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Category: Medicaid

The Medicare & Medicaid Managed Care Lifecycle

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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 […]

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The Final Rule: Updated Regulations for Medicaid Managed Care

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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 […]

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3 Surprising Benefits of EVV in Home Health Care

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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 […]

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3 Current Updates Regarding Medicaid & Managed Care

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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 […]

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How Self-Direction Services Have Changed in Recent Years

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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 […]

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3 FAQs Regarding CDPAP

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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 […]

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Post-Pandemic Stumbling Blocks for Medicaid Recipients

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If you have clients with Medicaid healthcare coverage, then you have probably heard that the renewal and eligibility efforts taking place across the country have been more than frustrating. For many insurance recipients, including children and adults living with intellectual and developmental disabilities (I/DD), it has been a most frustrating process. At Direct Care Innovations, […]

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Medicaid Eligibility: What to Know about the Current Changes

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When a national public health emergency was declared at the onset of COVID-19, Medicaid made several changes to its enrollment and eligibility guidelines to provide much-needed health insurance for the public. The emergency ended this year which means many individuals who qualified for Medicaid during the pandemic may no longer meet the eligibility parameters. Up […]

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