Category: Industry News

Direct Care Innovations provides software solutions that empower Medicaid Agencies to succeed. In an industry where compliance and training are critical, Managed Care Organizations play a vital role in delivering healthcare services to millions of low-income and vulnerable individuals through state Medicaid programs. With such a significant responsibility, strict adherence to federal and state regulations […]

Medi-Cal, California’s Medicaid program, provides health coverage to millions of low-income residents, including children, seniors, and individuals living with disabilities. As a critical part of the state’s healthcare system, Medi-Cal’s budget is a major financial consideration for policymakers, especially in the face of rising costs and economic uncertainties. Direct Care Innovations, the leading provider of […]

At Direct Care Innovations, we’re committed to keeping you informed on the latest developments in Medicaid news. Medicaid plays a crucial role in providing healthcare coverage to millions of low-income Americans, and managed care has become the primary way states deliver services to enrollees. As of 2023, over 70% of Medicaid beneficiaries receive their care […]

The Arizona Health Care Cost Containment System (AHCCCS) has announced a significant change to its Electronic Visit Verification (EVV) system, bringing EVV services in-house and building its own EVV aggregator by October 1, 2025. This shift means AHCCCS will not renew its contract with Sandata, the current EVV vendor and aggregator, after September 30, 2025. […]

As we navigate 2025, Medicaid stands at a pivotal juncture, with potential policy shifts poised to reshape its landscape. Serving as the primary source of comprehensive health and long-term care for approximately one in five Americans, Medicaid’s future is under intense scrutiny. Currently, Congress is considering significant changes that could impact coverage, financing, and access […]

Direct Care Innovations offers an integrated business management platform that enables providers, state agencies, and government agencies to seamlessly run every aspect of their business or agency. We make it a priority to stay on top of the latest news in the healthcare industry that directly impacts our clients. Recently, the Minnesota Department of Human […]

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 […]