Home care words explained

Open the Federal page →

21st Century Cures Act

The federal law (Section 12006) that makes states require EVV for Medicaid personal care and home health services that need an in-home visit.Also written: Cures ActSource: 42 U.S.C. 1396b (Social Security Act 1903), incl. subsection (l) electronic visit verification (U.S. Code 2024 ed.) ↗ · our copy

80% rule

From July 9, 2030, states must ensure providers spend 80% of Medicaid payments for homemaker, home health aide and personal care on direct care worker wages, benefits and payroll taxes.Source: 42 CFR Part 441 Services: Requirements and Limits, incl. Subpart G 1915(c) HCBS waivers, Subpart K 1915(k) CFC, Subpart M 1915(i) (CFR Oct 1, 2025 ed.) ↗ · our copy

accrediting organizations

Organizations CMS has approved to survey home health agencies for Medicare, in place of the state survey agency.Also written: accrediting organizationSource: 42 CFR Part 484 Home Health Services (HHA Conditions of Participation and HH PPS) (CFR Oct 1, 2025 ed.) ↗ · our copy

CMS-1828-F

The CY 2026 Medicare home health payment rule, in effect since Jan. 1, 2026. It cut total payments an estimated 1.3%.Source: 42 CFR Part 484 Home Health Services (HHA Conditions of Participation and HH PPS) (CFR Oct 1, 2025 ed.) ↗ · our copy

CMS-1844-P

The proposed CY 2027 Medicare home health payment rule (July 6, 2026). It would raise payments an estimated 2.4%. Not final.Source: 42 CFR Part 484 Home Health Services (HHA Conditions of Participation and HH PPS) (CFR Oct 1, 2025 ed.) ↗ · our copy

CMS-2450

A proposed rule CMS is developing that would rescind or revise parts of the 2024 Medicaid access rules.Source: 42 CFR Part 441 Services: Requirements and Limits, incl. Subpart G 1915(c) HCBS waivers, Subpart K 1915(k) CFC, Subpart M 1915(i) (CFR Oct 1, 2025 ed.) ↗ · our copy

CMS-3367-FC

CMS's accrediting organization oversight rule, in effect June 16, 2027. A terminated agency must return under the state survey agency's oversight before rejoining Medicare.Source: 42 CFR Part 484 Home Health Services (HHA Conditions of Participation and HH PPS) (CFR Oct 1, 2025 ed.) ↗ · our copy

companionship exemption

An FLSA minimum wage and overtime exemption. Since Jan. 1, 2015, home care agencies and other third-party employers can't claim it (29 CFR 552.109), so they must pay minimum wage and overtime.Source: 29 CFR Part 552 Application of the FLSA to Domestic Service (CFR July 1, 2025 ed.) ↗ · our copy

CoPsconditions of participation

The federal rules in 42 CFR Part 484 that every Medicare-certified home health agency must meet: patient rights, assessments, care planning, aide training, infection control and more.Also written: conditions of participationSource: 42 CFR Part 484 Home Health Services (HHA Conditions of Participation and HH PPS) (CFR Oct 1, 2025 ed.) ↗ · our copy

covered entity

Who HIPAA covers: health plans, clearinghouses, and health care providers that send health information electronically in a HIPAA transaction, such as electronic claims.Source: 45 CFR Part 164 Security and Privacy (Security, Breach Notification, Privacy Rules) (CFR Oct 1, 2025 ed.) ↗ · our copy

critical incidents

Serious events in Medicaid HCBS: abuse, neglect, exploitation, misuse of restrictive interventions or seclusion, certain medication errors and unexplained deaths. From July 9, 2027, states must require providers to report them.Also written: critical incidentSource: 42 CFR Part 441 Services: Requirements and Limits, incl. Subpart G 1915(c) HCBS waivers, Subpart K 1915(k) CFC, Subpart M 1915(i) (CFR Oct 1, 2025 ed.) ↗ · our copy

Ensuring Access to Medicaid Services rule

CMS's 2024 Medicaid rule (CMS-2442-F), in effect July 9, 2024, with later dates such as critical incident reporting and the 80% rule.Also written: access rule, 2024 access rule, CMS-2442-FSource: 42 CFR Part 441 Services: Requirements and Limits, incl. Subpart G 1915(c) HCBS waivers, Subpart K 1915(k) CFC, Subpart M 1915(i) (CFR Oct 1, 2025 ed.) ↗ · our copy

HCBS Quality Measure Set

A set of Medicaid HCBS quality measures that states report on starting July 9, 2028.Also written: Quality Measure SetSource: 2028 Medicaid Home and Community-Based Services Quality Measure Set (CMS-2453-NC), notice with comment, 91 FR 22823 (Apr 28, 2026) ↗ · our copy

HH QRPHome Health Quality Reporting Program

Medicare's quality reporting program for home health agencies. The proposed CY 2027 rule would change its deadlines.Source: eCFR 42 CFR Part 484 current text as of Sep 2026 (includes CY 2026 amendments eff. Jan 1, 2026) (web page text) ↗

HHCAHPSHome Health Care Consumer Assessment of Healthcare Providers and Systems

A Medicare survey that asks home health patients about their care. It is part of home health quality reporting.Source: eCFR 42 CFR Part 484 current text as of Sep 2026 (includes CY 2026 amendments eff. Jan 1, 2026) (web page text) ↗

live-in overtime exemption

An FLSA overtime exemption that agencies can't claim since Jan. 1, 2015. You may agree with a live-in to exclude bona fide meal, sleep and off-duty time, but must record and pay all hours actually worked.Also written: live-in exemptionSource: 29 CFR Part 552 Application of the FLSA to Domestic Service (CFR July 1, 2025 ed.) ↗ · our copy

Notice of Privacy Practices

The HIPAA notice a covered entity gives about its privacy practices. The 2024 changes that survived a court ruling had to be in place by Feb. 16, 2026.Source: 45 CFR Part 164 Security and Privacy (Security, Breach Notification, Privacy Rules) (CFR Oct 1, 2025 ed.) ↗ · our copy

OCROffice for Civil Rights

The HHS office that administers and enforces the HIPAA Security Rule.Source: 42 CFR Part 484 Home Health Services (HHA Conditions of Participation and HH PPS) (CFR Oct 1, 2025 ed.) ↗ · our copy

Regulatory Plan

The federal government's published list of rules agencies plan to issue. Items on it, like CMS-2450 and DOL's home care overtime rule, are plans, not final rules.Source: Introduction to the Unified Agenda of Federal Regulatory and Deregulatory Actions 2026 and Regulatory Plan, 91 FR 52792 (Aug 14, 2026) ↗ · our copy

Security Rule

HIPAA's rule protecting electronic health information. HHS proposed a cybersecurity update in January 2025 that isn't final.Also written: HIPAA Security RuleSource: 45 CFR Part 164 Security and Privacy (Security, Breach Notification, Privacy Rules) (CFR Oct 1, 2025 ed.) ↗ · our copy

state survey agency

The state office that surveys (inspects) home health agencies for CMS, unless a CMS-approved accrediting organization does it.Also written: State survey agenciesSource: 42 CFR Part 484 Home Health Services (HHA Conditions of Participation and HH PPS) (CFR Oct 1, 2025 ed.) ↗ · our copy

third-party employers

Home care agencies and similar employers of caregivers. Since Jan. 1, 2015, they can't claim the companionship or live-in overtime exemptions (29 CFR 552.109).Also written: third-party employerSource: 29 CFR Part 552 Application of the FLSA to Domestic Service (CFR July 1, 2025 ed.) ↗ · our copy

Wage and Hour Division

The part of the US Department of Labor that enforces minimum wage and overtime law (FLSA) for home care work in private homes.Source: 42 CFR Part 484 Home Health Services (HHA Conditions of Participation and HH PPS) (CFR Oct 1, 2025 ed.) ↗ · our copy

Open the Alabama page →

ACTAlabama Community Transition

An Alabama Medicaid waiver for people with disabilities or long-term illnesses who live in an institution and want to move back home or into the community.Also written: ACT waiverSource: HCBS Waivers Summary Form 206 2026-04 ↗ · our copy

ADPHAlabama Department of Public Health

Alabama's health department. It licenses hospices and certifies home health agencies, but it says home health agencies don't need its license.Source: ADPH Hospice Initial License Application ↗ · our copy

aggregator

The place EVV visit data is collected. In Alabama, Medicaid itself is the aggregator: providers or their EVV vendors send it a monthly visit data file.Also written: EVV aggregatorSource: Provider Manual Ch 17 Home Health Jul 2026 ↗ · our copy

AMAAlabama Medicaid Agency

Alabama's Medicaid agency. Waiver personal care workers must follow its TB testing policy.Source: Elderly and Disabled Waiver 1915c Application 2022-10 ↗ · our copy

Community Waiver ProgramCommunity Waiver Program (CWP)

An Alabama Medicaid waiver for people with intellectual disabilities, with five enrollment groups based on age and how independently they live.Source: HCBS Waivers Summary Form 206 2026-04 ↗ · our copy

Conditions of Participation

The standards a home health agency must be certified by ADPH as meeting, along with Medicare certification, before it can enroll with Alabama Medicaid.Source: ADPH Health Care Facilities Descriptions (web page text) ↗

DHRDepartment of Human Resources

Alabama's Department of Human Resources. Its county offices handle Adult Protective Services and take reports of suspected abuse, neglect or exploitation of adults.Source: ADPH Hospice Initial License Application ↗ · our copy

Elderly & DisabledElderly and Disabled (E&D) Waiver Program

Alabama's Medicaid waiver program for people who are elderly and/or disabled. It is one of the waivers that pay for care at home.Also written: Elderly & Disabled waiverSource: HCBS Waivers Summary Form 206 2026-04 ↗ · our copy

EVV Attestation Form

A form Alabama home health and private duty nursing providers file before enrolling with Medicaid; they also get their own EVV system. Without the form, the application is denied. It also covers the TA waiver.Source: Provider Manual Ch 17 Home Health Jul 2026 ↗ · our copy

ICNIntegrated Care Network

Alabama's care-coordination program, not a health plan. It is paid a monthly amount for case management for Elderly & Disabled and ACT waiver participants.Also written: Integrated Care NetworkSource: Admin Code Ch 560-X-64 Integrated Care Networks ↗ · our copy

ID waiverIntellectual Disabilities Waiver

An Alabama Medicaid waiver for people diagnosed with intellectual disabilities, age three and above.Also written: Intellectual DisabilitiesSource: HCBS Waivers Summary Form 206 2026-04 ↗ · our copy

Letter of Nonreviewability

A letter from SHPDA that an Alabama in-home hospice can have instead of a Certificate of Need. The hospice needs one or the other.Source: ADPH Pre-License Filing 2024-02 ↗ · our copy

Living at HomeLiving at Home (LAH) Waiver

An Alabama Medicaid waiver for people diagnosed with intellectual disabilities, age three and above.Also written: Living at Home waiverSource: HCBS Waivers Summary Form 206 2026-04 ↗ · our copy

off-cycle revalidation

The Medicaid revalidation Alabama announced in July 2026 at CMS's request. High-risk home health agencies and hospices go first; notices go out in phases.Also written: off-cycleSource: Provider Insider July 2026 ↗ · our copy

operating agency

The agency that operates an Alabama waiver for Medicaid: Senior Services, Rehabilitation Services or Mental Health (Medicaid runs the TA waiver itself). Waiver providers may contract through it.Source: ADPH Hospice Initial License Application ↗ · our copy

privilege license

A local (county or city) license to do business. The 2026 ACT waiver draft asks home care agencies to hold one.Also written: privilege licensesSource: ADPH Pre-License Filing 2024-02 ↗ · our copy

Quarterly Revision

Each new edition of the Alabama Medicaid Provider Manual. It replaces the whole manual and comes with a Summary of Changes listing the changed pages.Source: HCBS Waivers Summary Form 206 2026-04 ↗ · our copy

SAILState of Alabama Independent Living

An Alabama Medicaid waiver for adults 18 and older with certain medical diagnoses who qualify for nursing home care but prefer to stay at home.Also written: SAIL waiverSource: HCBS Waivers Summary Form 206 2026-04 ↗ · our copy

Senior ServicesAlabama Department of Senior Services

Alabama state agency that provides services statewide through regional offices, including Elderly and Disabled Medicaid waiver services.Source: DHR Adult Protective Services Policy 2026 ↗ · our copy

SHPDAState Health Planning and Development Agency

The Alabama agency that issues Certificates of Need, which home health agencies need to operate.Source: ADPH Hospice Initial License Application ↗ · our copy

TA waiverTechnology Assisted Waiver for Adults

An Alabama Medicaid waiver that provides home and community-based services to people 21 and older with complex skilled medical conditions.Also written: Technology Assisted for Adults, Technology Assisted Waiver for AdultsSource: HCBS Waivers Summary Form 206 2026-04 ↗ · our copy

Waiver of Certificate of Need

In Alabama's 2026 ACT waiver draft, an approval from Alabama Medicaid that waiver agencies not licensed as home health agencies need instead of a Certificate of Need.Source: ACT Waiver Renewal Application Draft 2026-08 ↗ · our copy

Open the Alaska page →

Alaska Home Care Tool

The new assessment tool SDS is moving to for ALI and APDD waiver clients, replacing the Consumer Assessment Tool (CAT) over about a year.Source: ALI Waiver 1915c effective 2026-07-01 ↗ · our copy

ALIAlaskans Living Independently

One of Alaska's five home and community-based Medicaid waivers.Source: ALI Waiver 1915c effective 2026-07-01 ↗ · our copy

APDDAdults with Physical and Developmental Disabilities

One of Alaska's five home and community-based Medicaid waivers.Source: ALI Waiver 1915c effective 2026-07-01 ↗ · our copy

CATConsumer Assessment Tool

The assessment tool SDS used for ALI and APDD waiver clients. SDS is moving from it to the Alaska Home Care Tool over about a year.Source: ALI Waiver 1915c effective 2026-07-01 ↗ · our copy

CCMCChildren with Complex Medical Conditions

One of Alaska's five home and community-based Medicaid waivers.Source: ALI Waiver 1915c effective 2026-07-01 ↗ · our copy

Cert-36

The SDS application form for certification to provide Medicaid personal care in Alaska, sent with your policies.Source: Initial PCS Certification Application Guidance 2026-07 ↗ · our copy

Cert-49-A

The SDS form for a one-time, temporary waiver of the CPR and first aid proof for a first-time PCA.Source: PCS and CFC PCS Provider Conditions of Participation (current) ↗ · our copy

critical incident

For Alaska waiver providers, events such as a death, a missing client, an injury needing medical care, a police response or some medication errors. Report them to SDS within 24 hours.Also written: critical incidentsSource: ALI Waiver 1915c effective 2026-07-01 ↗ · our copy

HFLCHealth Facilities Licensing & Certification

The Alaska Department of Health team in Anchorage that licenses home health agencies and hospices.Source: Home Health Agency Licensing Application 2024-02 ↗ · our copy

HMS

Alaska Medicaid's fiscal agent, a Gainwell Technologies company. It handles provider enrollment, revalidation and claims.Source: Home Health Agency Licensing Application 2024-02 ↗ · our copy

ISWIndividualized Supports Waiver

One of Alaska's five home and community-based Medicaid waivers.Source: ALI Waiver 1915c effective 2026-07-01 ↗ · our copy

NABCSNew Alaska Background Check System

The system the Alaska Department of Health's Background Check Program uses to run workers' background checks.Source: Home Health Agency Licensing Application 2024-02 ↗ · our copy

Non-Licensed

A type of certified agency, with no state license, that the Alaska waivers list as a respite provider.Source: Home Health Agency Licensing Application 2024-02 ↗ · our copy

OCSOffice of Children's Services

Alaska's Office of Children's Services. SDS Central Intake routes abuse and incident reports to it, to Adult Protective Services and to others.Source: Home Health Agency Licensing Application 2024-02 ↗ · our copy

Office of Rate Review

The Alaska office that receives annual financial reports from agencies on the Target Provider List, due within 8 months of their fiscal year end.Source: ALI Waiver 1915c effective 2026-07-01 ↗ · our copy

PCApersonal care assistant

Personal care assistant: the personal care worker in Alaska's Medicaid programs. The agency keeps each PCA's training on file, including CPR and first aid within the previous two years.Also written: PCAsSource: Background Check Program Regulations 7 AAC 10.900-990 ↗ · our copy

PCSPersonal Care Services

Alaska Medicaid's personal care program, set out in 7 AAC 125. It sits alongside Community First Choice and the five waivers.Source: ALI Waiver 1915c effective 2026-07-01 ↗ · our copy

Report of Harm

The form used to report abuse and incidents to SDS Centralized Reporting in Alaska (fax 907-269-3648).Source: Home Health Agency Licensing Application 2024-02 ↗ · our copy

S5125

The billing code for personal care under Alaska's Community First Choice (CFC), paid at $9.30 per 15 minutes in FY27.Source: ALI Waiver 1915c effective 2026-07-01 ↗ · our copy

SDSSenior and Disabilities Services

Alaska's Division of Senior and Disabilities Services. It certifies personal care, Community First Choice and waiver agencies, which you need to bill Medicaid for those services.Source: Home Health Agency Licensing Application 2024-02 ↗ · our copy

T1019

The billing code for Alaska Medicaid Personal Care Services (PCS), paid at $9.30 per 15 minutes in FY27.Source: ALI Waiver 1915c effective 2026-07-01 ↗ · our copy

Target Provider List

Alaska's yearly list, each August 1, of the biggest waiver and personal care providers in each service category. Listed agencies must send an annual financial report.Source: Target Provider List 2026-08-01 ↗ · our copy

Therap

Alaska's state EVV vendor. You may use another system if you attest it meets the state's third-party vendor requirements; if not, you must use Therap.Source: PCS and CFC PCS Provider Conditions of Participation (current) ↗ · our copy

Open the Arizona page →

A.R.S.Arizona Revised Statutes

Arizona's state laws. The page cites them by number, such as A.R.S. 36-411 on fingerprint clearance cards.Source: AAC Title 9 Ch 10 Health Care Institutions Licensing ↗ · our copy

ADHSArizona Department of Health Services

Arizona's health department. Its Bureau of Medical Facilities Licensing licenses home health agencies.Source: ADHS Home Health Agency License Application rev 2023-01 ↗ · our copy

Agency with Choice

An ALTCS service option where the member co-employs the worker with your agency.Source: AHCCCS AMPM 1240-A Direct Care Services eff 2025-10 ↗ · our copy

AHCCCSArizona Health Care Cost Containment System

Arizona's Medicaid agency. Its long-term care program is ALTCS.Source: ADHS Home Health Agency License Application rev 2023-01 ↗ · our copy

AHCCCS Aggregator

The AHCCCS system that receives EVV visit data. Since Oct. 1, 2025, your own EVV vendor sends visit data to it.Also written: AggregatorSource: AHCCCS EVV Data Intake Specifications ↗ · our copy

ALTCSArizona Long Term Care System

AHCCCS's Medicaid long-term care program. Home care agencies serve its members.Source: ADHS Home Health Agency License Application rev 2023-01 ↗ · our copy

ALTCS-DDALTCS for members with developmental disabilities

The part of ALTCS for members with developmental disabilities. They are served through DES/DDD, not the ALTCS-EPD health plans.Source: AHCCCS AMPM 1240-A Direct Care Services eff 2025-10 ↗ · our copy

ALTCS-EPDALTCS for elderly and physically disabled members

The part of ALTCS for elderly and physically disabled members. It pays through health plans (UnitedHealthcare Community Plan, Banner-University Family Care and Mercy Care), depending on the county.Also written: ALTCS E/PDSource: ALTCS-EPD Contracts FAQ 2025-2026 ↗ · our copy

AMPMAHCCCS Medical Policy Manual

AHCCCS's medical policy manual. Its numbered policies set many home care rules, such as AMPM 540 (EVV), AMPM 961 (incident reporting) and AMPM 1240-A (direct care workers).Source: FFS Provider Manual Ch 3 Provider Records and Registration ↗ · our copy

APEPAHCCCS Provider Enrollment Portal

The online portal where you register as an AHCCCS provider. Every provider revalidates its enrollment every five years.Source: AAC Title 9 Ch 10 Health Care Institutions Licensing ↗ · our copy

Approved DCW Training and Testing Program

A program AHCCCS approves to train and test direct care workers. Your agency must either become one or use one.Source: AHCCCS AMPM 1240-A Direct Care Services eff 2025-10 ↗ · our copy

DAASDivision of Aging and Adult Services

Part of DES. It funds non-medical home and community-based services, such as attendant care and respite, through Area Agencies on Aging for people 60 or older, or younger with a disability.Source: ADHS Home Health Agency License Application rev 2023-01 ↗ · our copy

DCSDepartment of Child Safety

Arizona's child protection agency. Suspected abuse of children is reported to DCS; Adult Protective Services handles adults.Source: ADHS Home Health Agency License Application rev 2023-01 ↗ · our copy

DCWdirect care worker

A direct care worker in AHCCCS programs. DCWs must pass AHCCCS knowledge (80%) and skills (100%) tests.Also written: DCWsSource: AHCCCS AMPM 1240-A Direct Care Services eff 2025-10 ↗ · our copy

DES/DDDDepartment of Economic Security, Division of Developmental Disabilities

The state division that serves ALTCS members with developmental disabilities under a contract with AHCCCS.Also written: DDDSource: ADHS Home Health Agency License Application rev 2023-01 ↗ · our copy

DPSDepartment of Public Safety

Arizona's Department of Public Safety. Its Clearance Card Section issues fingerprint clearance cards.Source: ADHS Home Health Agency License Application rev 2023-01 ↗ · our copy

ECRExtraordinary Care Review

An AHCCCS review process for ALTCS members. It includes reviews of children's attendant care and habilitation hours.Also written: ECRsSource: AHCCCS News and Press Releases (web page text) ↗

fingerprint clearance card

Arizona's fingerprint-based clearance. Home health agency staff who give care, and weren't fingerprinted through a licensing board, need one or must apply within 20 working days of starting.Source: AHCCCS AMPM 1240-A Direct Care Services eff 2025-10 ↗ · our copy

HNTHCBS Needs Tool

An AHCCCS tool for ALTCS members' home and community-based service needs. AHCCCS proposed rules for it in 2026.Source: AHCCCS News and Press Releases (web page text) ↗

Parents as Paid Caregivers

An ALTCS model that lets parents of minor members be paid for up to 40 hours a week per child, through one agency.Source: AHCCCS AMPM 1240-A Direct Care Services eff 2025-10 ↗ · our copy

Principles of Caregiving

The AHCCCS curriculum behind the DCW tests: Level I for everyone, plus a Level II module (Aging and Physical Disabilities or Developmental Disabilities) unless the worker cares only for family.Source: AHCCCS AMPM 1240-A Direct Care Services eff 2025-10 ↗ · our copy

Provider Participation Agreement

The agreement you sign to become an AHCCCS provider. It binds you to follow AHCCCS's guidelines, policies and manuals, including the AMPM.Source: FFS Provider Manual Ch 3 Provider Records and Registration ↗ · our copy

QM PortalAHCCCS Quality Management Portal

AHCCCS's online system for reporting incidents, accidents and deaths. Providers must register in it within 30 days of becoming an AHCCCS provider.Source: AHCCCS AMPM 1240-A Direct Care Services eff 2025-10 ↗ · our copy

supportive services

In Arizona's licensing law, homemaker and similar help: "services other than home health services." A licensed home health agency may add personal care at home as one.Also written: supportive serviceSource: AAC Title 9 Ch 10 Health Care Institutions Licensing ↗ · our copy

unclassified health care institution

ADHS's catch-all license class. ADHS decides which class fits, which is why it's unclear whether a non-medical agency needs a license.Source: AAC Title 9 Ch 10 Health Care Institutions Licensing ↗ · our copy

Open the Arkansas page →

ADHArkansas Department of Health

The state agency that licenses Arkansas home health agencies, private care agencies and hospices, through its Health Facility Services section.Source: ADH Rules for Private Care Agencies (eff 2024-06-17) ↗ · our copy

Aide Service Plan

In Arkansas, the plan that sets how often a supervisor oversees an aide, at least once a year.Source: ADH Rules for Private Care Agencies (eff 2024-06-17) ↗ · our copy

ARChoices

Arkansas Medicaid waiver for people 65+, or 21 to 64 with a physical disability, who need an intermediate nursing-facility level of care. Attendant care and respite go through licensed agencies.Also written: ARChoices waiverSource: Personal Care manuals second notice (2026-06) ↗ · our copy

AuthentiCare

Arkansas's state EVV system for Medicaid personal care, attendant care and respite.Source: EVV contact information for providers ↗ · our copy

CareBridge

The EVV system used by two Arkansas PASSEs: Summit Community Care and CareSource.Source: Proposed rule - EVV for Personal Care Attendant Care Respite Home Health (manual markup, 9-1-26) ↗ · our copy

CES WaiverCommunity and Employment Support Waiver

Arkansas's Community and Employment Support 1915(c) waiver. Its services are delivered through the PASSEs, and minimum payment rates are planned for them.Source: HCBS all-provider meeting 2026-08-28 ↗ · our copy

Class A

The Arkansas home health agency license for a Medicare-certified agency.Source: ADH Rules for Private Care Agencies (eff 2024-06-17) ↗ · our copy

Class B

The Arkansas home health agency license for an agency that is not Medicare-certified.Source: ADH Rules for Private Care Agencies (eff 2024-06-17) ↗ · our copy

DAABHSDivision of Aging, Adult and Behavioral Health Services

The part of Arkansas DHS that writes the Medicaid Personal Care manual.Source: ADH Rules for Private Care Agencies (eff 2024-06-17) ↗ · our copy

DHSDepartment of Human Services

Arkansas's Medicaid agency. Its Division of Medical Services writes the general Medicaid manual rules, including EVV.Source: ADH Rules for Private Care Agencies (eff 2024-06-17) ↗ · our copy

DMSDivision of Medical Services

The part of Arkansas DHS that writes the general Medicaid manual rules, including the EVV rules.Source: ADH Rules for Private Care Agencies (eff 2024-06-17) ↗ · our copy

DPSQADivision of Provider Services and Quality Assurance

A DHS division that used to certify Arkansas personal care, attendant care and respite providers. Since Aug. 5, 2025 those providers go to ADH for licensing instead.Source: DPSQA licensure process change FAQ - Personal Care Attendant Care Respite (2025-09) ↗ · our copy

