How HR1 Changes Medicaid for Home Care in 2025

The Home Health Care Wire 

Your source for CareVoyant and industry news. August 7, 2025

Medicaid Changes for 2025 and Beyond - HR1 Survival Guide for Home Care

Significant changes to Medicaid will impact home care agencies across the US in 2025 and in the years to follow. Although these reforms are intended to improve transparency and service delivery, they present new obstacles for providers of home-based services, especially those heavily reliant on Medicaid reimbursements.

Home care agencies should proactively seek solutions to challenges regulatory upheaval pose. Investing in all-in-one home care software can help agencies tighten up operations and prevent excess revenue leakage. The right home care software will also help agencies meet their compliance metrics efficiently and effectively.

Billing compliance in home care is more than a financial obligation; it is a legal and operational necessity. As regulations grow more complex, many agencies unknowingly fall out of line, putting themselves at risk of costly audits, penalties, and claw backs of Medicare or Medicaid reimbursements.

The Office of Inspector General (OIG) plays a central role in identifying and enforcing against fraud, waste, and abuse in federally funded healthcare programs, including home care. Learn how to meet OIG billing guidelines with proper codes, EVV, and clinical documentation.

As of January 1, 2024, 80% of states have fully implemented Electronic Visit Verification (EVV) solutions for Personal Care Services. Quite a few states also require EVV for Skilled Home Health Care Services. Home Care Agencies providing Home and Community-Based Services face many challenges in implementing EVV solutions to meet CURES Act requirements.

Home Care Agencies should take a holistic approach in finding the right Home Care Software partner to implement EVV rather the settling for the solutions provided by the state or managed care providers. Taking an integrated approach will improve your agency's operational efficiency and bottom line.


Home Healthcare Industry News

Study: Removing barriers to PACE expansion would net ‘significant’ Medicare, Medicaid savings
PACE can achieve even greater savings if the right policies are implemented, according to a new study.

Federal budget committee greenlights millions in spending for family caregivers, respite services
The bill included roughly $2.5 billion for services that support aging adults and their caregivers.


ABOUT CAREVOYANT

CareVoyant is a leading provider of cloud-based integrated enterprise-scale home health care software that can support all home-based services under ONE Software, ONE Patient, and ONE Employee, making it a Single System of Record. We support all home based services, including Home Care, Private Duty Nursing, Private Duty Non-Medical, Home and Community Based Services (HCBS), Home Health, Pediatric Home Care, and Outpatient Therapy at Home.

CareVoyant functions – Intake, Authorization Management, Scheduling, Clinical with Mobile options, eMAR/eTAR, Electronic Visit Verification (EVV), Billing/AR, Secure Messaging, Notification, Reporting, and Dashboards – streamline workflow, meet regulatory requirements, improve quality of care, optimize reimbursement, improve operational efficiency and agency bottom line.

For more information, please visit CareVoyant.com or call us at 1-888-463-6797.

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