, individuals with physical disabilities, and those with intellectual and developmental disabilities (I/DD), self-direction services have witnessed substantial growth in recent years. The National Inventory of Self-Directed Long-Term Services […]

Consumer-Directed Personal Assistance Programs, or CDPAP, is a Medicaid program that provides in-home care for individuals in New York who are living with a chronic illness, physical disability, or intellectual disability. Control over care sets home care services apart from this particular Medicaid assistance program. If this service is new to you, Direct Care Innovations […]