Evaluation Referral

Under Arkansas's proposed Personal Care manual, a referral done by the vendor, Optum, alongside an in-person assessment by the agency's registered nurse.Source: Personal Care manuals second notice (2026-06) ↗ · our copy

EVV Declaration Form

A form (DMS-9654) that Arkansas agencies would file under DHS's proposed EVV rule.Also written: DMS-9654Source: Proposed rule - EVV for Personal Care Attendant Care Respite Home Health (manual markup, 9-1-26) ↗ · our copy

Freedom of Choice list

An Arkansas Medicaid provider list. New personal care, attendant care and respite providers file a form to join it, on top of their ADH license and Medicaid enrollment.Source: Personal Care manuals second notice (2026-06) ↗ · our copy

HHAeXchange

The EVV system used by two Arkansas PASSEs: Arkansas Total Care and Empower.Source: Proposed rule - EVV for Personal Care Attendant Care Respite Home Health (manual markup, 9-1-26) ↗ · our copy

in-home services agency

In Arkansas, a business that gives caregiver services for pay without an ADH home health, private care or hospice license. Its caregivers still need training.Also written: in-home services agenciesSource: ADH Rules for Private Care Agencies (eff 2024-06-17) ↗ · our copy

PASSEProvider-Led Arkansas Shared Savings Entity

Arkansas's Medicaid health plans. There are four: Arkansas Total Care, CareSource, Empower and Summit Community Care.Also written: PASSEsSource: ADH Rules for Private Care Agencies (eff 2024-06-17) ↗ · our copy

Permit of Approval

An approval an Arkansas home health agency must get before it applies for its license.Also written: POASource: ADH Rules for Private Care Agencies (eff 2024-06-17) ↗ · our copy

place of service 12

The claim code that marks care given in the client's home. Arkansas's proposed EVV rule requires EVV for listed services billed with this code.Source: Proposed rule - EVV for Personal Care Attendant Care Respite Home Health (manual markup, 9-1-26) ↗ · our copy

private care agency

In Arkansas, an agency licensed by the Department of Health (ADH) to give Medicaid personal care, ARChoices attendant care or ARChoices respite. Licensed home health agencies can give these too.Also written: private care agenciesSource: DPSQA licensure process change FAQ - Personal Care Attendant Care Respite (2025-09) ↗ · our copy

Sandata

Arkansas's state EVV system for Medicaid home health visits.Source: EVV contact information for providers ↗ · our copy

Table 1 skills

The list of skills a registered nurse must watch each Arkansas personal care aide perform. The agency must document it.Source: ADH Rules for Private Care Agencies (eff 2024-06-17) ↗ · our copy

Trained In-Home Assistant

In Arkansas, a caregiver with 40 hours of training. Anyone applying for paid work helping someone 50 or older with daily living must show this proof, unless exempt.Source: ADH Rules for Private Care Agencies (eff 2024-06-17) ↗ · our copy

Open the California page →

ACLAll County Letter

A CDSS letter to California counties that sets out new requirements, for example for IHSS (such as ACL 25-81 on contract rates).Source: CDSS ACL 26-47 IHSS Forms Kept Electronically in CMIPS ↗ · our copy

APLAll Plan Letter

A DHCS guidance letter to Medi-Cal managed care plans, such as APL 26-007 on network provider agreements.Source: APL 26-007 Network Provider Agreements ↗ · our copy

CalEVV

California's free state EVV system, from Sandata. You may use another system, but you must still self-register in CalEVV and take Sandata's training.Source: APL 22-014 Electronic Visit Verification Implementation Requirements ↗ · our copy

care custodian

Includes employees of most public or private agencies that care for elders or dependent adults. In California they are mandated reporters of known or suspected abuse.Also written: care custodiansSource: CDSS SOC 341A Statement Acknowledging Requirement to Report Abuse (2-24) ↗ · our copy

CDACalifornia Department of Aging

The state department that runs the Multipurpose Senior Services Program (MSSP) waiver.Source: CA CDSS Home Care Services Consumer Protection Act Fact Sheet ↗ · our copy

CDPHCalifornia Department of Public Health

The California department that licenses home health agencies.From the California page

CDSSCalifornia Department of Social Services

The California department that licenses non-medical home care organizations (HCOs).From the California page

CMIPSCase Management, Information and Payrolling System

The IHSS program's computer system. Counties must keep IHSS program forms electronically in it.Source: CDSS ACL 26-47 IHSS Forms Kept Electronically in CMIPS ↗ · our copy

Community Supports

Services Medi-Cal health plans may offer. Personal Care and Homemaker Services is one; each plan chooses whether to offer it, county by county.Also written: Community SupportSource: Community Supports Elections by Plan and County (Jun 2026) ↗ · our copy

DHCSDepartment of Health Care Services

California's Medi-Cal department. It oversees Medi-Cal, the HCBA Waiver, Medi-Cal health plans and EVV.Source: CA CDSS Home Care Services Consumer Protection Act Fact Sheet ↗ · our copy

DOJDepartment of Justice

California's Department of Justice. Its background check letter is not enough: a worker can't start at an HCO until CDSS sends a clearance or exemption notice.Source: CDSS PIN 25-12-CCLD Background Check Approval and Eligibility ↗ · our copy

Guardian

CDSS's background check system. CDSS recommends starting each check in Guardian before the applicant goes to a Live Scan vendor.Source: CDSS PIN 26-08-CCLD Live Scan Form Updates ↗ · our copy

HCBAHome and Community-Based Alternatives

A California Medi-Cal waiver. Its services, such as respite, are available to enrolled participants based on medical necessity.Also written: HCBA WaiverSource: HCBA Waiver 2023-2027 approved document ↗ · our copy

HCOHome Care Organization

California's name for a non-medical home care agency: it arranges non-medical home care by registered home care aides.Also written: HCOsSource: CA CDSS Home Care Services Consumer Protection Act Fact Sheet ↗ · our copy

HCS 200

The CDSS application form for a Home Care Organization license, mailed to HCSB with the HCS 281 packet and the non-refundable fee.Source: CA CDSS Home Care Services Consumer Protection Act Fact Sheet ↗ · our copy

HCSBHome Care Services Branch

The branch of CDSS's Community Care Licensing Division that regulates non-medical home care. Phone (877) 424-5778.Source: CA CDSS Home Care Services Consumer Protection Act Fact Sheet ↗ · our copy

Home Care Aide Registry

The CDSS list every home care aide must be on, with a background clearance, before client contact in California.Source: CDSS HCS 281 Application Instructions for Home Care Organization License (12-21) ↗ · our copy

IHSSIn-Home Supportive Services

California's county-run Medi-Cal home care program, under CDSS. Some counties contract with private agencies to deliver it.Source: CA CDSS Home Care Services Consumer Protection Act Fact Sheet ↗ · our copy

LIC 9163

The CDSS Live Scan request form. The 11/25 version has a required applicant signature line confirming the applicant read the privacy notices.Source: CDSS PIN 26-08-CCLD Live Scan Form Updates ↗ · our copy

Live Scan

Fingerprinting for California background checks (DOJ and FBI), done through CDSS on form LIC 9163, before a person may work.Source: CDSS PIN 25-12-CCLD Background Check Approval and Eligibility ↗ · our copy

Maximum Allowable Contract Rates

The most the state will help pay per hour when a county contracts with a private agency for IHSS. A county may agree to more but pays the difference itself.Source: Medi-Cal Manual Provider Guidelines (Sep 2026) ↗ · our copy

MSSPMultipurpose Senior Services Program

A Medi-Cal waiver run by the California Department of Aging (CDA).Source: CA CDSS Home Care Services Consumer Protection Act Fact Sheet ↗ · our copy

other covered

The health care minimum wage group that includes licensed home health agencies. Its minimum rises from $23 to $25 an hour on July 1, 2028.Source: DIR Health Care Worker Minimum Wage Supplement 2026 ↗ · our copy

PAVEProvider Application and Validation for Enrollment

The DHCS online portal where you enroll as a Medi-Cal provider.Source: Medi-Cal Manual Provider Guidelines (Sep 2026) ↗ · our copy

PCHSPersonal Care and Homemaker Services

A Community Support that Medi-Cal health plans may offer, billed T1019 or S5130 with modifier U6. IHSS comes first; PCHS can add hours beyond what IHSS authorizes.Also written: Personal Care and Homemaker ServicesSource: Medi-Cal Manual Provider Guidelines (Sep 2026) ↗ · our copy

PINProvider Information Notice

A numbered CDSS notice to licensees, such as Home Care Organizations, about rules and procedures (for example PIN 26-02-HCS).Source: CDSS PIN 22-08-HCS Home Care Aide Registration Forfeiture Letters ↗ · our copy

S5130

One of the two billing codes (with T1019) for Personal Care and Homemaker Services through Medi-Cal health plans, used with modifier U6.Source: Medi-Cal Manual Provider Guidelines (Sep 2026) ↗ · our copy

SB 412

The California law that, from Jan. 1, 2027, requires home care aides' annual training to include the special care needs of clients with dementia.Source: CA CDSS PIN 26-02-HCS 2025 Laws Affecting Home Care Organizations ↗ · our copy

SOC 341

California's written report of suspected elder or dependent adult abuse, due within two working days after you report by phone or online.Source: CDSS SOC 341A Statement Acknowledging Requirement to Report Abuse (2-24) ↗ · our copy

SOC 341A

A CDSS form in which an employee acknowledges being a mandated reporter of elder and dependent adult abuse. Keep a signed copy in each employee file.Source: CDSS SOC 341A Statement Acknowledging Requirement to Report Abuse (2-24) ↗ · our copy

T1019

One of the two billing codes (with S5130) for Personal Care and Homemaker Services through Medi-Cal health plans, used with modifier U6.Source: Medi-Cal Manual Provider Guidelines (Sep 2026) ↗ · our copy

TARTreatment Authorization Request

Medi-Cal's prior approval request. The home health billing codes chart shows which services need one.Source: Medi-Cal Manual Provider Guidelines (Sep 2026) ↗ · our copy

WPCSWaiver Personal Care Services

Personal care under the HCBA Waiver. It can be given by individual providers or by employment, personal care, home health or non-profit agencies.Source: Medi-Cal Manual Provider Guidelines (Sep 2026) ↗ · our copy

Open the Colorado page →

base wage

Colorado's minimum hourly pay for Medicaid direct care workers: $17.00 statewide since Jan. 1, 2026 ($18.17 in Edgewater, $19.29 in Denver) for personal care, homemaker, respite, IHSS and more.Also written: Medicaid base wageSource: 6 CCR 1011-1 Ch 26 Home Care Agencies (eff 2025-07-01) ↗ · our copy

CAPSColorado Adult Protective Services data system

The state's Adult Protective Services database. Colorado agencies must run a CAPS check on anyone before they give direct care.Source: 6 CCR 1011-1 Ch 26 Home Care Agencies (eff 2025-07-01) ↗ · our copy

CDASSConsumer-Directed Attendant Support Services

Colorado's consumer-directed option for Community First Choice personal care, homemaker and health maintenance activities.Source: OM 25-057 CFC Program Implementation ↗ · our copy

CDLEColorado Department of Labor and Employment

Colorado's labor department. It sets overtime rules in the COMPS Order and created the Know Your Rights training for direct care workers.Source: 6 CCR 1011-1 Ch 26 Home Care Agencies (eff 2025-07-01) ↗ · our copy

CDPHEColorado Department of Public Health and Environment

Colorado's state health department. Its Health Facilities and Emergency Medical Services Division licenses home care agencies.Source: 6 CCR 1011-1 Ch 26 Home Care Agencies (eff 2025-07-01) ↗ · our copy

CHP+Child Health Plan Plus

Colorado's children's health plan. Care paid through CHP+ doesn't need EVV.Source: EBD Waiver CO.0006 Approved Full Text (eff 2026-07-01) ↗ · our copy

Class A

Colorado's home care agency license for skilled services such as nursing or therapy. A Class A agency may also give personal care.Source: 6 CCR 1011-1 Ch 26 Home Care Agencies (eff 2025-07-01) ↗ · our copy

Class B

Colorado's home care agency license for personal care only, such as help with bathing, dressing, eating, housekeeping, medication reminders and companionship. No skilled services.Source: 6 CCR 1011-1 Ch 26 Home Care Agencies (eff 2025-07-01) ↗ · our copy

COMPS OrderColorado Overtime and Minimum Pay Standards Order

Colorado's labor rule on overtime and minimum pay. Agencies follow it when paying their workers.Source: 7 CCR 1103-1 COMPS Order (eff 2026-02-01) ↗ · our copy

Deficit Reduction Act declaration

A declaration to Colorado Medicaid, due Nov. 2, 2026, required only of entities with $5 million or more in yearly Medicaid payments.Source: Provider Bulletin B2600542 Sep 2026 ↗ · our copy

DORADepartment of Regulatory Agencies

The Colorado agency that certifies nurse aides. Before hiring anyone for direct care, you must check with DORA that any license or certificate they hold is in good standing.Source: 6 CCR 1011-1 Ch 26 Home Care Agencies (eff 2025-07-01) ↗ · our copy

EBDElderly, Blind and Disabled

A Colorado Medicaid waiver that still pays for services such as respite and life skills training after personal care moved to Community First Choice.Source: OM 25-057 CFC Program Implementation ↗ · our copy

EVV Attestation of Exemption Form

The Colorado form that backs up a live-in caregiver's EVV exemption. Keep it and proof on file and renew it each year.Source: EBD Waiver CO.0006 Approved Full Text (eff 2026-07-01) ↗ · our copy

Gainwell Technologies

Colorado Medicaid's fiscal agent: the company that receives and processes Health First Colorado claims.Also written: GainwellSource: 6 CCR 1011-1 Ch 26 Home Care Agencies (eff 2025-07-01) ↗ · our copy

HCPFDepartment of Health Care Policy and Financing

Colorado's Medicaid agency. It runs Health First Colorado, the state's Medicaid program.Source: 6 CCR 1011-1 Ch 26 Home Care Agencies (eff 2025-07-01) ↗ · our copy

Health First Colorado

The name of Colorado's Medicaid program, run by HCPF. Its claims go to the fiscal agent, Gainwell Technologies.Source: 6 CCR 1011-1 Ch 26 Home Care Agencies (eff 2025-07-01) ↗ · our copy

health maintenance activities

A Colorado Community First Choice service that members get only through IHSS or CDASS, not through a regular agency.Source: OM 25-057 CFC Program Implementation ↗ · our copy

home care placement agency

In Colorado, a referral-only agency. It registers with CDPHE instead of getting a home care agency license.Also written: home care placement agenciesSource: 6 CCR 1011-1 Ch 26 Home Care Agencies (eff 2025-07-01) ↗ · our copy

Homemaker Provider Agency

A Colorado certification for agencies that give only homemaker services to Medicaid members. It replaces the need for a home care license.Source: 6 CCR 1011-1 Ch 26 Home Care Agencies (eff 2025-07-01) ↗ · our copy

IHSSIn-Home Support Services

One of the ways Colorado members get Community First Choice personal care, homemaker and health maintenance activities, alongside regular agency care and CDASS.Source: OM 25-057 CFC Program Implementation ↗ · our copy

Know Your Rights training

CDLE's training for direct care workers, required beginning Oct. 1, 2026. Employers must make sure workers complete it and pay them for the time.Source: OM 26-048 Direct Care Worker Notice of Rights and Training ↗ · our copy

legally responsible person

In Colorado, a parent of a minor or a spouse. Paid CFC Homemaker from a legally responsible person is capped at 7 hours a week per member.Also written: legally responsible personsSource: OM 25-057 CFC Program Implementation ↗ · our copy

Notice of Rights

Colorado's Direct Care Worker Notice of Rights. Since July 1, 2026, direct care employers must give it to their workers.Also written: Direct Care Worker Notice of RightsSource: OM 26-048 Direct Care Worker Notice of Rights and Training ↗ · our copy

OMOperational Memo

An HCPF Operational Memo (for example OM 26-058). These numbered memos explain Colorado Medicaid requirements and duties for home and community-based providers.Source: OM 26-058 Provider Agency Responsibilities ↗ · our copy

PARprior authorization request

Colorado Medicaid's approval for a service. Get an approved PAR before you deliver the service, then send the claim to the fiscal agent.Source: OM 25-057 CFC Program Implementation ↗ · our copy

POS 99

A billing code Colorado uses for live-in caregiver visits exempt from EVV. Condition Code 23 is the other option.Source: EBD Waiver CO.0006 Approved Full Text (eff 2026-07-01) ↗ · our copy

Provider Agency Attestation

A yearly form agencies sign under Colorado's weekly caregiver hour limit. The first ones must be signed and ready by Jan. 1, 2027.Also written: Provider Agency AttestationsSource: OM 26-043 56-Hour Weekly Cap per Caregiver ↗ · our copy

Provider Maintenance Request

How you update your Colorado Medicaid provider record, for example when your CDPHE license differs from your Provider Web Portal record.Source: Provider Bulletin B2600541 Jul 2026 ↗ · our copy

RAERegional Accountable Entity

Colorado Medicaid organizations named as capitated payment models. Their members' care doesn't need EVV; no document we hold says which home care services they pay for.Also written: RAEsSource: 10 CCR 2505-10 Sec 8.7000 HCBS Waivers and CFC (eff 2026-08-14) ↗ · our copy

Sandata

Colorado's free state EVV system. Agencies can use it, or their own system that sends visits to the state's data aggregator.Source: EBD Waiver CO.0006 Approved Full Text (eff 2026-07-01) ↗ · our copy

Open the Connecticut page →

ABCMSApplicant Background Check Management System

The background check system run by Connecticut's DPH, the agency that licenses home health care and homemaker-home health aide agencies.Source: DCP Homemaker-companion agency registration application and instructions ↗ · our copy

ABIAcquired Brain Injury

Connecticut's Acquired Brain Injury waivers (ABI I and ABI II), among the state's main home care programs.Also written: ABI I, ABI IISource: Provider Manual Chapter 8 Waiver claim submission (CHC, PCA, ABI, CFC) ↗ · our copy

access agency

One of Connecticut's regional case management agencies (four contractors, six agencies). They assess clients, write care plans and arrange services in CHCPE and the PCA waiver.Also written: access agenciesSource: DCP Homemaker-companion agency registration application and instructions ↗ · our copy

Ascend

The online system for sending CHCPE waiver critical incidents to DSS (per DSS's draft 2025 waiver renewal).Source: CHCPE 1915(c) waiver renewal application July 2025 ↗ · our copy

ASOadministrative services organization

An organization that handles tasks such as prior authorization for Connecticut Medicaid. CHNCT is the medical ASO and handles home health prior authorization.Source: DCP Homemaker-companion agency registration application and instructions ↗ · our copy

Blast Fax

A numbered notice from DPH's Facility Licensing and Investigations Section to the agencies it licenses, such as home health and hospice agencies.Also written: Blast FaxesSource: DPH Blast Fax 2026-3 HHA and hospice abuse against staff reminder ↗ · our copy

Carelon Behavioral Health

Connecticut Medicaid's behavioral health ASO. Some home health aide prior authorizations over 14 hours a week come from it instead of CHNCT.Source: Provider Manual Chapter 8 Waiver claim submission (CHC, PCA, ABI, CFC) ↗ · our copy

CGSConnecticut General Statutes

Connecticut's state laws. A citation like CGS 19a-491c points to a section of the law.Source: RCSA 20-670-1 to 20-670-4 Homemaker-companion agency regs ↗ · our copy

CHCPEConnecticut Home Care Program for Elders

One of Connecticut's main home care programs. Access agencies assess its clients, write care plans and arrange services.Source: DCP Homemaker-companion agency registration application and instructions ↗ · our copy

CHNCTCommunity Health Network of Connecticut

Connecticut Medicaid's medical administrative services organization (ASO). It handles home health prior authorization.Source: DCP Homemaker-companion agency registration application and instructions ↗ · our copy

CMS-485Home Health Certification and Plan of Care

The home health certification and plan of care form. Connecticut home health prior authorization requests need a completed CMS-485.Source: PB 2025-25 Prior authorization of medical home health services ↗ · our copy

DCPDepartment of Consumer Protection

The Connecticut agency whose License Services Division registers homemaker-companion (non-medical) agencies.Source: DCP Homemaker-companion agency registration application and instructions ↗ · our copy

DPHDepartment of Public Health

The Connecticut agency that licenses home health care agencies and homemaker-home health aide agencies, and runs the ABCMS background check system.Source: DCP Homemaker-companion agency registration application and instructions ↗ · our copy

DSSDepartment of Social Services

Connecticut's Medicaid agency. Medicaid claims go to Gainwell Technologies.Source: DCP Homemaker-companion agency registration application and instructions ↗ · our copy

fiscal agent

The organization DSS pays Connecticut Medicaid providers through, including waiver and state plan home care providers. It is the same one used for the rest of Medicaid.Source: Provider Manual Chapter 8 Waiver claim submission (CHC, PCA, ABI, CFC) ↗ · our copy

FLISFacility Licensing and Investigations Section

The DPH section that licenses home health agencies. DPH wants the yearly report on abuse against staff through its FLIS web portal.Source: DPH Blast Fax 2026-3 HHA and hospice abuse against staff reminder ↗ · our copy

Gainwell Technologies

The company that receives Connecticut Medicaid claims for DSS.Source: DCP Homemaker-companion agency registration application and instructions ↗ · our copy

home care provider registry

A DSS registry of home care workers (Public Act 24-39). Home health and hospice agencies send worker details through the DSS portal; homemaker-companion agencies send them to DCP.Also written: home care worker registrySource: RCSA 19-13-D full Public Health Code sections incl D66-D79 home health and D80-D96 homemaker-home health aide agencies ↗ · our copy

homemaker-companion agency

Connecticut's name for a non-medical home care agency: any organization that employs one or more people to give companion or homemaker services. It must register with DCP.Also written: homemaker-companion agenciesSource: DCP Homemaker-companion agency registration application and instructions ↗ · our copy

homemaker-home health aide agency

A type of agency licensed by Connecticut's DPH under its own rules (RCSA 19-13-D80 to D92), separate from a home health care agency.Also written: homemaker-home health aide agenciesSource: DCP Homemaker-companion agency registration application and instructions ↗ · our copy

PBProvider Bulletin

A numbered DSS notice to Connecticut Medicaid providers, such as PB 2025-67 on the January 2026 rate increase.Also written: Provider BulletinSource: Provider Manual Chapter 8 Waiver claim submission (CHC, PCA, ABI, CFC) ↗ · our copy

PCAPersonal Care Assistance

Personal care assistance. In Connecticut, also the PCA waiver, a DSS program that pays for personal care assistance services for eligible disabled adults. PCAs are the personal care assistants who give the care.Also written: PCAsSource: RCSA 17b-262 Medicaid requirements for payment (home health, PCA and others) ↗ · our copy

per diem

Per day. Connecticut bills live-in personal care with per diem codes, which are on DSS's EVV procedure code lists.Source: PB 2024-15 Open vendor EVV model for personal care services ↗ · our copy

PSEProtective Services for the Elderly

The DSS unit for adult protection in Connecticut, for people 60 and older.Source: DCP Homemaker-companion agency registration application and instructions ↗ · our copy

RCSARegulations of Connecticut State Agencies

Connecticut's state regulations. A citation like RCSA 20-670-2 points to the exact rule.Source: RCSA 19-13-D66 to D79 Home health care agency licensure regs (DPH copy) ↗ · our copy

Sandata

The company behind Connecticut's state EVV system, Sandata Agency Management. Another EVV vendor must first be tested and certified by Sandata.Also written: Sandata Agency ManagementSource: PB 2024-15 Open vendor EVV model for personal care services ↗ · our copy

surety bond

A bond Connecticut homemaker-companion agencies must keep, of at least $10,000. DCP suggests asking your insurer whether your size calls for more.Source: DCP Homemaker-companion agency registration application and instructions ↗ · our copy

T1004

A Connecticut Medicaid billing code for home health aide services. Its rate went up 4.9% on January 1, 2026.Source: Provider Manual Chapter 8 Waiver claim submission (CHC, PCA, ABI, CFC) ↗ · our copy

T1021

A Connecticut Medicaid billing code for home health aide services. Its rate went up 4.9% on January 1, 2026.Source: Provider Manual Chapter 8 Waiver claim submission (CHC, PCA, ABI, CFC) ↗ · our copy

W-675

The DSS form for reporting abuse of a CHCPE client, sent within 5 working days after phoning Protective Services for the Elderly (per DSS's draft 2025 waiver renewal).Source: CHCPE 1915(c) waiver renewal application July 2025 ↗ · our copy

Open the Delaware page →

Adult Abuse Registry

Delaware's online registry. Check each new hire and contractor on it and keep a copy of the result.Source: 16 DE Admin Code 3345 Personal Assistance Services Agencies ↗ · our copy

attendant services

In Delaware's LTCCS program, help with bathing, dressing, toileting and other daily activities.Source: DMAP 2026 Q2 Provider Bulletin ↗ · our copy

BCCBackground Check Center

The DHSS center that runs background checks for Delaware home care workers. Every worker must be on your BCC Master List.Also written: Background Check Center, BCC Master ListSource: 16 DE Admin Code 3345 Personal Assistance Services Agencies ↗ · our copy

CG modifier

The code you put on Delaware Medicaid claim lines for paid caregivers who live with the member, who are exempt from EVV.Source: DMAP 2026 Q2 Provider Bulletin ↗ · our copy

Community Based Attendant Services Act

A Delaware law (16 Del.C. Ch. 94). Agencies that only provide services under this Act are excluded from the personal assistance services agency license rule.Source: 16 DE Admin Code 3345 Personal Assistance Services Agencies ↗ · our copy

DDDSDivision of Developmental Disabilities Services

Delaware's Division of Developmental Disabilities Services. Only its clients are eligible for the Lifespan Waiver, which has its own manual.Source: 16 DE Admin Code DSSM 20000 Medicaid Long Term Care ↗ · our copy

DHSSDelaware Department of Health and Social Services

Delaware's health and social services department. Its Division of Health Care Quality licenses personal assistance services agencies and home health agencies.Source: 16 DE Admin Code 3345 Personal Assistance Services Agencies ↗ · our copy

