Recent Articles
9 Benefits of Electronic Visit Verification
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 […]
Community Reinvestment Mandates for MCOs
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 […]
3 Factors Surrounding Medicaid & Managed Care Organizations
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 […]
4 Expected Changes to New York’s Consumer-Directed Program
Fiscal intermediaries (FIs) play an essential role in providing high-quality care for self-directed individuals living with intellectual and developmental disabilities (IDDs). Recent changes to the Consumer Directed Personal Assistance Program (CDPAP) will have an impact on how FIs can conduct business in the state of New York, potentially compromising the health and safety of children […]
The Medicare & Medicaid Managed Care Lifecycle
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 […]
Nebraska DHHS Pausing New EVV Implementation
New federal EVV regulations for Nebraska Medicaid were to be fully implemented by August 2024 but have yet to be completed by the approved deadline. Fortunately, the Department of Health and Human Services (DHHS) has recognized the intricacies of such a complex and sophisticated task and provided a new implementation date for required EVV regulations. […]
The Final Rule: Updated Regulations for Medicaid Managed Care
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 […]
3 Surprising Benefits of EVV in Home Health Care
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 […]
Top Benefits of Our EVV Software
Fiscal management of health care services is essential for home health agencies, care providers, and clients and their families. With financial oversight, home health leadership can ensure quality care for patients and their families, provide resources and support for staff, and balance rising costs with efficient business practices. Direct Care Innovations has helped many of […]
3 Current Updates Regarding Medicaid & Managed Care
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 […]