Division of Health Care Quality

The part of DHSS that licenses personal assistance services agencies and home health agencies in Delaware.Source: 16 DE Admin Code 3345 Personal Assistance Services Agencies ↗ · our copy

DLTCRPDivision of Long Term Care Residents Protection

A DHSS division. Rule 3110 names it as the office handling background checks for home care agencies, and its rule 3101 sets up the Adult Abuse Registry.Source: 16 DE Admin Code 3345 Personal Assistance Services Agencies ↗ · our copy

DMAPDelaware Medical Assistance Program

Delaware's Medicaid program, run by DMMA.Source: 16 DE Admin Code 3345 Personal Assistance Services Agencies ↗ · our copy

DMMADivision of Medicaid and Medical Assistance

The Delaware division that runs the Delaware Medical Assistance Program (DMAP), the state's Medicaid program.Source: 16 DE Admin Code 3345 Personal Assistance Services Agencies ↗ · our copy

DSHPDiamond State Health Plan

Delaware's Medicaid managed care program.Source: 16 DE Admin Code 3345 Personal Assistance Services Agencies ↗ · our copy

DSHP PlusDiamond State Health Plan Plus

The Delaware Medicaid managed care program that includes home and community-based long-term care.Source: 16 DE Admin Code 3345 Personal Assistance Services Agencies ↗ · our copy

hard edit

Delaware's EVV rule that denies personal care and home health claims unless the authorization, EVV visit and claim match. Set for October 1, 2026.Also written: EVV hard editSource: DMAP 2026 Q2 Provider Bulletin ↗ · our copy

Health Benefits Manager

The line Delaware Medicaid members call to enroll in a health plan: 1-800-996-9969.Source: DMAP 2026 Q2 Provider Bulletin ↗ · our copy

HHAeXchange

Delaware's state EVV system. It was formerly Sandata, and older guides still say Sandata.Also written: SandataSource: DMAP 2026 Q2 Provider Bulletin ↗ · our copy

HHCShome health care services

Delaware Medicaid home health care. All HHCS providers must use EVV.Source: DMAP 2026 Q2 Provider Bulletin ↗ · our copy

LTCCSLong Term Care Community Services

Delaware Medicaid long-term care at home, part of DSHP Plus and delivered only through a health plan. It covers attendant services and respite, among others.Source: DMAP 2026 Q2 Provider Bulletin ↗ · our copy

major adverse incident

A serious event you must report to DHSS within 48 hours, such as suspected abuse, neglect or exploitation, a serious injury, an unexpected death or a medication error.Also written: major adverse incidentsSource: 16 DE Admin Code 3345 Personal Assistance Services Agencies ↗ · our copy

MCD IDMedicaid ID

Your Delaware Medicaid ID. Call DMAP Provider Services at 1-800-999-3371 to get it.Source: DMAP 2026 Q2 Provider Bulletin ↗ · our copy

open model

Delaware's EVV setup: use the state's system (HHAeXchange) or your own. Your own system needs a signed attestation and must upload visits within 7 days.Source: DMAP 2026 Q2 Provider Bulletin ↗ · our copy

Pathways to Employment

A Delaware program that pays licensed home health agencies and personal assistance services agencies for personal care, fee-for-service.Source: DMAP 2026 Q2 Provider Bulletin ↗ · our copy

PCSpersonal care services

Delaware Medicaid personal care. All PCS providers must use EVV.Source: DMAP 2026 Q2 Provider Bulletin ↗ · our copy

personal assistance services agency

Delaware's license type for non-medical home care (rule 3345): paid help with daily activities, companion, transportation and homemaker services that don't need a licensed nurse's judgment.Also written: personal assistance services agenciesSource: 16 DE Admin Code 3345 Personal Assistance Services Agencies ↗ · our copy

service area

Where a Delaware personal assistance services agency may work: the county its office is in and the counties next to it, plus short trips with a consumer.Source: 16 DE Admin Code 3345 Personal Assistance Services Agencies ↗ · our copy

service letters

Letters you get from a job applicant's past employers as part of Delaware's pre-hire checks.Source: 16 DE Admin Code 3345 Personal Assistance Services Agencies ↗ · our copy

soft edit

Delaware's EVV phase that began July 31, 2024, before the hard edit: claims without a matching EVV visit get a warning on the remittance advice instead of being denied.Source: DMAP 2026 Q2 Provider Bulletin ↗ · our copy

SUR UnitSurveillance and Utilization Review Unit

The DMMA unit that asks for the records behind Medicaid claims. If you don't send them within 45 days and can't be reached, the claims get a technical denial.Also written: SURSource: DMAP 2026 Q1 Provider Bulletin ↗ · our copy

technical denial

When you don't send records to the SUR Unit within 45 days and can't be reached, the claim is denied and the money is recouped within 7 days. You then have 10 days to send what's missing.Source: DMAP 2026 Q1 Provider Bulletin ↗ · our copy

Open the District of Columbia page →

bridge program

A shorter Board-approved path to home health aide certification for certified nurse aides: 32 hours, versus the full model curriculum.Also written: bridgeSource: Home Health Aide Regulations 17 DCMR Ch 93 Final Rulemaking 2017-09 ↗ · our copy

Context Global

DHCF's language services vendor. Request interpreters through it for fee-for-service Medicaid clients; for health plan members, go through the plan.Source: Transmittal 26-03 rev Language Access Compliance for Providers ↗ · our copy

DACLDepartment of Aging and Community Living

The DC department whose Medicaid Services Enrollment Unit helps people apply for the EPD Waiver.Source: DCMR 22-B Ch 39 Home Care Agencies full chapter (DC Health) ↗ · our copy

DC Care Connect

DHCF's case management system, which it is rebuilding under a 12-month contract that started Feb. 1, 2026.Source: LTCA Informational Bulletin 23 Program Updates 2026-02-27 ↗ · our copy

DC HealthDepartment of Health

The District's health department. Its Health Regulation and Licensing Administration (HRLA) licenses home care agencies.Source: DCMR 22-B Ch 39 Home Care Agencies full chapter (DC Health) ↗ · our copy

DC Healthy Families

DC's Medicaid health plan program. Its plans are AmeriHealth Caritas DC, MedStar Family Choice DC and HSCSN, and they authorize care for their members.From the District of Columbia page

DCMRDistrict of Columbia Municipal Regulations

The District's regulations. Home care agency licensing is in 22-B DCMR Chapter 39; aide certification is in 17 DCMR Chapter 93.Source: DCMR 22-B Ch 39 Home Care Agencies full chapter (DC Health) ↗ · our copy

DHCFDepartment of Health Care Finance

DC's Medicaid agency. Its Long-Term Care Administration runs long-term services and supports, including the EPD Waiver.Source: DCMR 22-B Ch 39 Home Care Agencies full chapter (DC Health) ↗ · our copy

EPD WaiverElderly and Persons with Physical Disabilities Waiver

A DC Medicaid waiver for older adults and people with physical disabilities. DHCF pays for personal care through it and through the State Plan.Also written: EPDFrom the District of Columbia page

Home Support Agencies

A separate DC Health rule chapter (Chapter 99) we don't hold. Ask HRLA whether it, or the home care license, fits a companion- or homemaker-only business.Source: DCMR 22-B Ch 39 Home Care Agencies full chapter (DC Health) ↗ · our copy

HRLAHealth Regulation and Licensing Administration

The part of DC Health that licenses home care agencies.Source: DCMR 22-B Ch 39 Home Care Agencies full chapter (DC Health) ↗ · our copy

living wage

The District's living wage: $18.40 an hour from July 1, 2026. DHCF's personal care rates are still built on a $21.11 direct support professional wage.Source: Transmittal 26-17 PCA Rate Changes eff 2026-07-01 ↗ · our copy

LTCALong-Term Care Administration

The part of DHCF that runs long-term services and supports, including the EPD Waiver.Source: DCMR 22-B Ch 39 Home Care Agencies full chapter (DC Health) ↗ · our copy

LTCSSlong-term care services and supports

Long-term care services and supports. Telligen has done DHCF's LTCSS assessments since Feb. 1, 2025, replacing Liberty Healthcare.Source: DCMR 22-B Ch 39 Home Care Agencies full chapter (DC Health) ↗ · our copy

Maximus

DHCF's enrollment vendor. It makes site visits before and after enrollment for all EPD Waiver providers, including existing ones.Source: LTCA Informational Bulletin 23 Program Updates 2026-02-27 ↗ · our copy

nurse staffing agency

A separate DC Health license. Any agency that supplies home health aides or personal care aides to another health care facility or agency needs it.Source: DCMR 22-B Ch 39 Home Care Agencies full chapter (DC Health) ↗ · our copy

PDMSProvider Data Management System

The system new EPD Waiver providers apply through. Since March 1, 2026, they attend an information session, send a letter of intent, then have 90 days to apply through PDMS.Source: MDL 22-02 EPD 1915c Waiver Renewal ↗ · our copy

Sandata

DC Medicaid's EVV system, free to providers. You may use another EVV system at your own cost if it connects to the Sandata aggregator.Also written: Sandata aggregatorSource: Transmittal 21-45 Payment for Services Subject to EVV ↗ · our copy

Services My Way

DC's self-direction option. A participant can split approved personal care hours between an agency and their own worker, under a signed agreement with the case manager, agency and DHCF.Source: MDL 22-02 EPD 1915c Waiver Renewal ↗ · our copy

T1004

The billing code for home health aide services in DC. It pays $30.76 an hour ($7.69 per 15 minutes) from Jan. 1, 2026, the same as personal care.Source: MDL 22-02 EPD 1915c Waiver Renewal ↗ · our copy

T1019

The billing code for personal care aide services in DC. It pays $30.76 an hour ($7.69 per 15 minutes) from Jan. 1, 2026.Source: MDL 22-02 EPD 1915c Waiver Renewal ↗ · our copy

Telligen

The company that does DHCF's long-term care (LTCSS) assessments, since Feb. 1, 2025.Source: DCMR 22-B Ch 39 Home Care Agencies full chapter (DC Health) ↗ · our copy

Wellpoint DC

A former DC Healthy Families plan (formerly Amerigroup DC). DHCF moved all its members to AmeriHealth Caritas DC on Aug. 1, 2026.Also written: WellpointSource: Transmittal 26-19 rev Managed Care Plan Transition 2026-08 ↗ · our copy

Open the Florida page →

AHCAAgency for Health Care Administration

Florida's Agency for Health Care Administration. It licenses home health agencies and nurse registries and registers homemaker and companion services.Source: AHCA ASPEN State Regulation Set H 8.07 Home Health Agencies (printed 2026-08) ↗ · our copy

APDAgency for Persons with Disabilities

Florida state agency that runs the iBudget waiver day to day.Source: AHCA ASPEN State Regulation Set H 8.07 Home Health Agencies (printed 2026-08) ↗ · our copy

biennial assessment

A $300 charge Florida home health agencies pay on top of the $1,705 license fee, on initial, renewal and change-of-ownership applications. Biennial means every two years.Source: AHCA Form 3110-1011 Home Health Agency Licensing Application July 2024 (adopted in 59A-35.060) ↗ · our copy

Care Provider Background Screening Clearinghouse

AHCA's system for Level 2 background screening of owners, administrators, financial officers and care staff at Florida home care businesses.Also written: ClearinghouseSource: AHCA ASPEN State Regulation Set H 8.07 Home Health Agencies (printed 2026-08) ↗ · our copy

CCECommunity Care for the Elderly

A Florida program for older adults run by the Department of Elder Affairs (DOEA).Source: AHCA ASPEN State Regulation Set H 8.07 Home Health Agencies (printed 2026-08) ↗ · our copy

certificate of exemption

A $100 AHCA certificate some providers get instead of a home health agency license, such as an individual working alone or services under contract with certain state agencies.Source: Fla. Stat. 400.509 Companion Homemaker Registration 2026 (web page text) ↗

CMS-1500

The claim form Florida Medicaid providers fill out and submit to get paid. Florida Medicaid's Provider Reimbursement Handbook, CMS-1500, explains how to complete it.Source: Provider Reimbursement Handbook CMS-1500 ↗ · our copy

DCFDepartment of Children and Families

Florida state agency that runs the toll-free abuse hotline, 1-800-96-ABUSE, where suspected abuse of a vulnerable adult is reported.Source: AHCA ASPEN State Regulation Set H 8.07 Home Health Agencies (printed 2026-08) ↗ · our copy

DOEADepartment of Elder Affairs

Florida's state agency for aging programs, such as Community Care for the Elderly (CCE).Source: AHCA ASPEN State Regulation Set H 8.07 Home Health Agencies (printed 2026-08) ↗ · our copy

DOHFlorida Department of Health

Florida's health department. Its Board of Nursing certifies nursing assistants (CNAs).Source: AHCA ASPEN State Regulation Set H 8.07 Home Health Agencies (printed 2026-08) ↗ · our copy

family home health aide

In Florida Medicaid, a relative, legal guardian or caretaker relative who is employed by a home health agency to give aide services to an eligible Medicaid recipient.Also written: family home health aides, home health aide for medically fragile childrenSource: FL Medicaid Private Duty Nursing Services Coverage Policy Feb 2026 ↗ · our copy

FDLEFlorida Department of Law Enforcement

The Florida Department of Law Enforcement. It keeps the fingerprints taken for background screening for 5 years.Source: Clearinghouse Results Website (CRW) User Guide Oct 2025 ↗ · our copy

HHAeXchange

The company AHCA hired as Florida Medicaid's free EVV system for fee-for-service visits. Agencies may use their own EVV if it connects by EDI, but still need an HHAeXchange portal.Source: FL Medicaid Home Health EVV Program Rule 59G-4.132 ↗ · our copy

iBudgetDevelopmental Disabilities Individual Budgeting Waiver

Florida Medicaid's waiver for people with developmental disabilities (Developmental Disabilities Individual Budgeting Waiver). APD runs it day to day.Source: FL iBudget DD Waiver Services Handbook ↗ · our copy

Level 2

Florida's fingerprint background check (state FDLE and FBI). Required before hire for owners, administrators and staff who give care or can reach clients' homes or money.Source: AHCA ASPEN Core Licensure Regulation Set Z 2.26 (Ch 408 Part II) (printed 2026-01) ↗ · our copy

Long-Term Care plan

A Florida Medicaid health plan that pays for adults' long-term care, including home care. It must approve services before you deliver them.Also written: Long-Term Care plansSource: FL SMMC Long-Term Care Program Coverage Policy ↗ · our copy

nurse registry

A separate Florida license for businesses that place nurses, CNAs, home health aides, companions or homemakers who work as independent contractors.Also written: nurse registriesSource: Fla. Stat. 400.509 Companion Homemaker Registration 2026 (web page text) ↗

Online Licensing System

AHCA's website for filing license and registration renewals and changes.Source: Fla. Stat. 400.509 Companion Homemaker Registration 2026 (web page text) ↗

PDOparticipant-directed option

In Florida's Long-Term Care program, the participant-directed option: the option under which individual workers can give personal care.Also written: participant-directed optionSource: FL SMMC Long-Term Care Program Coverage Policy ↗ · our copy

Prometric

The testing company that runs Florida's CNA exam.Source: AHCA ASPEN State Regulation Set H 8.07 Home Health Agencies (printed 2026-08) ↗ · our copy

SMMCStatewide Medicaid Managed Care

Florida Medicaid's managed care program. Most adult home care is paid through its Long-Term Care program, by health plans.Source: AHCA ASPEN State Regulation Set H 8.07 Home Health Agencies (printed 2026-08) ↗ · our copy

Open the Georgia page →

CCSPCommunity Care Services Program

One of the two programs that make up Georgia's EDWP Medicaid waiver (the other is SOURCE). Agencies enroll through EDWP to serve its members.Source: EDWP General Services ↗ · our copy

CMOcare management organization

Georgia's name for a Medicaid health plan. Waiver members can't enroll in one, and EDWP excludes members enrolled in Georgia Families.Source: ICWP Independent Care Waiver Services ↗ · our copy

COMPComprehensive Supports Waiver

One of Georgia's two Medicaid waivers for people with developmental disabilities.Source: EDWP General Services ↗ · our copy

companion or sitter tasks

In Georgia's license rule: transport and escort, meal preparation and serving, and household tasks needed for cleanliness and safety. One of the three services a license can list.Also written: companion sitterSource: GA 111-8-65 Private Home Care Providers amended rules final adoption 2026 ↗ · our copy

DBHDDDepartment of Behavioral Health and Developmental Disabilities

The Georgia department that operates the NOW and COMP developmental disability waivers.Source: GA 111-8-65 Private Home Care Providers amended rules final adoption 2026 ↗ · our copy

DCHDepartment of Community Health

Georgia's Department of Community Health. Its Healthcare Facility Regulation Division licenses private home care providers, home health agencies and hospices.Source: GA 111-8-65 Private Home Care Providers amended rules final adoption 2026 ↗ · our copy

direct access

Under Georgia's background check rule: duties with routine personal contact with a client, or being routinely alone with a client's property. Staff with direct access need a fingerprint check.Source: GA 111-8-12 Criminal Background Checks rules final adoption 2025 ↗ · our copy

EDWPElderly and Disabled Waiver Program

Georgia's Medicaid waiver that pays for home care for older adults and people with disabilities. It covers two programs: CCSP and SOURCE.Source: EDWP General Services ↗ · our copy

Family Caregiver Option

A GAPP option that lets the agency hire a legally responsible adult family member who lives with the child to give approved personal support, after fingerprinting and a background check.Source: EDWP General Services ↗ · our copy

GAHLES

DCH's online application portal (gahles.dch.georgia.gov), where you apply for a Georgia private home care license.Source: GA Private Home Care Provider application checklist 2026 ↗ · our copy

GAMMISGeorgia Medicaid Management Information System

Georgia Medicaid's information system and web portal, where Medicaid claims go.Source: Part 1 Policies and Procedures ↗ · our copy

GAPPGeorgia Pediatric Program

Georgia Medicaid's in-home nursing program for medically fragile children under 21. DCH pays for it.Source: EDWP General Services ↗ · our copy

GCHEXSGeorgia Criminal History Check System

Georgia Criminal History Check System: the background check system run through DCH's Office of Inspector General, Background Investigations Unit.Source: GA 111-8-65 Private Home Care Providers amended rules final adoption 2026 ↗ · our copy

Georgia Families

Georgia's Medicaid health plans: Amerigroup Community Care, Peach State Health Plan and CareSource. Waiver members can't enroll in them.Source: EDWP General Services ↗ · our copy

HFRDHealthcare Facility Regulation Division

The division of Georgia's DCH that licenses private home care providers, home health agencies and hospices.Source: GA 111-8-65 Private Home Care Providers amended rules final adoption 2026 ↗ · our copy

ICWPIndependent Care Waiver Program

One of Georgia's Medicaid waivers that pay agencies for home care, alongside EDWP and the NOW and COMP developmental disability waivers.Source: EDWP General Services ↗ · our copy

legally responsible relatives

Spouses, legal guardians and parents of minor children. Under EDWP, Georgia Medicaid won't pay them for care they already must provide. GAPP's Family Caregiver Option is an exception.Source: EDWP General Services ↗ · our copy

NCQANational Committee for Quality Assurance

An accrediting body. From Sept. 1, 2026, Georgia's Structured Family Caregiving providers need NCQA accreditation; existing providers have until Sept. 1, 2027.Source: EDWP Personal Support Services ↗ · our copy

Netsmart

The company behind Georgia Medicaid's state EVV system, Netsmart Mobile Caregiver+. You may use your own EVV system only if it integrates with Netsmart.Also written: Netsmart Mobile Caregiver+Source: EVV Provider-Related FAQs ↗ · our copy

NOWNew Options Waiver

One of Georgia's two Medicaid waivers for people with developmental disabilities.Source: EDWP General Services ↗ · our copy

Personal Support Services

EDWP's in-home aide service: personal care, housekeeping and home management for people at risk of going into a nursing facility.Also written: personal supportSource: EDWP Personal Support Services ↗ · our copy

private home care provider

An agency licensed by Georgia's DCH under rule 111-8-65 to provide companion or sitter tasks, personal care or nursing. The license costs $250 a year for each service.Also written: private home care providers, Private Home Care ProviderSource: GA 111-8-65 Private Home Care Providers amended rules final adoption 2026 ↗ · our copy

provisional license

A new Georgia private home care provider's first license. It lasts three months; you must be operating, admit at least 3 clients and ask HFRD for your first survey, or it is voided.Source: GA 111-8-65 Private Home Care Providers amended rules final adoption 2026 ↗ · our copy

SFCStructured Family Caregiving

An EDWP service in which an agency gives support, education and oversight to a family caregiver who lives in the home with the waiver member.Also written: Structured Family CaregivingSource: EDWP Personal Support Services ↗ · our copy

SOURCE

One of the two programs that make up Georgia's EDWP Medicaid waiver (the other is CCSP). Agencies enroll through EDWP to serve its members.Source: EDWP General Services ↗ · our copy

Open the Hawaii page →

AERAdverse Event Report

Med-QUEST's form for reporting adverse events for QUEST Integration members at home and in the community. It replaced DHS Form 519 on July 1, 2025.Source: QUEST Integration 1115 Extension STCs 2025 ↗ · our copy

ALTalternate

An approved alternate EVV vendor an agency can use instead of Sandata. It sends visits to the Sandata Aggregator.Source: QI-2305C EVV Manual Editing and Entry of Visits 2024 ↗ · our copy

DDDDevelopmental Disabilities Division

The Hawaii Department of Health division that runs the 1915(c) waiver for people with intellectual and developmental disabilities.Source: HAR 11-700 Home Care Agencies (eff 2018-08-10) ↗ · our copy

DHSDepartment of Human Services

Hawaii's Department of Human Services. Its Med-QUEST Division (MQD) runs Medicaid.Source: HAR 11-700 Home Care Agencies (eff 2018-08-10) ↗ · our copy

DHS 1640

The written report form for suspected abuse of a vulnerable adult, sent to APS after the phone report. It can be filed online at apsreport.hawaii.gov.Source: HAR 11-700 Home Care Agencies (eff 2018-08-10) ↗ · our copy

DOHDepartment of Health

Hawaii's Department of Health. It licenses home care and home health agencies through its Office of Health Care Assurance (OHCA).Source: HAR 11-700 Home Care Agencies (eff 2018-08-10) ↗ · our copy

E-ARCHExpanded adult residential care home

A Hawaii facility giving 24-hour living accommodations, for a fee, to unrelated adults who need at least minimal help with daily living.Also written: E-ARCHsSource: HAR 11-106 Background Checks (eff 2019-02-03) ↗ · our copy

FOB device

A device used for Fixed Visit Verification (FVV) of EVV visits. It is one way to record visits besides a landline or the EVV app.Also written: FOBSource: QI-2520 EVV Vendor Issued Smartphone Device 2025 ↗ · our copy

HARHawaii Administrative Rules

Hawaii's state regulations, numbered by title and chapter. HAR 11-700 (Title 11, Department of Health, Chapter 700) is the rule for home care agencies.Source: HAR 11-700 Home Care Agencies (eff 2018-08-10) ↗ · our copy

HOKUHawaii's Online Kahu Utility

Hawaii's online system where providers register for Medicaid. Every provider must register in HOKU before signing health plan contracts.Source: QUEST Integration 1115 Extension STCs 2025 ↗ · our copy

HRSHawaii Revised Statutes

Hawaii's state laws. For example, HRS §346-224 requires mandated reporters to make both an oral and a written report of suspected abuse.Source: DHS APS Guidelines for Mandated Reporters ↗ · our copy

legally responsible individuals

People legally responsible for a member, such as a parent of a minor child or a spouse. Hawaii can pay them for Personal Assistance Level I and II in extraordinary circumstances.Source: QUEST Integration 1115 Extension STCs 2025 ↗ · our copy

MQDMed-QUEST Division

The part of Hawaii's Department of Human Services that runs Medicaid, including its QUEST Integration managed care program.Also written: Med-QUESTSource: HAR 11-700 Home Care Agencies (eff 2018-08-10) ↗ · our copy

OHCAOffice of Health Care Assurance

The Hawaii Department of Health office that licenses home care agencies (HAR 11-700) and licenses or certifies home health agencies.Source: HAR 11-700 Home Care Agencies (eff 2018-08-10) ↗ · our copy

Personal Assistance Level I

The QUEST Integration home service for chore, companion and homemaker help.Source: QUEST Integration 1115 Extension STCs 2025 ↗ · our copy

Personal Assistance Level II

The QUEST Integration personal care service. It must be given by a home health aide, personal care aide, certified nurse aide or nurse aide with the right skills competency.Source: HAR 11-700 Home Care Agencies (eff 2018-08-10) ↗ · our copy

personal care aide

Under HAR 11-700, the worker who gives personal care: someone who finished a state-approved basic nurse aide course (or equivalent), or a certified or licensed health care professional.Source: HAR 11-700 Home Care Agencies (eff 2018-08-10) ↗ · our copy

Provider Type 24

Med-QUEST's provider type for home care/personal care agencies. It must hold a Home Care Agency license from DOH/OHCA for each island it serves.Source: HAR 11-700 Home Care Agencies (eff 2018-08-10) ↗ · our copy

QUEST Integration

Hawaii's Medicaid managed care program (QI), run by Med-QUEST under a Section 1115 demonstration approved Jan. 8, 2025 through Dec. 31, 2029. Med-QUEST's provider memos carry QI numbers, such as QI-2604.Also written: QISource: HAR 11-700 Home Care Agencies (eff 2018-08-10) ↗ · our copy

rap back

The fingerprint program run by the Hawaii Criminal Justice Data Center. Under HAR 11-106, the repeat state name inquiries can be waived for workers enrolled in it.Source: HAR 11-106 Background Checks (eff 2019-02-03) ↗ · our copy

S5125

The billing code for attendant care. Med-QUEST's fee-for-service rate rose from $16.32 to $23.34 per 15 minutes in 2026.Source: QI-2604 FFS Rates for HCBS eff 2026-01-01 ↗ · our copy

S5130

The billing code for homemaker services. Med-QUEST's fee-for-service rate rose from $6.13 to $9.32 per 15 minutes in 2026.Source: QI-2604 FFS Rates for HCBS eff 2026-01-01 ↗ · our copy

S9122

The billing code for home health aide or CNA care. Med-QUEST's fee-for-service rate rose from $7.28 to $12.17 per 15 minutes in 2026.Source: QI-2604 FFS Rates for HCBS eff 2026-01-01 ↗ · our copy

Sandata

Hawaii's state EVV vendor. Agencies can use Sandata or an approved alternate EVV system.Source: Hawaii Services Subject to EVV ↗ · our copy

Sandata Aggregator

Where Hawaii's EVV visits are collected. A claim for an EVV service must match a verified visit in the Aggregator before it is paid.Source: Hawaii Services Subject to EVV ↗ · our copy

T1019

The billing code for personal care. Med-QUEST's fee-for-service rate stays at $13.28 per 15 minutes in 2026.Source: QI-2604 FFS Rates for HCBS eff 2026-01-01 ↗ · our copy

unmatched units

A Hawaii EVV claim denial: the claim bills more units than the EVV system shows.Source: Hawaii Services Subject to EVV ↗ · our copy

Open the Idaho page →

253Z00000X

The NPI taxonomy code for In Home Care Supportive Care. Idaho PAAs must switch to it before updating their Medicaid account or revalidating.Source: MedicAide Newsletter May and June 2026 ↗ · our copy

A&D WaiverAged and Disabled Waiver

Idaho's Medicaid waiver that pays for Attendant Care, Homemaker, Companion, Respite, Chore and other in-home services.Also written: Aged and Disabled (A&D) WaiverSource: IDAPA 16.03.26 Medicaid Plan Benefits (current) ↗ · our copy

BLTCBureau of Long Term Care

The part of Idaho Medicaid that reviews and approves Personal Assistance Agencies. Its Quality Assurance team audits them every two years.Source: Prospective HCBS Provider Toolkit v1.7 ↗ · our copy

Bureau of Facility Standards

Idaho's state survey agency, part of DHW, which oversees home health agencies and takes complaints: (208) 334-6626 or (800) 345-1453.Source: Prospective HCBS Provider Toolkit v1.7 ↗ · our copy

deemed status

Approval through a CMS-recognized accrediting organization. A Medicare-certified hospice in Idaho must keep it, since it needs no state license.Source: Idaho Code Title 39 Ch 13 Streamlined Facilities Licensing and Inspection Act ↗ · our copy

DHWIdaho Department of Health and Welfare

Idaho's Department of Health and Welfare. Its Division of Medicaid runs Idaho Medicaid, including the Bureau of Long Term Care.Source: Prospective HCBS Provider Toolkit v1.7 ↗ · our copy

Direct Care Professional

Idaho Medicaid's term for a worker who gives direct care. Each must fully complete the Provider Training Matrix first.Also written: Direct Care ProfessionalsSource: PAA FAQs v1.7 ↗ · our copy

duals

People on both Medicare and Medicaid. In Idaho, those enrolled in IMPlus or MMCP get their care authorized and paid by their health plan.Also written: dual-eligibleSource: PAA FAQs v1.7 ↗ · our copy

endorsement training

In Idaho, training specific to one participant. It must be done by the agency's RN, not an online course.Source: PAA FAQs v1.7 ↗ · our copy

EVV Action Plan

A plan BLTC may ask for when an Idaho agency's manually verified EVV visits reach 15% or more. No response leads to a payment hold.Source: IDAPA 16.03.26 Medicaid Plan Benefits (current) ↗ · our copy

Family Personal Care Services

An Idaho Medicaid flexibility that ended. After July 15, 2025, parents of minor children and spouses may not be paid caregivers for PCS or A&D Waiver services.Source: MA25-13 Family Personal Care Services Program Sunsetting ↗ · our copy

Gainwell Technologies

Idaho Medicaid's vendor for provider enrollment and claims. Provider enrollment: 1-866-686-4272, option 1.Also written: GainwellSource: Prospective HCBS Provider Toolkit v1.7 ↗ · our copy

IDAPAIdaho Administrative Procedures Act

Idaho's state administrative rules. Rules are cited by number, such as IDAPA 16.03.26.Source: PAA RN Oversight and QA Program Provider Help Aid v2.1 ↗ · our copy

IMPlusIdaho Medicaid Plus

An Idaho health plan option for people on both Medicare and Medicaid. For clients enrolled in it, Molina or UnitedHealthcare issues all authorizations, not BLTC.Source: PAA FAQs v1.7 ↗ · our copy

Medicaid Complaint Submission System

The online system Idaho's BLTC uses to collect critical incident reports.Source: PAA FAQs v1.7 ↗ · our copy

MMCPMedicare Medicaid Coordinated Plan

An Idaho health plan option for people on both Medicare and Medicaid. For clients enrolled in it, Molina or UnitedHealthcare issues all authorizations, not BLTC.Source: PAA FAQs v1.7 ↗ · our copy

PAAPersonal Assistance Agency

Idaho's name for an agency that gives in-home Medicaid personal care and A&D Waiver services. There is no state license: you enroll with Medicaid and pass a Bureau of Long Term Care review.Also written: PAAs, Personal Assistance Agencies, Personal Assistance AgencySource: Idaho Code Title 39 Ch 13 Streamlined Facilities Licensing and Inspection Act ↗ · our copy

PCSPersonal Care Services

Idaho's State Plan Medicaid personal care program. It is limited to 16 hours a week unless authorized under EPSDT.Also written: Personal Care ServicesSource: IDAPA 16.03.26 Medicaid Plan Benefits (current) ↗ · our copy

percentile cap

The most Idaho Medicaid pays for home health: it pays the lesser of reasonable cost or the cap. For July 1, 2026 to June 30, 2027 the home health aide cap is $117.48.Source: IDAPA 16.03.26 Medicaid Plan Benefits (current) ↗ · our copy

Provider Training Matrix

Idaho Medicaid's set of required courses for direct care workers. Every Direct Care Professional must finish every course before starting direct care, with no grace period.Source: PAA FAQs v1.7 ↗ · our copy

S5125

The billing code for Idaho Attendant Care. The PAA fee schedule pays $6.11 per 15 minutes.Source: IDAPA 16.03.26 Medicaid Plan Benefits (current) ↗ · our copy

S5130

The billing code for Idaho Homemaker services. The PAA fee schedule pays $5.26.Source: IDAPA 16.03.26 Medicaid Plan Benefits (current) ↗ · our copy

S5135

The billing code for Idaho Companion services. The PAA fee schedule pays $5.54.Source: IDAPA 16.03.26 Medicaid Plan Benefits (current) ↗ · our copy

Sandata

Idaho's EVV aggregator. Agencies may use any EVV system, as long as it is certified with Sandata.Source: Handbook - General Billing Instructions ↗ · our copy

surety bond

A bond an Idaho home health agency must post to bill Medicaid: at least $50,000, or more if 15% of last year's Medicaid home health payments or overpayments is higher.Source: Idaho Code Title 39 Ch 13 Streamlined Facilities Licensing and Inspection Act ↗ · our copy

T1005

The billing code for Idaho Respite. The PAA fee schedule pays $5.54.Source: IDAPA 16.03.26 Medicaid Plan Benefits (current) ↗ · our copy

T1019

The billing code for Idaho State Plan Personal Care Services (PCS). The PAA fee schedule pays $6.11 per 15 minutes.Source: IDAPA 16.03.26 Medicaid Plan Benefits (current) ↗ · our copy

Open the Illinois page →

CCPCommunity Care Program

The Illinois Department on Aging's home care program for older adults, including the waiver for persons who are elderly. Its in-home service (homemaker) providers need IDoA certification.Source: IDPH Home Services Agency Application 2024-09 ↗ · our copy

CERACritical Event Reporting Application

The system where CCP fee-for-service providers report deaths, injuries, hospital visits, falls, medication errors and similar events, within 7 days.Source: IL Elderly Waiver Current Active ↗ · our copy

Compliance Action Plan

What an Illinois agency must send within 10 business days after missing the 75% EVV standard two quarters in a row.Source: IL HFS EVV Policy for State Plan Home Health Providers 2026 ↗ · our copy

DDDDivision of Developmental Disabilities

The Illinois Division of Developmental Disabilities. Personal care and home health services billed to it must use EVV.Source: IL HFS EVV Policy for State Plan Home Health Providers 2026 ↗ · our copy

DRSDivision of Rehabilitation Services

A division of the Illinois Department of Human Services. It runs the Home Services Program (HSP) for the Persons with Disabilities, Brain Injury and HIV/AIDS waivers.Source: IDPH Home Services Agency Application 2024-09 ↗ · our copy

DSCCDivision of Specialized Care for Children

The Illinois Division of Specialized Care for Children. Personal care and home health services billed to it must use EVV.Source: IL HFS EVV Policy for State Plan Home Health Providers 2026 ↗ · our copy

dual eligibles

People who have both Medicare and Medicaid. In Illinois, four FIDE SNP plans took over from MMAI for them on January 1, 2026.Source: IL HealthChoice Illinois Plan List 2026 ↗ · our copy

FIDE SNPFully Integrated Dual Eligible Special Needs Plan

A health plan for people with both Medicare and Medicaid. Illinois started this type of plan on January 1, 2026, when MMAI ended.Source: IL Persons with Disabilities Waiver Current Active ↗ · our copy

geofence

An allowed area around the visit location. Illinois uses a 500-foot geofence: clocking in or out outside it counts as non-compliant EVV.Source: HFS EVV Townhall FAQ 2026-03-26 ↗ · our copy

Health Care Worker Registry

IDPH's registry that runs fingerprint background checks on unlicensed direct care workers, such as home health aides. A worker shown as "Ineligible" cannot be hired.Source: IDPH Health Care Worker Registry FAQ for Employers ↗ · our copy

HFSDepartment of Healthcare and Family Services

Illinois's Medicaid agency. It enrolls providers through IMPACT, its online enrollment system, and sets EVV policy for State Plan home health.Source: IDPH Home Services Agency Application 2024-09 ↗ · our copy

HHAeXchange

Illinois's EVV system, free from the state. You can use your own EVV vendor linked to it, but every agency needs an HHAeXchange portal.Source: IL HFS EVV Policy for State Plan Home Health Providers 2026 ↗ · our copy

home nursing agency

An Illinois IDPH license for agencies that give skilled nursing and home health aide services. It is separate from a home health agency license.Also written: home nursing agenciesSource: IL IDPH Overview Home Health vs Home Services vs Home Nursing ↗ · our copy

home services agency

Illinois's IDPH license for non-medical home care: help with daily activities, housekeeping, medication reminding and companionship.Also written: home services agenciesSource: IL IDPH Overview Home Health vs Home Services vs Home Nursing ↗ · our copy

HSPHome Services Program

The Illinois DRS program for people with disabilities in the Persons with Disabilities, Brain Injury and HIV/AIDS waivers. Not the same as an IDPH home services agency license.Also written: Home Services ProgramSource: IDPH Home Services Agency Application 2024-09 ↗ · our copy

IDoADepartment on Aging

Illinois's Department on Aging. It runs the Community Care Program (CCP), including the elderly waiver, and certifies in-home service (homemaker) providers.Source: IDPH Home Services Agency Application 2024-09 ↗ · our copy

IDOLIllinois Department of Labor

The Illinois Department of Labor. Its rate history shows the Illinois minimum wage.Source: IDPH Health Care Worker Registry FAQ for Employers ↗ · our copy

IDPHIllinois Department of Public Health

The Illinois Department of Public Health. It issues home care agency licenses, such as the home services agency and home health agency licenses.Source: IDPH Home Services Agency Application 2024-09 ↗ · our copy

IMPACTIllinois Medicaid Program Advanced Cloud Technology

Illinois Medicaid's web-based system for provider enrollment. Home care providers enroll in Medicaid through it.Source: IL Elderly Waiver Current Active ↗ · our copy

In-Home Service

The Community Care Program's homemaker service under the waiver for persons who are elderly. Providers need IDoA certification, which requires three years of in-home service experience.Source: IDoA CCP Legal Entity Application Instructions 2020-09 ↗ · our copy

Know Your Numbers

A monthly EVV compliance report that agency administrators in HHAeXchange get on the 15th of every month.Source: HFS Illinois EVV updates 2025-12 ↗ · our copy

MMAIMedicare-Medicaid Alignment Initiative

A former Illinois managed care program. It ended December 31, 2025, and dual eligible special needs plans (FIDE SNPs) took its place on January 1, 2026.Source: IL Persons with Disabilities Waiver Current Active ↗ · our copy

Persons with Disabilities waiver

An Illinois Medicaid waiver served by DRS homemaker agencies. It was renewed July 1, 2026.Source: IDoA CCP Legal Entity Application Instructions 2020-09 ↗ · our copy

placement agency

A separate IDPH license ($500). There are home services and home nursing placement agency licenses. If you only place workers with clients, ask IDPH which license fits.Also written: placement agenciesSource: IL IDPH Overview Home Health vs Home Services vs Home Nursing ↗ · our copy

Planning and Service Area

An area of Illinois used by the Department on Aging. A CCP provider sends a separate in-home service application for each one it wants to serve.Source: IDoA CCP Legal Entity Application Instructions 2020-09 ↗ · our copy

S5130

The billing code for CCP In-Home Service (homemaker). Its rate rose to $30.80 an hour on January 1, 2026.Source: IDoA CCP Legal Entity Application Instructions 2020-09 ↗ · our copy

six federal elements

The six facts every EVV visit must record under the federal 21st Century Cures Act: type of service, who got it, date, location, who gave it, and start and end times.Source: IL HFS EVV Policy for State Plan Home Health Providers 2026 ↗ · our copy

state fiscal-year quarter

The three-month periods Illinois uses to measure EVV compliance, such as July 1 to September 30.Source: IL HFS EVV Policy for State Plan Home Health Providers 2026 ↗ · our copy

waiver for persons who are elderly

Illinois's Medicaid waiver for older adults, part of the Department on Aging's Community Care Program (CCP).Also written: elderly waiverSource: IDPH Home Services Agency Application 2024-09 ↗ · our copy

Open the Indiana page →

Attendant Care

An Indiana waiver service that gives direct, hands-on help with activities of daily living, such as bathing, grooming and dressing.Source: OMPP Service Standard - Attendant Care ↗ · our copy

BDSBureau of Disabilities Services

The Indiana office that handles the Community Integration and Habilitation (CIH) and Family Supports waivers.Source: Indiana Code Title 16 Health - 2026 edition ↗ · our copy

CIHCommunity Integration and Habilitation

An Indiana Medicaid waiver handled by the Bureau of Disabilities Services (BDS), along with the Family Supports waiver.Source: Indiana Code Title 16 Health - 2026 edition ↗ · our copy

CMS-855A

The Medicare enrollment application a home health agency sends to the federal Centers for Medicare & Medicaid Services (CMS). Indiana agencies that sent it before April 1, 2026 have until June 30, 2027 to finish.Source: BT202647 Home health Medicare enrollment requirement clarified ↗ · our copy

DDARSDivision of Disability, Aging and Rehabilitative Services

Indiana's Division of Disability, Aging and Rehabilitative Services. Waiver providers report unusual occurrences to it, and it approves some supported living providers.Source: Indiana Code Title 16 Health - 2026 edition ↗ · our copy

FSSAFamily and Social Services Administration

Indiana's Medicaid agency.Source: Indiana Code Title 16 Health - 2026 edition ↗ · our copy

Gainwell Technologies

The company that answers Indiana Medicaid (IHCP) provider calls, at 800-457-4584.Also written: GainwellSource: Indiana Code Title 16 Health - 2026 edition ↗ · our copy

H&WHealth and Wellness

The Health and Wellness waiver, one of the Indiana Medicaid waivers OMPP certifies providers for, along with PathWays for Aging and TBI.Source: Indiana Code Title 16 Health - 2026 edition ↗ · our copy

HCBS Certification Portal

OMPP's online portal for certifying providers for the PathWays for Aging, H&W and TBI waivers.Also written: Certification PortalSource: Indiana Code Title 16 Health - 2026 edition ↗ · our copy

HHAhome health agency

A home health agency, licensed in Indiana by the Indiana Department of Health (IDOH).Source: Indiana Code Title 16 Health - 2026 edition ↗ · our copy

HIPHealthy Indiana Plan

One of Indiana Medicaid's managed care programs. For HIP members' services, providers contact the member's health plan.Source: IHCP Module - Home Health Services (2025-04) ↗ · our copy

Home and Community Assistance

An Indiana waiver service billed with code S5130, listed as homemaker. It is on the list of services that require EVV.Source: EVV FAQs ↗ · our copy

IACIndiana Administrative Code

Indiana's state regulations. For example, the H&W and TBI waivers are governed by 455 IAC 2.Source: IHCP Module - DDARS HCBS Waivers H&W TBI CIH FS ↗ · our copy

ICIndiana Code

Indiana's state laws, cited by number, such as IC 16-27-4.Source: Traumatic Brain Injury Waiver (2026-08) ↗ · our copy

IDOHIndiana Department of Health

Indiana's health department. It licenses personal services agencies (non-medical home care) and home health agencies.Source: Indiana Code Title 16 Health - 2026 edition ↗ · our copy

IHCPIndiana Health Coverage Programs

The name of Indiana Medicaid. Providers enroll with the IHCP to bill Medicaid.Source: Indiana Code Title 16 Health - 2026 edition ↗ · our copy

MHSManaged Health Services

An Indiana Medicaid health plan that serves HIP, Hoosier Healthwise and Hoosier Care Connect.Source: IHCP Module - Member Eligibility and Benefit Coverage (2024-10) ↗ · our copy

OMPPOffice of Medicaid Policy and Planning

The FSSA office that oversees Medicaid home and community-based services in Indiana.Source: Indiana Code Title 16 Health - 2026 edition ↗ · our copy

PathWays for Aging

Indiana's Medicaid waiver for people 60 and older, managed by health plans (Anthem, Humana and UnitedHealthcare).Also written: PathWaysSource: IHCP Module - Member Eligibility and Benefit Coverage (2024-10) ↗ · our copy

pay passthrough

Indiana's rule that, since July 1, 2025, waiver Attendant Care providers spend at least 70% of the hourly rate on the direct care worker's compensation.Source: Indiana Code Title 16 Health - 2026 edition ↗ · our copy

provisional license

The license a new Indiana home health agency must get from IDOH before it can admit any patients. Review can take 30 to 60 days.Source: Indiana Code Title 16 Health - 2026 edition ↗ · our copy

PSApersonal services agency

Indiana's license for non-medical home care: attendant care, homemaker and companion services given in the client's home.Source: Indiana Code Title 16 Health - 2026 edition ↗ · our copy

Sandata

Indiana's state EVV system, free to providers. You may use an approved alternate vendor instead.Source: EVV FAQs ↗ · our copy

unusual occurrences

Incidents Indiana waiver providers must report on the Division of Aging's incident website: within 24 hours for abuse, neglect or death, and 48 hours for others.Source: Division of Aging Provider Compliance Review Tool ↗ · our copy

Open the Iowa page →

Attendant Care

Iowa's waiver service name, since January 2026, for what was Consumer-Directed Attendant Care. Billed as S5125; the skilled version is S5125 U3.Also written: attendant careSource: IL 2722-MC-FFS Waiver Service Code and Attendant Care Form Updates ↗ · our copy

CareBridge

Iowa Medicaid's EVV system, free to providers. Another vendor is allowed only if it links to CareBridge; claims for EVV codes not sent through CareBridge are denied.Source: 1915c Elderly Waiver (current) ↗ · our copy

CDACConsumer-Directed Attendant Care

Iowa's old name for waiver attendant care. Since January 2026 it is Attendant Care (S5125) and Skilled Attendant Care (S5125 U3).Source: IL 2722-MC-FFS Waiver Service Code and Attendant Care Form Updates ↗ · our copy

Consumer Choices Option

Iowa's self-direction option: waiver services such as Attendant Care can be turned into a self-directed budget for the member.Source: 1915c Elderly Waiver (current) ↗ · our copy

DIALDepartment of Inspections, Appeals, and Licensing

The Iowa agency that licenses hospices and certifies assisted living and adult day programs. It also handles dependent adult abuse cases in facilities and programs.Source: IL 2740-MC-FFS SFY27 HCBS Waiver Rate Changes ↗ · our copy

HHSIowa Department of Health and Human Services

On Iowa's page, HHS means the Iowa Department of Health and Human Services, not the federal department. Iowa Medicaid is part of it.Source: IL 2740-MC-FFS SFY27 HCBS Waiver Rate Changes ↗ · our copy

HOMEHope and Opportunity in Many Environments

An Iowa project working to improve access to high-quality behavioral health, disability and aging services. HHS publishes HOME updates about it.Source: HOME Update LTSS Policy December 2025 ↗ · our copy

Home Maintenance Support

Iowa's waiver service name, since January 2026, for what used to be homemaker and chore services. Billed as S5130.Source: IL 2722-MC-FFS Waiver Service Code and Attendant Care Form Updates ↗ · our copy

IA Health Link

Iowa Medicaid's health plan (managed care) program. Its plans are Iowa Total Care, Molina Healthcare of Iowa and Wellpoint Iowa; most members must enroll in one.Source: IL 2740-MC-FFS SFY27 HCBS Waiver Rate Changes ↗ · our copy

ICDACIndividual Consumer-Directed Attendant Care

Iowa's former option for individual (non-agency) attendant care providers. It ended; the last date of service was Dec. 31, 2025.Source: IL 2740-MC-FFS SFY27 HCBS Waiver Rate Changes ↗ · our copy

ILInformational Letter

Informational Letter: a numbered notice Iowa Medicaid sends to providers about changes, such as IL 2740 on new waiver rates.Source: IL 2740-MC-FFS SFY27 HCBS Waiver Rate Changes ↗ · our copy

IMPAIowa Medicaid Portal Application

Iowa Medicaid's online portal. Waiver agencies use its Provider Self-Assessment application to report their settings and self-assessments to HHS.Source: IL 2740-MC-FFS SFY27 HCBS Waiver Rate Changes ↗ · our copy

Iowa Care for Kids

Iowa's name for EPSDT, Medicaid's benefit for children. On the planned Children and Youth waiver, children get attendant care, nursing and home health aide services through it.Source: Public Notice AD and CY waivers 2026-05 ↗ · our copy

LMSLearning Management System

HHS's online training site, with free training materials for waiver workers.Source: 1915c Elderly Waiver (current) ↗ · our copy

LUPAlow utilization payment amount

A home health payment rate. Since July 1, 2025, Iowa pays high-acuity home health visits 10%, 30% or 60% above the LUPA rate.Source: IL 2722-MC-FFS Waiver Service Code and Attendant Care Form Updates ↗ · our copy

record check evaluation

HHS's review of a job applicant with a criminal or abuse record. It decides whether you may hire the person.Source: IL 2740-MC-FFS SFY27 HCBS Waiver Rate Changes ↗ · our copy

S5125

Iowa's billing code for waiver Attendant Care. With modifier U3 (S5125 U3) it is Skilled Attendant Care.Also written: S5125 U3Source: IL 2722-MC-FFS Waiver Service Code and Attendant Care Form Updates ↗ · our copy

S5130

Iowa's billing code for Home Maintenance Support, the waiver service that replaced homemaker and chore.Source: IL 2722-MC-FFS Waiver Service Code and Attendant Care Form Updates ↗ · our copy

single contact repository

An electronic system Iowa set up so facilities and providers can run the criminal history and abuse registry checks required before hiring.Source: Iowa Code 135C.33 Employee Record Checks ↗ · our copy

Skilled Attendant Care

Attendant care overseen by a licensed nurse or therapist, who makes on-site supervisory visits every two weeks. Billed as S5125 U3.Source: 1915c Elderly Waiver (current) ↗ · our copy

T2031

Iowa's billing code for Elderly Waiver assisted living.Source: IL 2722-MC-FFS Waiver Service Code and Attendant Care Form Updates ↗ · our copy

Open the Kansas page →

agency-directed

Personal care arranged through an agency rather than self-directed. Under the Kansas PD waiver it is paid through an enrolled home health agency.Source: KMAP Bulletin 26103 Immediate Action HCBS Background Check Policy 2026-06 ↗ · our copy

AIRAdverse Incident Reporting

KDADS's system where Kansas HCBS providers report adverse incidents.Source: KDHE Home Health Agency Licensure Regulations KAR 28-51 eff 2022-05 ↗ · our copy

AuthentiCare Kansas

Kansas's state EVV system. Workers log visits by mobile app, the member's landline, an approved aggregator, or agency manual entry. Help: Fiserv, 800-441-4667.Also written: AuthentiCareSource: KMAP Bulletin 23349 Guidance on EVV Requirements Updated 2025-03 ↗ · our copy

Averifi

The party that asks Kansas HCBS providers for complete staff files during the KanCare plans' quarterly background-check audits. Send the files when it asks.Source: KMAP Bulletin 26103 Immediate Action HCBS Background Check Policy 2026-06 ↗ · our copy

Bureau of Facilities and Licensing

The part of KDHE that licenses Kansas home health agencies under K.A.R. 28-51.Source: KDHE Home Health Agency Licensure Regulations KAR 28-51 eff 2022-05 ↗ · our copy

CSWCommunity Support Waiver

A new Kansas waiver for people with I/DD, starting October 1, 2026, with a $20,000 yearly cost cap. Agency-directed personal care is billed as S5125 U8.Also written: Community Support WaiverSource: KMAP Bulletin 26103 Immediate Action HCBS Background Check Policy 2026-06 ↗ · our copy

DCFDepartment for Children and Families

The Kansas agency whose adult and child abuse registries are among the background checks HCBS workers need.Source: KDHE Home Health Agency Licensure Regulations KAR 28-51 eff 2022-05 ↗ · our copy

FEFrail Elderly

A Kansas HCBS waiver. Level II personal care can be billed by county health departments or by KDHE-licensed or Medicare-certified home health agencies.Also written: FE waiverSource: KMAP Bulletin 26103 Immediate Action HCBS Background Check Policy 2026-06 ↗ · our copy

Gainwell Technologies

The fiscal agent for Kansas Medicaid (KMAP). Customer service: 1-800-933-6593.Source: KDHE Home Health Agency Licensure Regulations KAR 28-51 eff 2022-05 ↗ · our copy

K.A.R. 28-51

The Kansas rule for licensing home health agencies (sections 28-51-100 to 28-51-118). Covers home health, HCBS and supportive care services.Source: KDHE Home Health Agency Licensure Regulations KAR 28-51 eff 2022-05 ↗ · our copy

KanCare

Kansas Medicaid's managed care program. Its health plans authorize HCBS; the June 2026 bulletin lists Healthy Blue, Sunflower Health Plan and United Healthcare.Source: KMAP Bulletin 26103 Immediate Action HCBS Background Check Policy 2026-06 ↗ · our copy

KDADSKansas Department for Aging and Disability Services

The Kansas agency that runs the HCBS waivers, the HCBS background check policy and the Adverse Incident Reporting (AIR) system.Source: KDHE Home Health Agency Licensure Regulations KAR 28-51 eff 2022-05 ↗ · our copy

KDHEKansas Department of Health and Environment

The Kansas agency that licenses home health agencies, including agencies that give only non-medical supportive care, through its Bureau of Facilities and Licensing.Source: KDHE Home Health Agency Licensure Regulations KAR 28-51 eff 2022-05 ↗ · our copy

KMAPKansas Medical Assistance Program

Kansas Medicaid. Its managed care program is KanCare, and Gainwell Technologies is its fiscal agent.Source: KDHE Home Health Agency Licensure Regulations KAR 28-51 eff 2022-05 ↗ · our copy

KMMSKansas Modular Medicaid System

Kansas's Medicaid system. Since July 23, 2025, you log in to AuthentiCare through KMMS Single Sign On, with a one-time password each time.Source: KMAP Bulletin 23349 Guidance on EVV Requirements Updated 2025-03 ↗ · our copy

PDPhysical Disability

A Kansas HCBS waiver. Agency-directed personal care is paid through an enrolled home health agency; self-directed care through an FMS provider.Source: KMAP Bulletin 26103 Immediate Action HCBS Background Check Policy 2026-06 ↗ · our copy

provider type 55

The KMAP enrollment type for a home health agency (with specialty 584). Community Support Waiver agency-directed personal care is enrolled under it.Source: KMAP Bulletin 26103 Immediate Action HCBS Background Check Policy 2026-06 ↗ · our copy

provisional hire

In Kansas, hiring someone one time, for 60 calendar days and under supervision, while you wait for their criminal history check.Source: KDHE Home Health Agency Licensure Regulations KAR 28-51 eff 2022-05 ↗ · our copy

S5125

A billing code Kansas uses for FE and PD waiver personal care, with a modifier (UA or U9). From July 1, 2026: $7.50 (FE) or $7.25 (PD) per 15 minutes.Source: KMAP Bulletin 26103 Immediate Action HCBS Background Check Policy 2026-06 ↗ · our copy

S5130

A billing code Kansas lists for Frail Elderly (FE) waiver personal care, paid $7.50 per 15 minutes from July 1, 2026.Source: KMAP Bulletin 26103 Immediate Action HCBS Background Check Policy 2026-06 ↗ · our copy

service area

In Kansas, the area where a licensed agency may serve clients: within 200 miles of its parent office. A home health agency can ask KDHE for a one-year exception. The administrator must live in it.Source: KDHE Home Health Agency Licensure Regulations KAR 28-51 eff 2022-05 ↗ · our copy

Skilled Services license

The Kansas home health agency license that covers all three kinds of service: home health, HCBS and supportive care. You need it to provide HCBS.Source: KDHE Home Health Agency Licensure Regulations KAR 28-51 eff 2022-05 ↗ · our copy

supportive care

Kansas's name for non-medical home care. A Non-Medical Supportive Care Services license covers only this: no nursing services of any kind and no HCBS.Also written: supportive care servicesSource: KDHE Home Health Agency Licensure Regulations KAR 28-51 eff 2022-05 ↗ · our copy

T2025

The billing code for self-directed Enhanced Care Services in Kansas, used with a waiver modifier since July 2026.Source: KMAP Bulletin 26153 New Community Support Waiver Updated 2026-09 ↗ · our copy

Open the Kentucky page →

ABIAcquired Brain Injury

Kentucky's Acquired Brain Injury waivers (ABI and ABI Long Term Care), operated by DMS.Also written: ABI Long Term CareSource: 906 KAR 1-180 Personal services agencies - operation and services ↗ · our copy

add-on rate

A 50% higher HCB rate ($9.00 per 15 minutes for attendant care) for agencies that signed DMS's attestation by May 1, 2024 to pass 85% through to direct care workers.Source: HCBS Services by Waiver ↗ · our copy

caregiver misconduct registry

A Kentucky registry personal services agencies check before a manager or direct-care worker starts. It is now titled the vulnerable adult maltreatment registry (922 KAR 5:120).Also written: vulnerable adult maltreatment registrySource: KRS 216.712 Personal services agency certification and background checks ↗ · our copy

CHFSCabinet for Health and Family Services

Kentucky's health and family services cabinet. Its Office of Inspector General certifies and licenses home care agencies.Source: 906 KAR 1-180 Personal services agencies - operation and services ↗ · our copy

CHILDCommunity Health for Improved Lives and Development

A new Kentucky Medicaid waiver.Also written: CHILD waiverSource: CHILD Waiver Application ↗ · our copy

DAILDepartment for Aging and Independent Living

Operates Kentucky's HCB waiver and certifies HCB waiver providers.Source: 906 KAR 1-180 Personal services agencies - operation and services ↗ · our copy

DBHDIDDepartment for Behavioral Health, Developmental and Intellectual Disabilities

Operates Kentucky's Michelle P. and Supports for Community Living (SCL) waivers.Source: 906 KAR 1-180 Personal services agencies - operation and services ↗ · our copy

DMSDepartment for Medicaid Services

Kentucky's Medicaid agency. Its Division of Long-Term Services and Supports handles the 1915(c) home and community based services waivers.Source: 906 KAR 1-180 Personal services agencies - operation and services ↗ · our copy

DMS Certified Agency

A provider type the approved HCB waiver (Aug. 1, 2025) adds, whose certificate is 'to be defined' in regulation. The version of 907 KAR 7:010 on file doesn't include it.Source: 907 KAR 7-010 HCB waiver services version 2 ↗ · our copy

Essette

The DMS web portal for fee-for-service prior authorization requests, such as home health and private duty nursing. From fall 2026, phone, fax and mail requests end.Also written: Essette Provider PortalSource: HCBS Services by Waiver ↗ · our copy

HCBHome and Community Based

Kentucky's HCB waiver, a Medicaid waiver that pays for home care such as attendant care. It is paid by the Department for Medicaid Services (DMS).Also written: HCB waiverFrom the Kentucky page

KARESKentucky National Background Check Program

Kentucky's fingerprint background check program. It is voluntary for private employers, including personal services and home health agencies.Source: KRS 216.712 Personal services agency certification and background checks ↗ · our copy

KYID

The Kentucky account you use to reach the Essette Provider Portal for fee-for-service prior authorizations.Source: 2026-08 Prior Authorization Web Portal Usage Mandate ↗ · our copy

legally responsible individual

A parent or guardian of a minor, or a spouse. In Kentucky participant-directed services, one may work no more than 40 hours a week in total.Source: HCBS Services by Waiver ↗ · our copy

Michelle P.

A Kentucky Medicaid waiver with community-based services for people with intellectual or developmental disabilities who would otherwise need institutional care.Source: Michelle P Waiver Approved Application ↗ · our copy

Model II

A Kentucky 1915(c) waiver operated by DMS.Source: 906 KAR 1-180 Personal services agencies - operation and services ↗ · our copy

MWMAMedicaid Waiver Management Application

The Kentucky system where Medicaid waiver prior authorizations are handled.From the Kentucky page

OIGOffice of Inspector General

Here, the Kentucky Cabinet for Health and Family Services office (not the federal OIG) that certifies personal services agencies and licenses home health and private duty nursing agencies.Source: 906 KAR 1-180 Personal services agencies - operation and services ↗ · our copy

OIG-1180

The OIG application form for a personal services agency certificate. Send it with $500 to apply, and with $350 at least 60 days before the certificate expires to recertify.Source: 906 KAR 1-180 Personal services agencies - operation and services ↗ · our copy

PDSParticipant-directed services

Kentucky waiver services the participant directs, paid through a financial management agency.Also written: participant-directedSource: HCBS Services by Waiver ↗ · our copy

personal services agency

Kentucky's name for a non-medical home care agency. It needs a certificate from the Office of Inspector General (OIG).Also written: personal services agenciesFrom the Kentucky page

Provider Attestation

The form people on the HCB or Michelle P. waitlist must send to stay on it, signed by a physician, physician assistant, APRN or licensed psychologist (House Bill 2, 2026).Source: 2026-07 HB2 Waitlist Verification Letter ↗ · our copy

provisional certificate

A 90-day personal services agency certificate for a new business with three or fewer employees that plans to hire more within 90 days.Source: KRS 216.710 Personal services agency definitions ↗ · our copy

SCLSupports for Community Living

A Kentucky 1915(c) waiver operated by DBHDID.Source: 906 KAR 1-180 Personal services agencies - operation and services ↗ · our copy

self-administration of medication

What Kentucky personal services workers may help with: reminding, handing over, opening and helping a client take medication that a designated representative or outside licensed professional prepared.Also written: facilitating self-administration of medicationSource: 906 KAR 1-180 Personal services agencies - operation and services ↗ · our copy

Therap

Kentucky's state-sponsored EVV system. A third-party EVV system must send visits to the Therap aggregator.Also written: Therap aggregatorSource: EVV Signatures and Third-Party Vendor Visits ↗ · our copy

TST

A TB skin test. For Kentucky personal services staff it is needed only if the yearly TB risk assessment shows increased risk.Source: 906 KAR 1-180 Personal services agencies - operation and services ↗ · our copy

U9

The billing modifier for respite in congregate settings, such as adult day health care, which does not need EVV.Source: PDS SOP 6.23 Electronic Visit Verification ↗ · our copy

Open the Louisiana page →

BHSFBureau of Health Services Financing

The LDH bureau that runs Louisiana Medicaid.Source: LAC 48-I Ch 50-51 HCBS Provider Licensing Standards (as of 2022-03-14) ↗ · our copy

CCWCommunity Choices Waiver

A Louisiana Medicaid waiver run by OAAS, the Office of Aging and Adult Services, which also runs LT-PCS.Also written: Community Choices WaiverSource: LAC 48-I Ch 50-51 HCBS Provider Licensing Standards (as of 2022-03-14) ↗ · our copy

Direct Service Worker Registry

Louisiana's registry of direct service workers. Check it before hire and monthly; anyone with a finding on it cannot work as a direct service worker.Source: LAC 48-I Ch 50-51 HCBS Provider Licensing Standards (as of 2022-03-14) ↗ · our copy

EPSElderly Protective Services

Louisiana's protective services agency for people 60 and older. Adult Protective Services covers waiver participants aged 18 to 59.Source: LAC 48-I Ch 50-51 HCBS Provider Licensing Standards (as of 2022-03-14) ↗ · our copy

FNRfacility need review

LDH approval you may need before initial licensing. It applies to the PCA, respite, MIHC and SIL modules, including when an existing provider adds one.Source: LAC 48-I Ch 50-51 HCBS Provider Licensing Standards (as of 2022-03-14) ↗ · our copy

Gainwell Technologies

The company that handles Louisiana Medicaid provider enrollment, revalidation and fee-for-service claims questions.Source: LAC 48-I Ch 50-51 HCBS Provider Licensing Standards (as of 2022-03-14) ↗ · our copy

HCBS provider licensehome and community-based services provider license

In Louisiana, the name of the license for non-medical in-home agencies. It is one license with a module for each service, such as personal care attendant (PCA) or respite.Also written: HCBS licenseSource: LAC 48-I Ch 50-51 HCBS Provider Licensing Standards (as of 2022-03-14) ↗ · our copy

Healthy Blue

A Louisiana Medicaid health plan whose contract ends Dec. 31, 2026. Its members move to another plan on Jan. 1, 2027.Source: IB 26-12 Healthy Blue Transition 2026-09 ↗

HSSHealth Standards Section

The LDH section that licenses HCBS providers and home health agencies, and issues the Direct Service Worker Registry rule.Source: LAC 48-I Ch 50-51 HCBS Provider Licensing Standards (as of 2022-03-14) ↗ · our copy

LACLouisiana Administrative Code

Louisiana's code of state agency rules. HCBS licensing rules are in LAC Title 48, Chapter 50, and the Direct Service Worker Registry rule is in Chapter 92.Source: LT-PCS Manual 30.6 Provider Requirements (draft 2025-04) ↗ · our copy

LaSRSLouisiana Service Reporting System

LDH's EVV system, run by SRI and free to providers. A third-party EVV system must send data to it daily.Source: EVV Policy and Procedures ↗ · our copy

LDHLouisiana Department of Health

Louisiana's health department. It licenses non-medical in-home agencies as HCBS providers, licenses home health agencies separately, and runs Medicaid.From the Louisiana page

LT-PCSLong-term personal care services

Louisiana's Medicaid personal care program for members 21 and older who qualify for nursing home care, among other criteria. It is run by OAAS.Source: LT-PCS Manual 30.6 Provider Requirements (draft 2025-04) ↗ · our copy

MIHCmonitored in-home caregiving

One of the service modules on Louisiana's HCBS license.Source: LAC 48-I Ch 50-51 HCBS Provider Licensing Standards (as of 2022-03-14) ↗ · our copy

module

A service added to Louisiana's single HCBS license, such as personal care attendant (PCA), respite or supervised independent living. You pick your modules when you apply.Also written: modules, service modulesSource: LAC 48-I Ch 50-51 HCBS Provider Licensing Standards (as of 2022-03-14) ↗ · our copy

OAASOffice of Aging and Adult Services

Louisiana's Office of Aging and Adult Services. It runs LT-PCS and the Community Choices Waiver (CCW).Source: LAC 48-I Ch 50-51 HCBS Provider Licensing Standards (as of 2022-03-14) ↗ · our copy

OCDDOffice for Citizens with Developmental Disabilities

Louisiana's Office for Citizens with Developmental Disabilities. It runs services such as supported employment and day habilitation.Source: LAC 48-I Ch 50-51 HCBS Provider Licensing Standards (as of 2022-03-14) ↗ · our copy

off-cycle revalidation

Louisiana Medicaid's revalidation of selected providers outside the normal five-year cycle, at CMS's request. The first phase includes personal care (PCS and PCA) providers.Source: IB 26-10 Off-Cycle Provider Revalidation 2026-07 ↗ · our copy

PCApersonal care attendant

In Louisiana, one of the service modules on the HCBS license: personal care attendant services.Source: LAC 48-I Ch 50-51 HCBS Provider Licensing Standards (as of 2022-03-14) ↗ · our copy

SILsupervised independent living

One of the service modules on Louisiana's HCBS license.Source: LAC 48-I Ch 50-51 HCBS Provider Licensing Standards (as of 2022-03-14) ↗ · our copy

SRIStatistical Resources, Inc.

The company that runs LaSRS, LDH's EVV system. Phone 225-767-0501.Source: LAC 48-I Ch 50-51 HCBS Provider Licensing Standards (as of 2022-03-14) ↗ · our copy

Open the Maine page →

Chapter 108

A separate Maine license rule for agencies giving DHHS-funded services, such as personal care, home support or respite, to adults with an intellectual disability, autism, a related condition or a brain injury.Source: 22 MRS 1717 Licensing of Personal Care Agencies and Placement Agencies ↗ · our copy

Chapter 12910-144 CMR Chapter 129, Personal Care Agency Licensing Rule

Maine's licensing rule for personal care agencies. It replaced the old 1999 rule effective August 20, 2024.Source: 22 MRS 1717 Licensing of Personal Care Agencies and Placement Agencies ↗ · our copy

DHHSDepartment of Health and Human Services

Maine's health and human services department. Its Division of Licensing and Certification licenses personal care agencies and home health agencies.From the Maine page

DLCDivision of Licensing and Certification

The DHHS division that licenses Maine personal care agencies and home health agencies. Phone (207) 287-9300.Source: 10-144 CMR Ch 129 Personal Care Agency Licensing Rule adopted 2024-08 (Spanish translation PDF) ↗ · our copy

essential support workers

Workers whose pay Maine builds into MaineCare and state-funded rates: the labor portion must include at least 125% of the state minimum wage.Source: 10-144 CMR Ch 129 Personal Care Agency Licensing Rule adopted 2024-08 (Spanish translation PDF) ↗ · our copy

Gainwell

The company that provides Maine's state EVV system and answers provider EVV questions at 1-866-690-5585, option 3.Also written: Gainwell Provider ServicesSource: MaineCare EVV Questions and Answers 2023-06 ↗ · our copy

Home Based Supports and Services

A Maine state-funded (not Medicaid) home care program run by OADS. It depends on available funds.Source: Section 19 Elderly and Adults with Disabilities Waiver ME.0276 amendment draft 2026-02 ↗ · our copy

Lifespan Waiver

A proposed new Maine waiver for people with intellectual disabilities or autism. The April 2026 draft proposed a start of October 1, 2026; it was not confirmed as approved.Source: Lifespan 1915(c) Waiver draft application 2026-04 ↗ · our copy

MaineCare

Maine's name for its Medicaid program. It pays home care providers directly rather than through health plans.From the Maine page

MaineCare Benefits Manual

MaineCare's rule book, divided into numbered sections, such as Section 12 (consumer-directed attendant services), 96 (private duty nursing and personal care) and 40 (home health).Source: Section 19 Elderly and Adults with Disabilities Waiver ME.0276 amendment draft 2026-02 ↗ · our copy

MBCCMaine Background Check Center

Maine's background check system. Personal care agencies and home health providers must use it, and every employee, owner and administrator must pass an MBCC check.Source: 10-144 CMR Ch 129 Personal Care Agency Licensing Rule adopted 2024-08 (Spanish translation PDF) ↗ · our copy

MRSMaine Revised Statutes

Maine's state laws. The page cites them by title and section, such as 22 MRS §1717, the law that requires a personal care agency license.Source: OADS APS Mandated Reporter FAQ ↗ · our copy

OADSOffice of Aging and Disability Services

The Maine office that runs the Section 19 waiver day to day and the state-funded Home Based Supports and Services program. Adult Protective Services is part of OADS.Source: 10-144 CMR Ch 129 Personal Care Agency Licensing Rule adopted 2024-08 (Spanish translation PDF) ↗ · our copy

OMSOffice of MaineCare Services

The Maine office that runs MaineCare, Maine's Medicaid program.Source: 10-144 CMR Ch 129 Personal Care Agency Licensing Rule adopted 2024-08 (Spanish translation PDF) ↗ · our copy

provisional license

The first license a new Maine personal care agency gets, lasting 3 to 12 months, before a full license of up to two years.Also written: provisional licenses, provisional licensureSource: 22 MRS 1717 Licensing of Personal Care Agencies and Placement Agencies ↗ · our copy

PSSPersonal Support Specialist

Personal Support Specialist: both the aide who gives hands-on help (bathing, dressing, toileting, transfers) and that aide's training. Hands-on aides who aren't CNAs must finish PSS or other DHHS-approved training.Source: 10-144 CMR Ch 129 Personal Care Agency Licensing Rule adopted 2024-08 (Spanish translation PDF) ↗ · our copy

Sandata

The name of Maine's free state EVV system (mobile app, phone or portal), offered through Gainwell. You may use your own EVV system instead once it is certified and integrated.Source: MaineCare EVV Questions and Answers 2023-06 ↗ · our copy

Section 19Elderly and Adults with Disabilities Waiver

Maine's main Medicaid waiver for home care (ME.0276). Participants can use agency services or self-direct their personal care.Source: Section 19 Elderly and Adults with Disabilities Waiver ME.0276 amendment draft 2026-02 ↗ · our copy

Service Coordination Agency

The agency whose authorizations Section 19 waiver providers bill against. Providers bill MaineCare's claims system based on its authorizations.Source: Section 19 Elderly and Adults with Disabilities Waiver ME.0276 amendment draft 2026-02 ↗ · our copy

Open the Maryland page →

CMTcertified medication technician

A certified worker who may give medications. In Maryland's CFC and CPAS programs, a worker who gives medications must be a CMT.Source: Plan of Service Reviewer Training Manual ↗ · our copy

CNA-I

Maryland's nursing assistant certificate since April 1, 2026 (formerly CNA/GNA). A CNA-I can work in any setting, and it's the only certificate new applicants can get.Source: MBON New CNA Law FAQ (CNA-I and CNA-II) updated 2026-03-18 ↗ · our copy

CNA-II

Maryland's nursing assistant certificate since April 1, 2026 that replaced the plain CNA certificate. A CNA-II can work in any setting except nursing facilities.Source: MBON New CNA Law FAQ (CNA-I and CNA-II) updated 2026-03-18 ↗ · our copy

COMARCode of Maryland Regulations

Maryland's official state regulations. The page cites rules by COMAR number, such as COMAR 10.07.05 for Residential Service Agencies.Source: MDH JCR - RSA Personal Care Aide Rates 2023-11 ↗ · our copy

Community Options Waiver

A Maryland Medicaid waiver overseen by OLTSS. Its participants can get personal assistance through CFC if they live in a qualifying setting (not assisted living).Also written: Community OptionsSource: SOP Personal Support and Personal Assistance Services (2025-03) ↗ · our copy

CPASCommunity Personal Assistance Services

One of Maryland's two Medicaid state plan programs that pay for personal assistance (the other is CFC). Services must come from a licensed RSA.Source: SOP Personal Support and Personal Assistance Services (2025-03) ↗ · our copy

DDADevelopmental Disabilities Administration

Maryland's agency for developmental disability services. Providers file the HCBS Cost Survey only for non-DDA home and community-based services.Source: PT 16-27 Updates for HCBS Cost Survey (2026-08) ↗ · our copy

ePREP

Maryland Medicaid's old provider enrollment system. All providers lose access on October 1, 2026; the new system, MPRIME, replaces it from October 13, 2026.Source: PT 28-27 Final ePREP Access Deadline and MPRIME Launch (2026-09) ↗ · our copy

EVSEligibility Verification System

Maryland Medicaid's system for checking whether a participant is eligible. The EVV policy asks you to check each client's eligibility in EVS at the start of every month.Source: CMS-1500 Billing Instructions (2026-07) ↗ · our copy

HCBS Cost Survey

A Maryland Medicaid survey of provider costs, service use, workforce data and direct care worker pay. Providers that delivered non-DDA home and community-based services in fiscal year 2026 must file it.Source: PT 16-27 Updates for HCBS Cost Survey (2026-08) ↗ · our copy

HealthChoice

Maryland Medicaid's health plan (MCO) program. It serves about 86% of participants, but personal care is carved out and paid fee-for-service by Medicaid instead.Source: SOP Personal Support and Personal Assistance Services (2025-03) ↗ · our copy

Homecare Workers Employment Act of 2024

The Maryland law that makes each RSA paid for Medicaid personal assistance send the Department of Labor a yearly report of its average, highest and lowest aide wage rates.Source: Ch 865 of 2024 HB189 - Personal Care Aides Wage Reports ↗ · our copy

household or family support services

Light housekeeping, meal planning and preparation, shopping and errands, or care of children who need no medical attention. An agency that provides only these doesn't need an RSA license.Source: OHCQ RSA License Application 2026-06-26 ↗ · our copy

ICSIncreased Community Services

A Maryland Medicaid program overseen by OLTSS. ICS participants can get personal assistance through CFC if they live in a qualifying setting (not assisted living).Source: OHCQ Transmittal - Safe Discharge Planning and Reporting (HH, RSA) 2026-03-24 ↗ · our copy

ITCD-96B

The form RSAs use to register with Maryland's criminal records Central Repository, so they can receive Maryland criminal history records.Source: MBON New CNA Law FAQ (CNA-I and CNA-II) updated 2026-03-18 ↗ · our copy

Level Two

A level of home care in the CFC and CPAS rules, which require an RSA license to provide it. MDH describes it as nurse-supervised personal care with medication management.Source: SOP Personal Support and Personal Assistance Services (2025-03) ↗ · our copy

LTSSMaryland

Maryland's state EVV system. Workers in CFC, CPAS, Community Options and ICS clock in and out with its mobile app.Also written: LTSSMaryland EVVSource: ISAS EVV Policies for Community Options and CFC (2025-08) ↗ · our copy

MDHMaryland Department of Health

Maryland's state health department. Its Office of Health Care Quality (OHCQ) licenses home care agencies.Source: OHCQ Transmittal - Safe Discharge Planning and Reporting (HH, RSA) 2026-03-24 ↗ · our copy

MHCCMaryland Health Care Commission

The state commission that issues a certificate of need, or an exemption, which a home health agency needs before it can apply for a license.Source: OHCQ Transmittal - Safe Discharge Planning and Reporting (HH, RSA) 2026-03-24 ↗ · our copy

missing time request

An EVV fix: a request to add time missing from a worker's EVV record. Due within 30 calendar days of the service; MDH approves up to 4 a month per worker unless there is a valid excuse.Also written: missing time requestsSource: ISAS EVV Policies for Community Options and CFC (2025-08) ↗ · our copy

MPRIME

Maryland Medicaid's new provider enrollment system. It replaced ePREP and launched October 13, 2026.Source: PT 28-27 Final ePREP Access Deadline and MPRIME Launch (2026-09) ↗ · our copy

OHCQOffice of Health Care Quality

The Maryland Department of Health office that licenses Residential Service Agencies and home health agencies. You apply to OHCQ for your license.Source: OHCQ Transmittal - Safe Discharge Planning and Reporting (HH, RSA) 2026-03-24 ↗ · our copy

OLTSSOffice of Long Term Services and Supports

The MDH Medicaid office that oversees CFC, CPAS, the Community Options Waiver and ICS, the programs that pay for personal assistance.Source: OHCQ Transmittal - Safe Discharge Planning and Reporting (HH, RSA) 2026-03-24 ↗ · our copy

provider type 76

The Maryland Medicaid enrollment type (Community Options Program) that licensed RSAs use to be paid for personal assistance.Source: SOP Personal Support and Personal Assistance Services (2025-03) ↗ · our copy

RSAResidential Service Agency

Maryland's license for agencies that send people to provide home health care services, such as personal care, in the homes of unrelated sick or disabled people. Issued by OHCQ, valid 3 years.Also written: RSAs, Residential Service AgenciesSource: OHCQ RSA License Application 2026-06-26 ↗ · our copy

RSA Certification

OHCQ's online form on how your personal care aides are classified. Someone with authority over your pay or employment practices must complete it, even if you won't hire aides.Source: OHCQ RSA License Application 2026-06-26 ↗ · our copy

SDATMaryland Department of Assessments and Taxation

Maryland's state business agency. RSA license applicants attach an SDAT letter of good standing, and Medicaid providers need an SDAT ID in good standing to file in MPRIME.Source: OHCQ RSA License Application 2026-06-26 ↗ · our copy

Open the Massachusetts page →

ABIAcquired Brain Injury

One of two MassHealth waivers under 130 CMR 630, alongside the Moving Forward Plan (MFP) waiver. You'll often see them written together as ABI/MFP.Also written: ABI/MFPSource: 651 CMR 3.00 Home Care Program current ↗ · our copy

ACOaccountable care organization

A type of MassHealth health plan. The state's EVV specification lists ACO plans as payers for home health and group adult foster care.Source: 2026 Senior Care Options plans (web page text) ↗

AGEExecutive Office of Aging & Independence

The Massachusetts state office for older adults. It runs the state Home Care Program and oversees day-to-day operation of the Frail Elder Waiver. Older documents call it EOEA.Source: 651 CMR 3.00 Home Care Program current ↗ · our copy

ASAPAging Services Access Point

A nonprofit agency under contract with AGE that assesses elders, makes and monitors their service plans, and buys services from contracted providers. You contract with an ASAP to serve Home Care Program clients.Also written: ASAPsSource: 651 CMR 3.00 Home Care Program current ↗ · our copy

auto-verified

An EVV visit recorded with no manual changes. MassHealth sets a minimum share of auto-verified visits for some providers.Source: MA Alternate EVV Technical Specification v1.9.3 ↗ · our copy

Chapter 180Chapter 180 of the Acts of 2026

The Massachusetts law approved Aug. 6, 2026 that creates a state home care agency license: a 3-year license from EOHHS.Source: Acts 2026 Chapter 180 An Act to improve Massachusetts home care (web page text) ↗

CORICriminal Offender Record Information

The Massachusetts criminal record check. It's required before a person can work or volunteer for an entity serving elderly or disabled people at home.Source: Frail Elder Waiver MA.0059.R08.00 approved application ↗ · our copy

CSNcontinuous skilled nursing

Continuous skilled nursing, a MassHealth service. To provide it, an agency needs home health accreditation from a CMS-approved body, home care accreditation from ACHC or CHAP, or Medicare certification.Source: DLS Information for employment agencies (web page text) ↗

deemed status

Medicare certification through DPH based on a Medicare-approved accrediting body. A home health agency needs Medicare certification to bill MassHealth.Source: DLS Information for employment agencies (web page text) ↗

DLSDepartment of Labor Standards

Massachusetts labor office that licenses employment agencies and registers placement agencies, including home care businesses that place workers paid directly by the household.Source: 651 CMR 3.00 Home Care Program current ↗ · our copy

DPHDepartment of Public Health

The Massachusetts health department. It does not license home health agencies, but a home health agency that bills MassHealth must be Medicare-certified through DPH.Source: DPH Apply for Home Health Agency Medicare Certification (web page text) ↗

DPPCDisabled Persons Protection Commission

An independent Massachusetts agency that protects adults with disabilities aged 18 to 59 from abuse or neglect by their caregivers. Report suspected abuse of these adults to its 24-hour hotline.Source: DPPC Mandated Reporter Info Sheet 2026-01 ↗ · our copy

EOB 784

The code on a MassHealth remittance advice that shows a claim did not match an EVV visit.Source: MA Alternate EVV Technical Specification v1.9.3 ↗ · our copy

EOEAExecutive Office of Elder Affairs

The older name for AGE, the Executive Office of Aging & Independence. You will still see it in older documents.Source: 651 CMR 3.00 Home Care Program current ↗ · our copy

EOHHSExecutive Office of Health and Human Services

The Massachusetts health and human services office. Under Chapter 180 of the Acts of 2026, it will issue the new state home care agency license.From the Massachusetts page

Frail Elder Waiver

The Massachusetts Medicaid waiver for people 60 and over who need nursing home level care. It covers homemaker, personal care, home health aide, companion and respite.Source: 651 CMR 3.00 Home Care Program current ↗ · our copy

GAFCgroup adult foster care

A MassHealth service. Fee-for-service GAFC providers must use EVV and meet MassHealth's target for auto-verified visits.Source: EVV HHA-GAFC Compliance Checkpoints ↗ · our copy

Home Care Program

The state-funded Massachusetts home care program for elders, delivered through ASAPs under 651 CMR 3.00.Source: 651 CMR 3.00 Home Care Program current ↗ · our copy

Home Care Worker Registry

A Massachusetts registry of home care workers. Agencies that employ workers under an ASAP contract send AGE each worker's name, address, employer, job title and trainings every quarter.Source: Frail Elder Waiver MA.0059.R08.00 approved application ↗ · our copy

managed intake

A waitlist AGE can start for the Massachusetts Home Care Program (PI-25-05). Since June 2025, ASAPs also give each applicant a Priority Level.Source: 651 CMR 3.00 Home Care Program current ↗ · our copy

MFPMoving Forward Plan

In Massachusetts, MFP means the Moving Forward Plan waiver (130 CMR 630), paired with the Acquired Brain Injury (ABI) waiver and often written ABI/MFP.Source: 651 CMR 3.00 Home Care Program current ↗ · our copy

PCAPersonal Care Attendant

In Massachusetts, MassHealth's self-directed Personal Care Attendant program (130 CMR 422). The page also uses PCA for the attendant, as in the cap on hours for any one PCA.Source: 651 CMR 3.00 Home Care Program current ↗ · our copy

PCA-27Transmittal Letter PCA-27

The MassHealth transmittal letter behind the PCA program changes effective July 3, 2026, including no coverage for any one PCA's services over 60 hours a week.Source: PCA-27 Revised Program Regulations 2026-06 ↗ · our copy

Sandata

The state-sponsored EVV system in Massachusetts. Agencies can use it, or a registered alternate EVV system that sends visits to the Sandata Aggregator.Also written: Sandata AggregatorSource: MA Alternate EVV Technical Specification v1.9.3 ↗ · our copy

SCOSenior Care Options

A MassHealth health plan that Frail Elder Waiver participants 65 and older can choose to get their services through, instead of through an ASAP.From the Massachusetts page

statement of fiscal soundness

A yearly statement Massachusetts home health agencies file with MassHealth, due by the end of May. MassHealth has proposed removing it.Also written: fiscal soundness statementSource: HHA Manual Subch 4 Regulations 130 CMR 403 current ↗ · our copy

Open the Michigan page →

ASMAdult Services Manual

MDHHS's Adult Services Manual, which holds Home Help policy, including the Home Help individual and agency county rates.Source: Michigan Medicaid Provider Manual (July 1 2026 edition) ↗ · our copy

ASWadult services worker

An MDHHS worker in a local office who authorizes each Home Help client's services.Also written: ASWs, adult services workersSource: R 325.45101-325.45385 Licensing Health Facilities or Agencies (incl. hospice) ↗ · our copy

BPHASA-2421

Michigan's form to exempt a live-in caregiver from EVV. The caregiver must live with the client in the caregiver's permanent home and file it with two proofs of address.Source: Michigan Medicaid Provider Manual (July 1 2026 edition) ↗ · our copy

Centralized IntakeCentralized Intake for Abuse and Neglect

MDHHS's hotline for reports of adult abuse, neglect or exploitation: 855-444-3911, open 24 hours a day, 7 days a week.Source: R 325.45101-325.45385 Licensing Health Facilities or Agencies (incl. hospice) ↗ · our copy

CHAMPSCommunity Health Automated Medicaid Processing System

Michigan's Medicaid provider enrollment system. Every Home Help caregiver must enroll in it, pass its criminal history screen and be approved before giving Home Help services.Source: ASM 135 Home Help Caregivers ↗ · our copy

CMHSPCommunity Mental Health Services Program

A local community mental health program. In Michigan, one can be a Home Help agency provider for self-determination arrangements.Source: MCL 333.20106 Public Health Code health facility definitions ↗ · our copy

Community Living Supports

A MI Choice waiver service. Agency workers giving it must be 18 or older, trained in first aid, universal precautions and blood-borne pathogens, and pass a criminal history review.Source: Michigan Medicaid Provider Manual (July 1 2026 edition) ↗ · our copy

Coordinated Caregiving

A structured family caregiving service MDHHS proposed adding to MI Choice, paying a daily rate with at least 70% going to the live-in caregiver as a stipend.Source: L 26-15 Proposed MI Choice Waiver Amendments ↗ · our copy

HASA-2104

The form a Michigan agency sends to the Home Help Policy Section, with a letter of intent and its IRS EIN letter, to apply to be a Home Help agency.Source: MCL 333.20106 Public Health Code health facility definitions ↗ · our copy

HHAeXchange

Michigan's state EVV system, free to providers. You can use your own system at your own cost if it sends data to the state aggregator.Source: Michigan Medicaid Provider Manual (July 1 2026 edition) ↗ · our copy

Home Help

Michigan's Medicaid state plan personal care program, run by MDHHS. Its Home Help Policy Section approves agency providers.Source: R 325.45101-325.45385 Licensing Health Facilities or Agencies (incl. hospice) ↗ · our copy

Home Help Policy Section

The MDHHS office that approves Home Help agency providers. Your agency needs its approval to be paid the Home Help agency rate.Source: MCL 333.20106 Public Health Code health facility definitions ↗ · our copy

HS-2601

Michigan Home Help audit form: the caregiver list, marking approved live-in EVV exemptions. Used in audits and new agency compliance reviews since August 1, 2026.Source: MMP 26-09 Home Help Program Policy Updates ↗ · our copy

HS-2602

Michigan Home Help audit form: the submission checklist used in audits and new agency compliance reviews.Source: MMP 26-09 Home Help Program Policy Updates ↗ · our copy

HS-2603

Michigan Home Help audit form: a payroll template for agencies that don't use a payroll company.Source: MMP 26-09 Home Help Program Policy Updates ↗ · our copy

Improved Workforce Opportunity Wage Act

Michigan's minimum wage law. It covers employers with 2 or more employees age 16 or older.Source: LEO Minimum Wage Required Poster 2025-2027 schedule ↗ · our copy

LARADepartment of Licensing and Regulatory Affairs

Michigan's licensing department. Its Bureau of Community and Health Systems licenses hospices and other health facilities and certifies nurse aides.Source: R 325.45101-325.45385 Licensing Health Facilities or Agencies (incl. hospice) ↗ · our copy

manual edits

Changes made by hand to an EVV visit record. In Michigan, missing clock-ins or clock-outs, missing GPS or phone numbers and changed times all count, and they count against the 85% rule.Also written: manual editSource: MMP 26-10 EVV Compliance ↗ · our copy

MCLMichigan Compiled Law

How Michigan state laws are cited: MCL plus a section number (for example, MCL 400.11a).Source: Michigan Medicaid Provider Manual (July 1 2026 edition) ↗ · our copy

MDHHSMichigan Department of Health and Human Services

Michigan's Medicaid agency. It runs Home Help, the Medicaid personal care program, and its Home Help Policy Section approves agency providers.Source: R 325.45101-325.45385 Licensing Health Facilities or Agencies (incl. hospice) ↗ · our copy

MHPMedicaid Health Plan

Michigan's Medicaid managed care plans. They cover home health for their members.Also written: MHPs, Medicaid Health PlansSource: R 325.45101-325.45385 Licensing Health Facilities or Agencies (incl. hospice) ↗ · our copy

MI Choice

Michigan's Medicaid waiver for people 65 or older, or adults 18 or older with disabilities, who meet nursing facility level of care. Services are arranged through waiver agencies.Source: Michigan Medicaid Provider Manual (July 1 2026 edition) ↗ · our copy

MI Health Link

Michigan's former program for people with both Medicare and Medicaid. MI Coordinated Health replaced it on January 1, 2026.Source: MMP 25-47 MI Coordinated Health Implementation ↗ · our copy

MICHMI Coordinated Health

MI Coordinated Health, Michigan's program for people with both Medicare and Medicaid (four regions as of 2026). Its plans cover personal care and long-term services.Also written: MI Coordinated HealthSource: R 325.45101-325.45385 Licensing Health Facilities or Agencies (incl. hospice) ↗ · our copy

MSA-119

A Michigan client form that can let an individual Home Help caregiver with a permissive exclusion keep working. It cannot be used for agency caregivers.Source: Michigan Medicaid Provider Manual (July 1 2026 edition) ↗ · our copy

MSA-1904Home Help Agency Invoice

Michigan's Home Help Agency Invoice. Agencies send one per client each month.Source: Michigan Medicaid Provider Manual (July 1 2026 edition) ↗ · our copy

PAHPPrepaid Ambulatory Health Plan

A type of Medicaid plan. Michigan's MI Choice waiver agencies, which MDHHS uses to run the waiver, operate as PAHPs.Also written: PAHPsSource: R 325.45101-325.45385 Licensing Health Facilities or Agencies (incl. hospice) ↗ · our copy

pass-through

The $3.40 part of Michigan's $27.00 Home Help agency hourly rate that is a pass-through for agency caregivers, on top of the $23.60 base.Source: Michigan Medicaid Provider Manual (July 1 2026 edition) ↗ · our copy

SIGMA VSSStatewide Integrated Governmental Management Application Vendor Self Service

The State of Michigan's vendor system. A new Home Help agency creates a vendor account in it as part of enrolling.Source: Michigan Medicaid Provider Manual (July 1 2026 edition) ↗ · our copy

Open the Minnesota page →

245D

The chapter of Minnesota law under which DHS licenses home and community-based services providers, for waiver services such as respite, adult companion and homemaker.Also written: chapter 245DSource: MDH Temporary Basic Home Care License Application ↗ · our copy

ACAlternative Care

A Minnesota program listed with the waivers. AC members lost PCA after March 31, 2026 and moved to CFSS, another AC service or informal supports.Also written: Alternative CareSource: MHCP Provider News 2026-03-24 ↗ · our copy

background study

Minnesota's term for a background check. Home care owners, managers, employees, contractors and volunteers need one and may be disqualified under chapter 245C.Also written: background studiesSource: Minn Stat ch 144A (incl Home Care 144A.43-144A.4799) 2025 ↗ · our copy

basic home care license

The lower of Minnesota's two MDH home care licenses: help with dressing, bathing, toileting and similar personal care tasks.Also written: basic licenseSource: Minn Stat ch 144A (incl Home Care 144A.43-144A.4799) 2025 ↗ · our copy

BIBrain Injury

One of Minnesota's disability waivers (the BI waiver).Source: MHCP Provider News 2026-03-24 ↗ · our copy

CACCommunity Alternative Care

One of Minnesota's disability waivers (the CAC waiver).Source: MHCP Provider News 2026-03-24 ↗ · our copy

CADICommunity Access for Disability Inclusion

One of Minnesota's disability waivers (the CADI waiver).Source: MHCP Provider News 2026-03-24 ↗ · our copy

CFSSCommunity First Services and Supports

The Minnesota Medicaid program that is replacing PCA. CFSS agencies enroll with DHS rather than getting an MDH home care license.From the Minnesota page

common entry point

Where Minnesota providers report suspected maltreatment of a vulnerable adult, right away. DHS's CFSS state plan says reports go to MAARC.Source: MDH Temporary Basic Home Care License Application ↗ · our copy

comprehensive home care license

The higher of Minnesota's two MDH home care licenses: adds nursing, therapy, delegated tasks and medication management.Also written: comprehensive licenseSource: Minn Stat ch 144A (incl Home Care 144A.43-144A.4799) 2025 ↗ · our copy

DDDevelopmental Disabilities

One of Minnesota's disability waivers (the DD waiver).Source: MHCP Provider News 2026-03-24 ↗ · our copy

DHSDepartment of Human Services

Minnesota's Medicaid agency. It enrolls PCA agencies and CFSS agency-providers and pays Medical Assistance (MA) claims, through Minnesota Health Care Programs (MHCP).Source: MDH Temporary Basic Home Care License Application ↗ · our copy

Dual Solution

Medica's name for its MSHO plan. Its Elderly Waiver claims keep payer ID 94265.Source: Medica 2026 Set-Up and Billing for Elderly Waiver Providers ↗

EWElderly Waiver

Minnesota's Medicaid waiver for seniors. Members enrolled in a health plan cannot get the county-administered fee-for-service EW.Also written: Elderly WaiverSource: Minn Stat 256B.85 CFSS 2025 ↗ · our copy

fidelity bond

A bond Minnesota PCA and CFSS agencies must have, $20,000 for each location, on top of their surety bond.Source: Minn Stat 256B.85 CFSS 2025 ↗ · our copy

HCBS designation

An add-on to an MDH home care license ($155 initial fee) that lets the provider give waiver respite, adult companion and homemaker services without a 245D license, alongside at least one home care service for each client.Source: Minn Stat ch 144A (incl Home Care 144A.43-144A.4799) 2025 ↗ · our copy

HHAeXchange

The company that sends DHS and Minnesota providers an EVV compliance report around the 25th of each month.Source: MHCP Provider News 2026-03-24 ↗ · our copy

Home Care Orientation Trust

Named in Minnesota's PCA and CFSS rate law: workers who finish its orientation (or one offered by DHS) qualify for higher rate tiers from Jan. 1, 2027 or federal approval, whichever is later.Source: MN DLI Minimum Wage page (2026 and 2027 rates) (web page text) ↗

home management services

At least two of housekeeping, meal preparation and shopping. Providers of only these register with MDH each year ($20 for individuals, $50 for organizations) instead of getting a license.Also written: home managementSource: Minn Stat ch 144A (incl Home Care 144A.43-144A.4799) 2025 ↗ · our copy

InstaMed

The company that sends Medica's electronic payments for Elderly Waiver claims under payer ID 71890, instead of Optum Pay.Source: Medica 2026 Set-Up and Billing for Elderly Waiver Providers ↗

MAARCMinnesota Adult Abuse Reporting Center

Minnesota's common entry point for reports of suspected maltreatment of a vulnerable adult.Source: Minn Stat 626.5572 Vulnerable Adults Definitions 2025 ↗ · our copy

MDHMinnesota Department of Health

The Minnesota agency that issues basic and comprehensive home care licenses and home management registrations, and surveys licensed providers.Source: MDH Temporary Basic Home Care License Application ↗ · our copy

Medical Assistance

Minnesota's name for Medicaid, often shortened to MA.Also written: MAFrom the Minnesota page

MHCPMinnesota Health Care Programs

The DHS programs through which Minnesota runs Medicaid. DHS enrolls PCA and CFSS agencies and pays Medical Assistance claims through MHCP.Source: MDH Temporary Basic Home Care License Application ↗ · our copy

MN–ITS

Minnesota's online system for Medicaid providers, used to submit electronic claims. DHS also sends notices to each provider's MN–ITS mailbox.Also written: MN-ITSSource: DHS Resources for New HCBS Waiver and 245D Licensed Providers ↗ · our copy

MSC+Minnesota Senior Care Plus

A Medical Assistance health plan program for seniors in Minnesota, offered alongside MSHO by seven health plans in 2026.From the Minnesota page

MSHOMinnesota Senior Health Options

A Medical Assistance health plan program for seniors in Minnesota. Seven health plans offer it in 2026.From the Minnesota page

Optum

The company that does pre-payment review of Minnesota fee-for-service claims for 14 high-risk services, including CFSS. The page also names Optum Pay for some Medica electronic payments.Source: MHCP Provider News 2026-03-24 ↗ · our copy

PCAPersonal Care Assistance

Minnesota's Medicaid personal care assistance program, now being replaced by CFSS. PCA workers take the state's standardized PCA and CFSS training and test.Source: MN SPA 24-21 Community First Choice CFSS State Plan ↗ · our copy

pre-payment review

A DHS process, announced Oct. 29, 2025, that can hold fee-for-service claims for 14 high-risk services, including CFSS and adult companion, for up to 90 days before payment.Source: Minn Stat 256B.85 CFSS 2025 ↗ · our copy

PREPAYDOCREQUEST

A folder in your MN–ITS mailbox to check often during pre-payment review, so you can answer record requests on time.Source: MHCP Provider News 2026-03-24 ↗ · our copy

PRVLTR

The folder in your MN–ITS mailbox where DHS puts EVV corrective action notices when you miss the compliance threshold.Source: MHCP Provider News 2026-03-24 ↗ · our copy

temporary license

The first MDH home care license a new Minnesota provider gets: $2,100 basic or $4,200 comprehensive.Also written: temporary licenseeSource: Minn Stat ch 144A (incl Home Care 144A.43-144A.4799) 2025 ↗ · our copy

Vulnerable Adults Act

Minnesota's law on maltreatment of vulnerable adults. Home care, PCA and CFSS providers count as "facilities" under it, so their staff are mandated reporters.Source: Minn Stat ch 144A (incl Home Care 144A.43-144A.4799) 2025 ↗ · our copy

Waiver 101

A DHS training that at least one owner or managerial official must finish before enrolling as a new waiver provider.Source: Minn Stat 256B.85 CFSS 2025 ↗ · our copy

Open the Mississippi page →

designated worksite

A Mississippi E&D supervisor's worksite. Having one within 60 miles of each client lets you serve clients beyond 60 miles from your office.Source: DOM Title 23 Part 208 HCBS Waivers (Admin Code) ↗ · our copy

DOMDivision of Medicaid

Mississippi's Medicaid agency. Its Office of Long Term Services and Supports (OLTSS) runs the E&D Waiver.Source: MSDH Home Health Agencies Minimum Standards (15 MAC Pt16 Subpt1 Ch46) ↗ · our copy

E&D WaiverElderly and Disabled Waiver

Mississippi's main Medicaid waiver for home care, run by DOM. Personal care and in-home respite are billed in 15-minute units.Also written: E&DSource: Elderly and Disabled Waiver MS.0272 approved eff 2023-07-01 ↗ · our copy

exigent circumstances

Documented special circumstances that allow a manual EVV entry in Mississippi. An aide who simply doesn't use the system does not count.Also written: exigent circumstanceSource: DOM Title 23 Part 200 General Provider Information eff 2026-08-01 ↗ · our copy

FOB device

An EVV clock-in option in Mississippi for waiver visits only, besides the mobile app and phone (IVR).Source: DOM Title 23 Part 200 General Provider Information eff 2026-08-01 ↗ · our copy

Gainwell

Mississippi Medicaid's fiscal agent. Claims for EVV services reach it through HHAeXchange.Source: Elderly and Disabled Waiver MS.0272 approved eff 2023-07-01 ↗ · our copy

HHAeXchange

Mississippi's free state EVV system. EVV is required for waiver personal care and respite, state plan personal care, private duty nursing and home health, and EVV claims go through HHAeXchange since Dec. 1, 2025.Source: DOM Title 23 Part 200 General Provider Information eff 2026-08-01 ↗ · our copy

MDHSMississippi Department of Human Services

Mississippi's adult protection agency. It acts under the Vulnerable Persons Act.Source: MSDH Home Health Agencies Minimum Standards (15 MAC Pt16 Subpt1 Ch46) ↗ · our copy

MDMHMississippi Department of Mental Health

The Mississippi department that certifies ID/DD Waiver Home and Community Supports providers.Source: MSDH Home Health Agencies Minimum Standards (15 MAC Pt16 Subpt1 Ch46) ↗ · our copy

MESA

Mississippi Medicaid's provider portal, where you check your Remittance Advice.Source: Elderly and Disabled Waiver MS.0272 approved eff 2023-07-01 ↗ · our copy

MississippiCAN

Mississippi's Medicaid health plan program. Since July 1, 2025 its plans are Magnolia Health, Molina Healthcare and TrueCare. You bill them outside HHAeXchange.Source: Elderly and Disabled Waiver MS.0272 approved eff 2023-07-01 ↗ · our copy

MSDHMississippi State Department of Health

Mississippi's health department. Its Division of Health Facilities Licensure and Certification licenses home health agencies.Source: MSDH Home Health Agencies Minimum Standards (15 MAC Pt16 Subpt1 Ch46) ↗ · our copy

MSDH Background Check Unit

The MSDH office that runs fingerprint checks for Mississippi's unlicensed Medicaid home and community-based providers.Also written: Background Check UnitSource: MSDH Home Health Agencies Minimum Standards (15 MAC Pt16 Subpt1 Ch46) ↗ · our copy

Nurse Aide Abuse Registry

A Mississippi registry that E&D providers must check before hiring a worker and every month after that.Also written: Mississippi Nurse Aide Abuse RegistrySource: DOM Title 23 Part 208 HCBS Waivers (Admin Code) ↗ · our copy

off-cycle revalidation

A revalidation outside the normal schedule. CMS requires it of Mississippi HCBS providers that haven't revalidated in the past year.Source: The Scoop HCBS newsletter V2 I1 2026-07-01 ↗ · our copy

OLTSSOffice of Long Term Services and Supports

The Division of Medicaid office that runs Mississippi's E&D Waiver. Contact: (601) 359-6141, HCBSProviders@medicaid.ms.gov.Source: MSDH Home Health Agencies Minimum Standards (15 MAC Pt16 Subpt1 Ch46) ↗ · our copy

Part 200Title 23, Part 200: General Provider Information

Mississippi Medicaid's General Provider Information rules, which apply to all providers.Source: DOM Title 23 Part 200 General Provider Information eff 2026-08-01 ↗ · our copy

Part 208Title 23, Part 208: Home and Community Based Services (HCBS) Long Term Care

Mississippi Medicaid's rules for Home and Community Based Services (HCBS) long-term care waivers, such as the E&D Waiver. New E&D providers finish Part 208 training.Source: DOM Title 23 Part 208 HCBS Waivers (Admin Code) ↗ · our copy

Program Integrity

Where Mississippi agencies report suspected EVV falsification, within two business days.Source: DOM Title 23 Part 200 General Provider Information eff 2026-08-01 ↗ · our copy

Qualifying Relative DCW Questionnaire

A Division of Medicaid form to keep on file when a qualified relative is paid as the aide in Mississippi (new version August 2025).Source: DOM Title 23 Part 208 HCBS Waivers (Admin Code) ↗ · our copy

rap sheet

A criminal history record. Since July 1, 2026, MSDH's Background Check Unit reviews all Mississippi healthcare rap sheets and makes the final employment eligibility decision.Also written: rap sheetsSource: The Scoop HCBS newsletter V2 I1 2026-07-01 ↗ · our copy

sub-unit

In Mississippi home health licensing, what you need (with a Certificate of Need) to serve counties outside those on your license.Source: MSDH Home Health Agencies Minimum Standards (15 MAC Pt16 Subpt1 Ch46) ↗ · our copy

TBI/SCI WaiverTraumatic Brain Injury/Spinal Cord Injury Waiver

One of Mississippi's Medicaid home and community-based waivers, for people with a traumatic brain injury or spinal cord injury.Source: DOM Title 23 Part 200 General Provider Information eff 2026-08-01 ↗ · our copy

Vulnerable Persons Act

Mississippi's adult protection law. The Department of Human Services (MDHS) handles adult protection under it.Source: MSDH Home Health Agencies Minimum Standards (15 MAC Pt16 Subpt1 Ch46) ↗ · our copy

Open the Missouri page →

A&D WaiverAged & Disabled Waiver

Missouri's Aged & Disabled Waiver, one of seven waivers run by DHSS. From July 1, 2026, its basic and advanced respite is limited to 49 hours a week per participant.Also written: Aged & Disabled Waiver, Aged and Disabled WaiverSource: Bulletin 49-03 ADW and ILW Service Provision Limits 2026-07 ↗

advanced personal care

A Missouri Medicaid personal care service. Its aides must be an LPN, a certified nurse assistant, a competency-evaluated home health aide, or have finished personal care aide training.Source: 19 CSR 15-7 In-Home Service Standards (7-31-2023) ↗ · our copy

Bureau of Home Care and Rehabilitative Standards

The part of DHSS that handles home health licensing in Missouri. Phone 573-751-6336.Source: The 3 Types of Care in the Home (10-28-2025) ↗ · our copy

CDSconsumer-directed services

Missouri's consumer-directed personal care. CDS vendors need a Certified CDS Manager who passed MMAC's test, and send MMAC quarterly reports within 30 days after each quarter.Also written: consumer-directed servicesSource: DHSS HCBS Waivers Summary ↗ · our copy

DCN

The participant's Medicaid ID number in Missouri. Your claim's DCN must match the EVV visit or the claim is denied.Source: MO HealthNet Hot Tip: EVV Claims Validation, Non-Compliant Claims Will Deny Beginning April 1, 2026 (web page, March 30, 2026) ↗

designated manager

The manager a Missouri Medicaid in-home services provider names. This person must pass MMAC's certification course, then attend a yearly update meeting.Also written: designated managersSource: 13 CSR 70-91 Personal Care Program ↗ · our copy

DHSSDepartment of Health and Senior Services

Missouri's Department of Health and Senior Services. It licenses home health agencies, but issues no license for non-medical home care.From the Missouri page

DSDSDivision of Senior and Disability Services

The DHSS division that assesses participants and authorizes Medicaid in-home services in Missouri. Call center: 866-835-3505.Source: The 3 Types of Care in the Home (10-28-2025) ↗ · our copy

EASEVV Aggregator Solution

Missouri's EVV Aggregator Solution, hosted by Sandata. Your EVV vendor sends visit data there at least daily, and claims must match a visit in it.Also written: EVV Aggregator SolutionSource: 13 CSR 70-3 MO HealthNet Program Integrity and Records (1-29-2026) ↗ · our copy

EDLEmployee Disqualification List

Missouri's Employee Disqualification List. In-home providers must not employ anyone on it, and unlike a criminal finding, an EDL listing can't be waived.Also written: Employee Disqualification ListSource: FCSR Worker Registration Form ↗ · our copy

FCSRFamily Care Safety Registry

Missouri's screening registry. In-home services and home health providers must request FCSR screenings, covering criminal history and the EDL, on all prospective employees.Also written: Family Care Safety RegistrySource: 19 CSR 15-7 In-Home Service Standards (7-31-2023) ↗ · our copy

good cause waiver

A DHSS waiver that lets a person barred by a criminal finding be hired in Missouri. It can't be used for an Employee Disqualification List (EDL) listing.Source: 19 CSR 15-7 In-Home Service Standards (7-31-2023) ↗ · our copy

Independent Living Waiver

A Missouri waiver run by DHSS. From July 1, 2026, its personal care is limited to 49 hours a week per participant.Source: Bulletin 49-03 ADW and ILW Service Provision Limits 2026-07 ↗

MHDMO HealthNet Division

The Department of Social Services division that runs Missouri Medicaid payment and EVV.Source: The 3 Types of Care in the Home (10-28-2025) ↗ · our copy

MMACMissouri Medicaid Audit and Compliance

The Department of Social Services unit that gives out the contracts agencies need to provide Medicaid in-home services such as personal care, homemaker, chore and respite.Source: The 3 Types of Care in the Home (10-28-2025) ↗ · our copy

MO HealthNet

Missouri's name for its Medicaid program. It pays for in-home services such as personal care.From the Missouri page

MOHB

Healthy Blue's service description in Missouri's EVV vendor specification version 14.0 (July 2026). It replaces MOBCBS.Source: Missouri EVV Vendor Specification v14.0 2026-07 ↗ · our copy

provider types 26 and 28

MO HealthNet's provider types for DSDS-authorized services: personal care, advanced personal care, consumer-directed services, homemaker, chore and respite. Their claims need a matching EVV visit.Source: MO HealthNet Hot Tip: EVV Claims Validation, Non-Compliant Claims Will Deny Beginning April 1, 2026 (web page, March 30, 2026) ↗

S5126

Billing code (with modifier HB) for Structured Family Caregiving Waiver attendant care in Missouri. Its maximum rate rose from $103.80 to $110.33 on July 1, 2026.Also written: S5126 HBSource: DHSS HCBS Waivers Summary ↗ · our copy

S5170

Billing code for Aged & Disabled Waiver home-delivered meals in Missouri. Its maximum rate rose from $6.71 to $10.99 effective July 1, 2026.Source: DHSS HCBS Waivers Summary ↗ · our copy

Sandata

The company that hosts Missouri's EVV Aggregator Solution (EAS). Your own EVV vendor sends visit data to it.Source: 13 CSR 70-3 MO HealthNet Program Integrity and Records (1-29-2026) ↗ · our copy

Structured Family Caregiving

A Missouri waiver run by DHSS. Its attendant care (S5126 HB) maximum rate rose from $103.80 to $110.33 on July 1, 2026.Also written: Structured Family Caregiving WaiverSource: DHSS HCBS Waivers Summary ↗ · our copy

supplemental health care services agency

A Missouri staffing agency that provides temporary health care workers to health care facilities. It registers with DHSS: $830 initial, $700 renewal, each year.Also written: supplemental health care services agenciesSource: RSMo 197.400-197.475 Home Health Agency Statutes ↗ · our copy

Title XIX

Another name for Medicaid. In Missouri, once MMAC approves your in-home services proposal, you sign a Medicaid (Title XIX) participation agreement.Source: RSMo 197.400-197.475 Home Health Agency Statutes ↗ · our copy

Title XX

Part of Missouri's in-home services approval: MMAC must approve your written proposal as a Title XX in-home services provider before you can sign the Medicaid (Title XIX) agreement.Source: 13 CSR 70-91 Personal Care Program ↗ · our copy

Open the Montana page →

ABAgency Based

Agency Based: Montana's policy manual for agency-run CFC/PAS services. Policy numbers such as AB 612 (EVV) and AB 706 (training) are sections of it.Source: AB 718 Service Delivery Records ↗ · our copy

ARMAdministrative Rules of Montana

Montana's official state rules, cited by number. For example, ARM 37.106 holds the rules for licensed health care facilities such as home health agencies.Source: AB 612 Electronic Visit Verification ↗ · our copy

Big Sky Waiver

Montana's Medicaid waiver for people 65 or older or with physical disabilities, run by the DPHHS Senior and Long Term Care Division (SLTC).Source: HHA Initial Application Letter 2025 ↗ · our copy

CFC/PASCommunity First Choice/Personal Assistance Services

Montana Medicaid's personal care program, Community First Choice/Personal Assistance Services, run by the DPHHS Senior and Long Term Care Division (SLTC).Source: HHA Initial Application Letter 2025 ↗ · our copy

CG modifier

A billing modifier Montana added for Community First Choice when the member's caregiver is a legally responsible individual.Source: How To Adjust Paid EVV Claims 2025 ↗ · our copy

Conduent

Montana Medicaid's fiscal agent. It enrolls providers through the MPATH system and processes claims.Source: HHA Initial Application Letter 2025 ↗ · our copy

congregate

A group setting. Montana's EVV rule does not cover services delivered in a congregate setting.Source: EVV Full Compliance Deadline 2024 ↗ · our copy

DPHHSDepartment of Public Health and Human Services

Montana's Department of Public Health and Human Services. Its Licensure Bureau licenses home health agencies and hospices.Source: AB 612 Electronic Visit Verification ↗ · our copy

face-to-face encounter

A required in-person encounter for Montana Medicaid home health. It must happen within 90 days before or 30 days after the start of care.Source: Big Sky Waiver 1915c Application effective 2024-07-01 ↗ · our copy

Mobile Caregiver+

Netsmart's EVV system, which Montana gives providers free. Another EVV system is allowed only if DPHHS certifies it and it sends data to Netsmart.Also written: NetsmartSource: EVV Full Compliance Deadline 2024 ↗ · our copy

MPATH

The system Montana Medicaid's fiscal agent, Conduent, uses to enroll providers.Source: HHA Initial Application Letter 2025 ↗ · our copy

MPQHMountain-Pacific Quality Health

Mountain-Pacific Quality Health, Montana's utilization review vendor. Its nurses complete each CFC/PAS member's Service Profile, which sets the authorized hours.Source: HHA Initial Application Letter 2025 ↗ · our copy

nurse supervisor

The licensed nurse an agency-based CFC/PAS provider must employ, with at least one year in aging and disability services. It can't be a direct-care worker or the majority owner.Source: AB 706 Training Attendants ↗ · our copy

PASPersonal Assistance Services

In Montana, the Medicaid personal assistance service that runs together with Community First Choice as one program, CFC/PAS.Source: HHA Initial Application Letter 2025 ↗ · our copy

Passport to Health

Montana Medicaid's former referral program, which ended June 30, 2026. Claims for dates of service after June 30 no longer need a Passport referral ID; earlier dates still do.Also written: PassportSource: Referrals Medical Orders and PA Beginning July 1 2026 ↗ · our copy

Primary Care Montana

The Montana Medicaid program that began July 1, 2026, as Passport to Health ended.Source: Referrals Medical Orders and PA Beginning July 1 2026 ↗ · our copy

QAMSQuality Assurance Management System

The state system where Montana agencies enter Serious Occurrence Reports (SORs) about incidents.Source: AB 706 Training Attendants ↗ · our copy

SDMISevere Disabling Mental Illness

A Montana Medicaid waiver for people with severe disabling mental illness. Its services are covered by EVV.Source: EVV Full Compliance Deadline 2024 ↗ · our copy

Service Profile

The document MPQH's registered nurses complete for each CFC/PAS member. It sets how many hours of care are authorized.Source: HHA Initial Application Letter 2025 ↗ · our copy

SLTCSenior and Long Term Care Division

The DPHHS division that runs Community First Choice/Personal Assistance Services (CFC/PAS), the Big Sky Waiver and the Medicaid home health program.Source: HHA Initial Application Letter 2025 ↗ · our copy

SLTC-124

Montana's home health prior authorization request form. It is sent to MPQH, the utilization review vendor.Source: HHA Initial Application Letter 2025 ↗ · our copy

SORSerious Occurrence Report

Montana's incident report. A CFC/PAS agency enters it in QAMS within 10 working days of the incident being reported.Also written: Serious Occurrence ReportSource: AB 706 Training Attendants ↗ · our copy

Open the Nebraska page →

AD WaiverAged and Disabled Waiver

Nebraska's Aged and Disabled Waiver. Area Agencies on Aging and Independent Living Centers do its service coordination.Also written: Aged and Disabled WaiverSource: Health Care Facility Licensure Act Statutes 2024 ↗ · our copy

DDADivision of Disability and Aging

The DHHS division that runs Nebraska's home and community-based services (HCBS) waivers.Source: Health Care Facility Licensure Act Statutes 2024 ↗ · our copy

DHHSDepartment of Health and Human Services

Nebraska's Department of Health and Human Services. It licenses home health agencies and respite care services.From the Nebraska page

G0156

Home health billing code for a brief aide visit. Nebraska's July 1, 2026 fee schedule lists $61.89 per visit; since Jan. 1, 2024, it is billed in 15-minute units using the Rule of 8.Source: 482 NAC 4 (09-27-2021) ↗ · our copy

geofence

The area around the scheduled location where a GPS EVV visit must start and end: 0.50 miles in rural ZIP codes, 0.25 miles in urban ones. Claims for visits outside it are denied.Source: AD Waiver 1915c Renewal NE.0187.R08 eff 2026-07-01 ↗ · our copy

Heritage Health

Nebraska's Medicaid managed care program: Molina, Nebraska Total Care and UnitedHealthcare. The plans pay for home health, not personal assistance or waiver services.Source: Nebraska Medicaid Provider Manual 2026-01 ↗ · our copy

in-home personal services

Nebraska's legal name for attendant, companion and homemaker services that don't need medical or nursing judgment. Agencies giving only these need no license.Source: Health Care Facility Licensure Act Statutes 2024 ↗ · our copy

LRIlegally responsible individual

A legally responsible individual, such as a spouse or the parent of a minor child. LRI Personal Care is AD Waiver personal care given by such a person.Also written: LRI Personal CareSource: AD Waiver 1915c Renewal NE.0187.R08 eff 2026-07-01 ↗ · our copy

Maximus

The contractor that handles Nebraska Medicaid provider enrollment for MLTC.Source: Health Care Facility Licensure Act Statutes 2024 ↗ · our copy

MC-19

Nebraska's Medicaid Service Provider Agreement. HCBS providers renew it, with its Addendum (MC-190), every year and revalidate every five years.Source: 482 NAC 4 (09-27-2021) ↗ · our copy

MLTCDivision of Medicaid and Long-Term Care

The DHHS division that runs Nebraska Medicaid. Provider enrollment goes through its contractor, Maximus.Source: Health Care Facility Licensure Act Statutes 2024 ↗ · our copy

NACNebraska Administrative Code

Nebraska's state regulations, cited by title and chapter. For example, 175 NAC 14 is the home health license rule and 471 NAC 15 covers personal assistance.Source: Nebraska Medicaid Provider Manual 2026-01 ↗ · our copy

NDENNebraska Data Exchange Network

Nebraska's criminal history check. AD Waiver agencies run an NDEN check on staff before first contact with a participant and every year after.Source: Health Care Facility Licensure Act Statutes 2024 ↗ · our copy

Netsmart

The company behind Netsmart Mobile Caregiver+, Nebraska's EVV system for personal assistance and the AD and TBI waivers.Also written: Netsmart Mobile Caregiver+Source: AD Waiver 1915c Renewal NE.0187.R08 eff 2026-07-01 ↗ · our copy

NFOCUS

The Nebraska system that has paid AD Waiver services. The waiver renewal (proposed effective July 1, 2026) moves payments to a state web-based case management system.Source: AD Waiver 1915c Renewal NE.0187.R08 eff 2026-07-01 ↗ · our copy

PASpersonal assistance services

Nebraska Medicaid's state plan personal assistance service (471 NAC 15). It pays $3.75 per 15 minutes for services on or after July 1, 2026.Also written: personal assistanceSource: 482 NAC 4 (09-27-2021) ↗ · our copy

Resource Developer

In Nebraska, AD Waiver rates are negotiated with the Resource Developer, and the rate can't be more than you charge private-pay clients.Source: 482 NAC 4 (09-27-2021) ↗ · our copy

respite care service

In Nebraska, a licensed service that gives short-term temporary care when a person's primary caregiver is unavailable. Licensed under 175 NAC 15.Also written: respite care servicesSource: Health Care Facility Licensure Act Statutes 2024 ↗ · our copy

Rule of 8

A rule for billing 15-minute units: 8 to 22 minutes counts as 1 unit, 23 to 37 as 2 units, and so on. Nebraska uses it for home health codes G0151 to G0156.Source: Provider Bulletin 24-05 ↗ · our copy

Therap

An EVV system that Nebraska DD waiver providers may use instead of Netsmart.Source: AD Waiver 1915c Renewal NE.0187.R08 eff 2026-07-01 ↗ · our copy

Type 1 NPI

An individual National Provider Identifier. In Nebraska, each HCBS and personal assistance direct care worker needs one; the agency needs a Type 2 (organization) NPI.Source: Provider Bulletin 24-24 ↗ · our copy

Open the Nevada page →

ADSDAging and Disability Services Division

The Nevada division that runs the Frail Elderly (FE) waiver together with Nevada Medicaid.Source: HCQC PCA Surveyor Workbook 2024-12 ↗ · our copy

Central Repository for Nevada Records of Criminal History

Nevada's state criminal records office. Agencies send new workers' fingerprints there (and to the FBI) within 10 days of hiring.Also written: Central RepositorySource: HCQC PCA Surveyor Workbook 2024-12 ↗ · our copy

DHCFPDivision of Health Care Financing and Policy

The former name of Nevada Medicaid. Older documents still use it.Source: HCQC PCA Surveyor Workbook 2024-12 ↗ · our copy

DPBHDivision of Public and Behavioral Health

The office Nevada Medicaid documents still name as the license issuer. The 2026 HCQC fee rule removes that name.Source: HCQC PCA Surveyor Workbook 2024-12 ↗ · our copy

eight-minute rule

How Nevada's Sandata EVV counts units: under 8 minutes is 0 units, 8:00 to 22:59 minutes is 1 unit, then 1 more unit for each additional 15 minutes.Source: WA 3119 Urgent Updates EVV Providers and System Vendor 2023-07 ↗ · our copy

FA-24

Nevada Medicaid's personal care authorization form, used for initial, annual and transfer requests. Only the version dated 07/21/2026 is accepted after September 21, 2026.Source: WA 3966 New PCS Initial PA Submission and Updated FA-24 2026-07 ↗ · our copy

FA-24T

Nevada Medicaid's old personal care transfer form. It was merged into form FA-24 on July 21, 2026.Source: WA 3966 New PCS Initial PA Submission and Updated FA-24 2026-07 ↗ · our copy

FASPFunctional Assessment Service Plan

The in-home assessment a physical or occupational therapist does for Nevada Medicaid personal care.Also written: Functional Assessment Service PlanSource: HCQC PCA Surveyor Workbook 2024-12 ↗ · our copy

FEFrail Elderly

Nevada's Frail Elderly waiver for people 65 and older. In-home services include homemaker, respite, chore and adult companion; agencies enroll as provider type 48.Also written: Frail Elderly waiverSource: MSM Chapter 3500 Personal Care Services 2026-07-01 ↗ · our copy

Gainwell Technologies

The company that is Nevada Medicaid's fiscal agent: (877) 638-3472.Source: HCQC PCA Surveyor Workbook 2024-12 ↗ · our copy

HCQCBureau of Health Care Quality and Compliance

Nevada's licensing bureau. It licenses and surveys personal care agencies and certifies and surveys intermediary service organizations (ISOs).Source: HCQC PCA Surveyor Workbook 2024-12 ↗ · our copy

Independent Contractor model

A Nevada personal care model that Medicaid's ISO chapter (MSM 2600) removed as obsolete, effective July 1, 2026.Source: WA 3966 New PCS Initial PA Submission and Updated FA-24 2026-07 ↗ · our copy

ISOintermediary service organization

In Nevada, an organization for self-directed care. It needs an HCQC certificate and enrolls in Medicaid as provider type 83.Also written: ISOsSource: HCQC PCA Surveyor Workbook 2024-12 ↗ · our copy

legally responsible individuals

Spouses, legal guardians and parents of minors. In Nevada they may not be paid for State Plan personal care.Also written: Legally responsible individualsSource: MSM Chapter 3500 Personal Care Services 2026-07-01 ↗ · our copy

MAABD

Nevada's aged, blind and disabled Medicaid group. Like waiver members, these members are excluded from managed care and stay with fee-for-service.Source: MSM Chapter 3500 Personal Care Services 2026-07-01 ↗ · our copy

MLNNV

The payer ID for Molina EVV claims in Nevada, used since April 1, 2026.Source: WA 3119 Urgent Updates EVV Providers and System Vendor 2023-07 ↗ · our copy

MSMMedicaid Services Manual

Nevada Medicaid's Medicaid Services Manual, cited by chapter or section number (for example, MSM 3503 for personal care).Also written: Medicaid Services ManualSource: MSM Chapter 3500 Personal Care Services 2026-07-01 ↗ · our copy

NABS

The online system Nevada agencies use to file worker fingerprint background checks with the state Central Repository and the FBI.Source: HCQC PCA Surveyor Workbook 2024-12 ↗ · our copy

NACNevada Administrative Code

The Nevada Administrative Code: the state's regulations, cited by chapter and section (for example, NAC 449.3972 for personal care agencies).Source: Frail Elderly Waiver Renewal Application 2025 ↗ · our copy

NRSNevada Revised Statutes

The Nevada Revised Statutes: the state's laws, cited by chapter and section (for example, NRS 449.123 on background checks).Source: MSM Chapter 100 Medicaid Program 2026-07-29 ↗ · our copy

NVHANevada Health Authority

The Nevada state agency that houses the Division of Nevada Medicaid.Also written: Nevada Health AuthoritySource: HCQC PCA Surveyor Workbook 2024-12 ↗ · our copy

NVMED

The payer ID for Nevada Medicaid fee-for-service EVV claims, used since April 1, 2026.Source: WA 3119 Urgent Updates EVV Providers and System Vendor 2023-07 ↗ · our copy

PCSpersonal care services

Nevada Medicaid's short name for personal care services. "PCS Initial" is the Provider Web Portal choice for first-time personal care authorization requests.Source: WA 3966 New PCS Initial PA Submission and Updated FA-24 2026-07 ↗ · our copy

Physical Disabilities waiver

A Nevada Medicaid waiver (provider type 58) covering homemaker, attendant, respite and chore services.Also written: PD waiverSource: MSM Chapter 3500 Personal Care Services 2026-07-01 ↗ · our copy

provider type

Nevada Medicaid's number for each kind of provider: 30 and 83 for personal care, 48 and 58 for waiver services, 29 for home health and private duty nursing, 95 for Structured Family Caregiving.Also written: provider typesSource: WA 3119 Urgent Updates EVV Providers and System Vendor 2023-07 ↗ · our copy

PWPProvider Web Portal

Nevada Medicaid's online Provider Web Portal. You submit personal care authorization requests on form FA-24 through it.Also written: Provider Web PortalSource: MSM Chapter 3500 Personal Care Services 2026-07-01 ↗ · our copy

QIO-like vendorQuality Improvement Organization-like vendor

The contractor that handles Nevada Medicaid personal care authorizations: (800) 525-2395.Source: HCQC PCA Surveyor Workbook 2024-12 ↗ · our copy

R071-26

The Nevada State Board of Health regulation, filed July 1, 2026, that raised many HCQC license fees.Source: NAC 449 Fee Changes Adopted Regulation R071-26 2026 ↗ · our copy

R109-18

The Nevada rule, effective January 30, 2019, that licenses employment agencies providing nonmedical personal care services in the home.Source: HCQC PCA Surveyor Workbook 2024-12 ↗ · our copy

Sandata

Nevada's state EVV system since January 1, 2024. You may use an alternate EVV system, but you must still register with Sandata.Source: WA 3119 Urgent Updates EVV Providers and System Vendor 2023-07 ↗ · our copy

SB 388

The Nevada law, effective July 1, 2017, that requires employment agencies contracting with elderly or disabled people for nonmedical personal care at home to be licensed.Source: HCQC PCA Surveyor Workbook 2024-12 ↗ · our copy

SB 511

The Nevada law requiring Medicaid personal care and waiver agencies to pay direct care workers at least $16 an hour, as a condition of the $25-an-hour rate, from January 1, 2024.Source: HCQC PCA Surveyor Workbook 2024-12 ↗ · our copy

SORSerious Occurrence Report

A report Nevada Medicaid personal care providers file within 24 hours of discovery, with the local Nevada Medicaid District Office or, for waiver members, the ADSD case manager's office.Also written: Serious Occurrence ReportSource: MSM Chapter 3500 Personal Care Services 2026-07-01 ↗ · our copy

T1019

The billing code Nevada Medicaid fee-for-service uses for personal care, in 15-minute units. Every service needs prior authorization.Source: MSM Chapter 3500 Personal Care Services 2026-07-01 ↗ · our copy

Open the New Hampshire page →

BAASBureau of Adult and Aging Services

The New Hampshire bureau that authorizes Choices for Independence (CFI) waiver services. Older documents call it BEAS.Source: NH Medicaid Choices for Independence CFI Provider Manual ↗ · our copy

BAAS State Registry

New Hampshire's registry of founded abuse, neglect and exploitation reports. Programs licensed, certified or funded by DHHS must check each prospective worker against it before hiring.Also written: State RegistrySource: NH Medicaid General Billing Manual Vol I 2026-08 ↗ · our copy

BEASBureau of Elderly and Adult Services

The old name of New Hampshire's Bureau of Adult and Aging Services (BAAS). You'll still see it in older documents.Source: NH Medicaid Choices for Independence CFI Provider Manual ↗ · our copy

CFIChoices for Independence

New Hampshire's Choices for Independence Medicaid waiver. The Bureau of Adult and Aging Services (BAAS) authorizes its services.Also written: Choices for IndependenceSource: NH Medicaid Choices for Independence CFI Provider Manual ↗ · our copy

DHHSDepartment of Health and Human Services

New Hampshire's Department of Health and Human Services. It runs Medicaid through its Division of Medicaid Services (DMS).Source: NH Medicaid Choices for Independence CFI Provider Manual ↗ · our copy

DMSDivision of Medicaid Services

The division of New Hampshire DHHS that is the state's Medicaid agency.Source: NH Medicaid Choices for Independence CFI Provider Manual ↗ · our copy

Form 273AT

The form used to request New Hampshire fee-for-service authorization for home health aide code G0156.Source: NH Medicaid Notice - G0156 Home Health Aide Code 2026-01 ↗ · our copy

Form 957X

The form sent on paper with a denied New Hampshire Medicaid claim that is past the one-year filing limit. The claim must arrive within 15 months of the date of service.Source: NH Medicaid Notice - MCO Open Enrollment 2026 ↗ · our copy

G0156

The billing code for home health or hospice aide services, per 15 minutes. New Hampshire fee-for-service Medicaid requires service authorization for it.Source: NH Medicaid Notice - G0156 Home Health Aide Code 2026-01 ↗ · our copy

He-P 809

New Hampshire's rule for the Home Health Care Provider license. Medicaid private duty nursing, CFI home health aide and CFI skilled nursing all need it.Source: NH Medicaid Choices for Independence CFI Provider Manual ↗ · our copy

He-P 820

New Hampshire's rule for registering as an individual home health provider. A state FAQ says homemakers and personal care providers register under it unless they work for a licensed or He-P 601 agency.Source: NH Medicaid Choices for Independence CFI Provider Manual ↗ · our copy

He-P 822

New Hampshire's rule for the Home Care Service Provider license, the license for agencies giving non-medical homemaker and personal care.Source: NH Medicaid Choices for Independence CFI Provider Manual ↗ · our copy

He-W 530

New Hampshire's service authorization rules, adopted May 19, 2026. The General Billing Manual was updated to match them.Source: NH Medicaid General Billing Manual Vol I 2026-08 ↗ · our copy

LNAlicensed nursing assistant

A nursing assistant licensed in New Hampshire under RSA 326-B and the Nur 700 rules.Also written: LNAsSource: NH Medicaid Choices for Independence CFI Provider Manual ↗ · our copy

NH AuthentiCare

New Hampshire Medicaid's EVV system, run by Fiserv. It's free; if you use your own EVV system, you send its data here. Either way, you confirm visits in AuthentiCare to bill.Also written: AuthentiCareSource: NH Medicaid Notice - EVV Go Live ↗ · our copy

Nur 700

New Hampshire's rules for licensed nursing assistants (LNAs), used with the law RSA 326-B.Source: NH Medicaid Choices for Independence CFI Provider Manual ↗ · our copy

Other Qualified Agency

An agency certified under RSA 161-I and He-P 601. In New Hampshire it can provide CFI personal care and in-home respite.Also written: He-P 601 agencies, He-P 601 agencySource: NH Medicaid Choices for Independence CFI Provider Manual ↗ · our copy

Participant Directed and Managed Services

New Hampshire's name for self-directed Choices for Independence (CFI) waiver services.Source: NH Medicaid Choices for Independence CFI Provider Manual ↗ · our copy

PCAPersonal Care Attendant

In New Hampshire, a Medicaid state plan program for adults 18 and older who are chronically wheelchair-mobile (among other criteria), with a plan of care written by an RN and reviewed every 60 days.Also written: Personal Care AttendantSource: NH Medicaid Notice - MCO Open Enrollment 2026 ↗ · our copy

Program Integrity Unit

A New Hampshire Medicaid unit. It started the service authorization requirement for home health aide code G0156 because of high use of the code.Source: NH Medicaid Notice - G0156 Home Health Aide Code 2026-01 ↗ · our copy

RSA 151:2

The New Hampshire law that Medicaid manuals cite for licensing in-home care: home health care providers (He-P 809) and home care service providers (He-P 822).Also written: RSA 151Source: NH Medicaid Choices for Independence CFI Provider Manual ↗ · our copy

RSA 161-F:49

The New Hampshire law that makes DHHS-licensed, certified or funded programs check each prospective worker with client contact against the BAAS State Registry before hiring.Source: NH Medicaid Choices for Independence CFI Provider Manual ↗ · our copy

S5130

The billing code for homemaker services. New Hampshire's CFI waiver fee schedule lists it with the HC modifier (S5130 HC).Source: NH Medicaid Notice - MCO Open Enrollment 2026 ↗ · our copy

S9123

The billing code for nursing care in the home by a registered nurse, per hour.Source: NH Medicaid Notice - Home Health TT Modifier 2025-05 ↗ · our copy

S9124

The billing code for nursing care in the home by a licensed practical nurse, per hour.Source: NH Medicaid Notice - Home Health TT Modifier 2025-05 ↗ · our copy

T1019

The billing code New Hampshire Medicaid uses for personal care, billed per 15 minutes.Source: NH Medicaid Notice - MCO Open Enrollment 2026 ↗ · our copy

time-of-day modifiers

Codes (UF, UG, UH, UJ) New Hampshire uses on EVV visits to tell apart two or more visits on the same day.Also written: Time-of-day modifiersSource: NH Medicaid Notice - EVV Go Live ↗ · our copy

TT modifier

A code New Hampshire requires on a claim when one worker serves two or more patients in the same setting. Used with T1019, G0156, S9123 and S9124.Source: NH Medicaid Notice - MCO Open Enrollment 2026 ↗ · our copy

Open the New Jersey page →

CareBridge

An EVV tool some New Jersey health plans offer free, besides HHAeXchange.Source: NJ EVV Fact Sheet ↗ · our copy

CHHAcertified homemaker-home health aide

New Jersey's certified home care aide, certified by the Board of Nursing after at least 76 hours of training (60 classroom, 16 clinical) and a competency evaluation.Also written: CHHAs, homemaker-home health aide, homemaker-home health aidesSource: Board of Nursing HHHA Training Program and Instructor Personnel Record Info rev 2019-06 ↗ · our copy

CN-7

The New Jersey Department of Health form to apply for a home health license. File it 90 days before you plan to open, with the fee.Source: PL 2019 c48 Health Care Service Firms Act ↗ · our copy

DDDDivision of Developmental Disabilities

The New Jersey division whose Supports Program manual requires agency staff to have CPR and first aid before working alone, renewed every 2 years.Source: DDD Supports Program Policies and Procedures Manual ↗ · our copy

Division of Consumer Affairs

The New Jersey agency, in the Department of Law and Public Safety, where health care service firms register.Source: DOH CN-7 Application for New or Amended Health Care Facility License 2026 ↗ · our copy

DMAHSDivision of Medical Assistance and Health Services

The New Jersey Medicaid agency, in the Department of Human Services. It runs NJ FamilyCare.Source: DOH CN-7 Application for New or Amended Health Care Facility License 2026 ↗ · our copy

EVV Live-In Worker Attestation

A signed form New Jersey agencies keep for workers who live in the member's home, who are exempt from EVV. Review proof of residence every year.Source: NJ EVV Fact Sheet ↗ · our copy

Gainwell Provider Enrollment

Where New Jersey providers send any missing current license so claims don't pend and deny.Source: NJ Medicaid Alert MA-2026-03 claims edits for provider licensure ↗ · our copy

health care service firm

New Jersey's registration for businesses (not licensed home health agencies or hospices) that place companions, personal care aides or other caregivers in the homes of people 60+ or with a disability.Also written: health care service firmsSource: PL 2019 c48 Health Care Service Firms Act ↗ · our copy

HHAeXchange

New Jersey's state EVV vendor and aggregator, with free tools. Health plans also offer it.Source: NJ EVV Fact Sheet ↗ · our copy

MLTSSManaged long-term services and supports

New Jersey Medicaid's long-term care program, provided through the health plans.Source: DOH CN-7 Application for New or Amended Health Care Facility License 2026 ↗ · our copy

N.J.A.C. 10:60

New Jersey's Medicaid Home Care Services rule, effective September 6, 2022. It sets who may give PCA services.Source: NJAC 10-60 Home Care Services (Medicaid) ↗ · our copy

N.J.A.C. 8:42

The New Jersey Department of Health rule for licensing home health agencies.Source: DOH CN-7 Application for New or Amended Health Care Facility License 2026 ↗ · our copy

NJ FamilyCare

The name of New Jersey's Medicaid program.Source: DOH CN-7 Application for New or Amended Health Care Facility License 2026 ↗ · our copy

NJMMIS

New Jersey's Medicaid system. It holds the license on file for individual providers who need a license to enroll; their claims pend, then deny, if that license is not current.Source: NJ Medicaid Alert MA-2026-03 claims edits for provider licensure ↗ · our copy

Office of Certificate of Need and Healthcare Facility Licensure

The New Jersey Department of Health office that licenses home health agencies.Source: DOH CN-7 Application for New or Amended Health Care Facility License 2026 ↗ · our copy

Palco

A fiscal intermediary for New Jersey's Personal Preference Program. As of August 2025, Horizon NJ Health had chosen it.Source: NJAC 10-60 Home Care Services (Medicaid) ↗ · our copy

PCApersonal care assistant

Personal care assistant: New Jersey Medicaid's personal care service, and the aide who gives it. The service must come from a certified, licensed home health agency, a certified hospice or an accredited health care service firm.Source: NJAC 10-60 Home Care Services (Medicaid) ↗ · our copy

PPLPublic Partnerships

A fiscal intermediary for New Jersey's Personal Preference Program. As of August 2025, Aetna, Fidelis Care, UnitedHealthcare and Wellpoint used it.Also written: Public PartnershipsSource: NJAC 10-60 Home Care Services (Medicaid) ↗ · our copy

PPPPersonal Preference Program

New Jersey's self-direction program: members hire their own workers through a fiscal intermediary.Also written: Personal Preference ProgramSource: NJAC 10-60 Home Care Services (Medicaid) ↗ · our copy

Open the New Mexico page →

99509

The billing code for New Mexico consumer-directed personal care. HCA's recommended minimum from July 1, 2026 is $18.20 an hour.Source: ABCB Program Provider Enrollment FAQs ↗ · our copy

ABCBAgency-Based Community Benefit

New Mexico's main Turquoise Care program for home care agencies, for members who meet nursing facility level of care. Covers personal care (21+), respite, home health aide and more.Also written: Agency-Based Community BenefitSource: ABCB Program Provider Enrollment FAQs ↗ · our copy

AuthentiCare

New Mexico's state and health plan EVV system, run by Fiserv. Agencies can use it at no cost.Source: LOD 58 EVV Aggregator 2025-06 ↗ · our copy

AuthentiCare Data Aggregator

The New Mexico system that takes EVV visits from an agency's own paid vendor, for agencies that choose not to record visits in AuthentiCare.Source: LOD 58 EVV Aggregator 2025-06 ↗ · our copy

CCHSPCaregivers Criminal History Screening Program

New Mexico's caregiver background check program: a fingerprint-based nationwide (FBI) and statewide check, filed within 20 days of hire.Source: 8.370.5 NMAC Caregivers Criminal History Screening ↗ · our copy

Conduent

New Mexico's fiscal management agency. Self-directed (SDCB) services are billed through it.Source: ABCB Program Provider Enrollment FAQs ↗ · our copy

consumer-delegated

A New Mexico personal care model where the member picks a personal care agency to do all the employer tasks. The agency makes sure all the care is delivered.Source: MCPM Section 08 Agency Based Community Benefits 2026-08 ↗ · our copy

consumer-directed

A New Mexico personal care model where the member oversees their own care, and the personal care agency acts as a fiscal intermediary to handle the financial paperwork.Source: MCPM Section 08 Agency Based Community Benefits 2026-08 ↗ · our copy

CORConsolidated Online Registry

The online registry New Mexico Medicaid personal care agencies use for their yearly re-check of the employee abuse registry.Source: 8.370.22 NMAC Requirements for Home Health Agencies ↗ · our copy

Critical Incident Portal

HCA's Medical Assistance Division portal for New Mexico Medicaid critical incident reports. Reports can also go to the member's health plan.Source: 8.370.22 NMAC Requirements for Home Health Agencies ↗ · our copy

DHIDivision of Health Improvement

The part of New Mexico's HCA that licenses home health agencies and hospices and runs the caregiver background check program.Source: 8.370.22 NMAC Requirements for Home Health Agencies ↗ · our copy

employee abuse registry

A New Mexico registry you must check before hiring a worker (8.370.8 NMAC). Medicaid personal care agencies check it again every year.Source: 8.370.22 NMAC Requirements for Home Health Agencies ↗ · our copy

HCANew Mexico Health Care Authority

New Mexico's state agency that licenses home health agencies and hospices, through its Division of Health Improvement (DHI).Source: 8.370.22 NMAC Requirements for Home Health Agencies ↗ · our copy

Letter of Direction

HCA's written instructions to New Mexico's Turquoise Care health plans. For example, Letter of Direction 25 tells plans to send a yearly newsletter to personal care providers.Source: LOD 25 HHS OIG PCS Audit Remediation ↗ · our copy

LRIlegally responsible individual

In New Mexico, a spouse, legal guardian or parent of a minor child. An LRI can be a paid attendant only in extraordinary circumstances, with yearly health plan approval.Source: ABCB Newsletter 2025 ↗ · our copy

MADMedical Assistance Division

The part of New Mexico's HCA that runs Medicaid, including the Turquoise Care managed care program.Source: 8.370.22 NMAC Requirements for Home Health Agencies ↗ · our copy

MAD 335

New Mexico's Medicaid provider application, filed on YES New Mexico. Personal care agencies use it to become provider type 363.Source: ABCB Program Provider Enrollment FAQs ↗ · our copy

medically directed

In New Mexico, services given under a plan or level of care a physician reviews and approves at least once a year. An agency giving even one such service needs a home health license.Source: 8.370.22 NMAC Requirements for Home Health Agencies ↗ · our copy

Mi Via

New Mexico's self-directed Medicaid waiver, a 1915(c) home and community-based services waiver.Source: 8.314.6 NMAC Mi Via Self-Directed Waiver ↗ · our copy

NM EVV System Declaration Form

A form, sent with the Third Party Attestation Form, that Conduent must approve before a New Mexico agency goes live with its own EVV vendor.Source: LOD 58 EVV Aggregator 2025-06 ↗ · our copy

NMACNew Mexico Administrative Code

New Mexico's code of state rules. Rules are cited by number, such as 8.370.22 NMAC.Source: 8.308.9 NMAC Managed Care Benefit Package ↗ · our copy

Program Approval Letter

The approval a New Mexico personal care agency gets from HCA's Medical Assistance Division before it applies for a Medicaid number and health plan contracts.Source: ABCB Program Provider Enrollment FAQs ↗ · our copy

S9122

The billing code for home health aide services. HCA's recommended minimum in New Mexico from July 1, 2026 is $35.52 an hour.Source: ABCB Program Provider Enrollment FAQs ↗ · our copy

SDCBSelf-Directed Community Benefit

New Mexico's self-directed Medicaid services, billed through the fiscal management agency, Conduent.Source: ABCB Program Provider Enrollment FAQs ↗ · our copy

T1019

The billing code for New Mexico consumer-delegated personal care. HCA's recommended minimum from July 1, 2026 is $5.40 per 15 minutes.Source: ABCB Program Provider Enrollment FAQs ↗ · our copy

temporary license

A first New Mexico home health license of up to 120 days (no more than two in a row). HCA then surveys the agency and issues an annual license.Source: 8.370.22 NMAC Requirements for Home Health Agencies ↗ · our copy

Turquoise Care

New Mexico's Medicaid managed care program, run by four health plans: Blue Cross and Blue Shield of New Mexico, Molina, Presbyterian and UnitedHealthcare.Source: ABCB Program Provider Enrollment FAQs ↗ · our copy

Open the New York page →

Agreed Upon Procedures

A CPA review an agency can send with its LS301 wage parity form instead of audited financial statements.Source: Wage Parity Compliance Forms and Certification Submission Dates (2026-03-09, updated 2026-06-04) ↗ · our copy

Alternative Competency Demonstration

A former New York option that let experienced candidates test out of personal care aide basic training. DOH ended it July 16, 2026.Source: DAL DHCBS 26-05 End of Personal Care Aide Alternative Competency Demo ↗ · our copy

Authorized Person

An agency employee allowed to request and review DOH criminal history check results. Contractors can't be one.Also written: Authorized PersonsSource: DAL DHCBS 25-02 CDPAP Transition to Single Fiscal Intermediary (2025-02-19) ↗ · our copy

CDPAPConsumer Directed Personal Assistance Program

New York's Medicaid program where consumers direct their own personal assistants. It uses one statewide fiscal intermediary, Public Partnerships, LLC (PPL).Source: eMedNY Personal Care Policy Manual ↗ · our copy

Choice Model

New York's EVV approach: you pick and pay for your own EVV system and send visit data to the state's EVV Data Aggregator.Source: NY Medicaid EVV FAQs (Sept 2026) ↗ · our copy

DALDear Administrator Letter

Protection from New York's September 1, 2025 minimum needs rule. People already authorized for personal care or consumer-directed services, or enrolled in an MLTC plan, before that date keep it.Also written: DALsSource: Home Care Registry User Manual v3.7 ↗ · our copy

DOHNew York State Department of Health

New York's health department. It licenses home care agencies through its Center for Home and Community Based Services and Center for Long-Term Care Licensure, Planning, and Finance.Source: Public Health Law 3605 - Licensure of Home Care Services Agencies ↗ · our copy

ETIN

New York's yearly "Certification Statement for Provider Billing Medicaid" form. Medicaid-enrolled home care agencies attest to their compliance program on it each year.Also written: ETIN certificationSource: Information for All Providers - General Policy ↗ · our copy

EVV Attestation

A yearly New York EVV filing. A missed attestation is referred to OMIG for review.Source: NY Medicaid EVV FAQs (Sept 2026) ↗ · our copy

EVV Data Aggregator

The state system that collects New York EVV visit data. Agencies send data to it from their own EVV system using their eMedNY credentials.Source: NY Medicaid EVV FAQs (Sept 2026) ↗ · our copy

Home Care Cost Report

A yearly New York cost report from home care agencies. The 2025 report (due August 31, 2026) sets 2027 fee-for-service rates.Source: eMedNY Personal Care Policy Manual ↗ · our copy

Home Care Registry

New York's list of aides who finished approved training. Check it before an aide starts; it shows training and any final findings of abuse, mistreatment, neglect or theft of a patient's property.Source: DAL DHCBS 25-02 CDPAP Transition to Single Fiscal Intermediary (2025-02-19) ↗ · our copy

LDSSlocal department of social services

The local social services office (the page also says local social services district). It contracts with home care agencies for fee-for-service Medicaid personal care.Also written: local social services district, social services districtSource: Public Health Law 3605 - Licensure of Home Care Services Agencies ↗ · our copy

legacy status

People authorized for New York personal care or consumer-directed services, or enrolled in MLTC, before September 1, 2025 keep it, so the new minimum needs rule doesn't apply to them.Source: eMedNY Personal Care Policy Manual ↗ · our copy

LHCSAlicensed home care services agency

New York's license for home care agencies, from the Department of Health. Agencies that provide nursing, home health aide or personal care services need one before serving clients.Also written: LHCSAsFrom the New York page

LS300

A New York Department of Labor wage parity form. Each year LHCSAs send it, with form LS301, to every contracted health plan and certified home health agency by November 1 for the year before.Source: Wage Parity Compliance Forms and Certification Submission Dates (2026-03-09, updated 2026-06-04) ↗ · our copy

LS301

A New York Department of Labor wage parity form. Each year LHCSAs send it, with audited financial statements or Agreed Upon Procedures and form LS300, to every contracted health plan and certified home health agency.Source: Wage Parity Compliance Forms and Certification Submission Dates (2026-03-09, updated 2026-06-04) ↗ · our copy

MLTCmanaged long term care

New York Medicaid health plans for long-term care. In mandatory counties, dually eligible adults 21+ who need community-based long-term care for over 120 days must join one.From the New York page

NYCRRCodes, Rules and Regulations of the State of New York

New York's official state regulations. The LHCSA rules are 10 NYCRR Part 765; the CDPAP rule is 18 NYCRR 505.28.Source: Adopted Regulation - Personal Care Services and CDPAP (18 NYCRR 505.14 and 505.28) ↗ · our copy

NYIAPNew York Independent Assessor Program

The program that does initial assessments for people seeking personal care, consumer-directed services or MLTC enrollment. Phone 855-222-8350.Source: eMedNY Personal Care Policy Manual ↗ · our copy

NYSE-CON

New York's electronic Certificate of Need system. You apply for a LHCSA license through it.Source: Public Health Law 3605 - Licensure of Home Care Services Agencies ↗ · our copy

OHIPOffice of Health Insurance Programs

The DOH office that runs New York Medicaid.Source: Public Health Law 3605 - Licensure of Home Care Services Agencies ↗ · our copy

OMIGOffice of the Medicaid Inspector General

New York's Medicaid audit office. Home care agencies enrolled in Medicaid must keep a compliance program and attest to it each year.Source: Public Health Law 3605 - Licensure of Home Care Services Agencies ↗ · our copy

PHHPCPublic Health and Health Planning Council

The New York council that must approve new LHCSA licenses and changes of ownership.Source: Public Health Law 3605 - Licensure of Home Care Services Agencies ↗ · our copy

PPLPublic Partnerships, LLC

The one statewide fiscal intermediary for New York's CDPAP. Since August 1, 2025, it is the only fiscal intermediary that can serve CDPAP.Source: eMedNY Personal Care Policy Manual ↗ · our copy

Public Health Law Article 36

The New York law on home care agencies: §3605 covers the license, §3605-b yearly registration and §3602 definitions.Also written: Article 36Source: Public Health Law 3605 - Licensure of Home Care Services Agencies ↗ · our copy

public need

New York's test for new LHCSA licenses: in a county where 5 or more LHCSAs actively serve patients, need is presumed not to exist, and applicants must file a rebuttal for that county.Also written: presumption of no need, rebuttable presumption of no needSource: Public Health Law 3605 - Licensure of Home Care Services Agencies ↗ · our copy

wage parity

A New York rule that Medicaid-funded aides in New York City, Nassau, Suffolk and Westchester get a benefit portion on top of the minimum wage: $2.54 an hour in NYC and $1.67 in the other three.Source: DAL DHCBS 25-02 CDPAP Transition to Single Fiscal Intermediary (2025-02-19) ↗ · our copy

Open the North Carolina page →

10A NCAC 13J

North Carolina's home care licensing rules, written by the Medical Care Commission and enforced by DHSR.Also written: 13JSource: NC DHSR Home Care FAQ ↗ · our copy

10A NCAC 13O

North Carolina's rules on the Health Care Personnel Registry, medication aides and Nurse Aide I training.Also written: 13OSource: DHSR HCPR Rule Readoption Interested Parties Letter 2026-05 ↗ · our copy

3085

NC Medicaid's memory care training attestation for personal care agencies. It is uploaded once, if it applies.Source: NC Medicaid Policy 3L - State Plan Personal Care Services ↗ · our copy

3136NC Medicaid-3136 quality attestation

The yearly form personal care agencies upload in QiRePort for each site by December 31, attesting that their quality improvement program meets policy 3L.Also written: NC Medicaid-3136Source: NC Medicaid Policy 3L - State Plan Personal Care Services ↗ · our copy

99509

The billing code for NC Medicaid State Plan personal care services, billed in 15-minute units.Source: NC Medicaid Policy 3L - State Plan Personal Care Services ↗ · our copy

CAP/CCommunity Alternatives Program for Children

NC Medicaid's home and community-based services waiver for children.Source: NC Medicaid Policy 3K-1 - CAP-C Waiver ↗ · our copy

CAP/DACommunity Alternatives Program for Disabled Adults

NC Medicaid's waiver for disabled adults. It pays for CAP in-home aide and respite services.Source: NC Medicaid Policy 3L - State Plan Personal Care Services ↗ · our copy

Clinical Coverage Policy

NC Medicaid's numbered rulebooks for each service, such as policy 3L for personal care and 3A for home health.Also written: policy 3L, policy 3ASource: NC Medicaid Policy 3L - State Plan Personal Care Services ↗ · our copy

deemed status

A way for an accredited agency to get its NC home care license based on its accreditation. You attach the accreditor's inspection report and decision.Source: NC License Application Home Care Nursing Pool Hospice 2025-12 ↗ · our copy

DHBDivision of Health Benefits

North Carolina's Medicaid agency, also called NC Medicaid.Also written: NC MedicaidSource: NC DHSR Home Care FAQ ↗ · our copy

DHHSNC Department of Health and Human Services

North Carolina's health and human services department. DHSR, which licenses home care agencies, is part of it.Source: NC DHSR Home Care FAQ ↗ · our copy

DHSRDivision of Health Service Regulation

The NC DHHS division that licenses home care agencies, through its Acute and Home Care Licensure and Certification Section.Source: NC DHSR Home Care FAQ ↗ · our copy

DHSR-4204

DHSR's home care license application. File one for each site and finish all requirements within 12 months.Source: NCGS 131E Article 6 Health Care Facility Licensure incl Home Care Part 3 ↗ · our copy

EBCIEastern Band of Cherokee Indians

The Eastern Band of Cherokee Indians. NC Medicaid's health plan list includes an EBCI Tribal Option.Also written: EBCI Tribal OptionSource: CAP-DA Approved Waiver Application ↗ · our copy

extensive assistance

When a client's plan of care calls for extensive assistance, the in-home aide giving it must be listed on North Carolina's Nurse Aide Registry.Source: NCGS 131E-265 Criminal History Record Check ↗ · our copy

Health Care Personnel Registry

A DHSR registry of health care workers. Check it before hiring; DHSR says you may not hire someone with a substantiated finding.Also written: Personnel RegistrySource: NCGS 131E-265 Criminal History Record Check ↗ · our copy

HHAXHHAeXchange

An EVV system some NC Medicaid health plans use for home health. It sends visit data to Sandata.Also written: HHAeXchangeSource: NC EVV Service Codes List ↗ · our copy

home assistance services provider

North Carolina's license type for a business that mainly gives companion, sitter or respite care, alone or with homemaker services, and no hands-on care.Also written: home assistance services providersSource: NCGS 131E Article 6 Health Care Facility Licensure incl Home Care Part 3 ↗ · our copy

in-home aide

Aide services in a client's home. In North Carolina, in-home aide services that involve hands-on care need a home care agency license.Also written: in-home aide services, in-home aidesSource: NCGS 131E Article 6 Health Care Facility Licensure incl Home Care Part 3 ↗ · our copy

LME/MCOlocal management entity/managed care organization

The local organizations NC Medicaid contracts with to manage NC Innovations waiver services.Also written: LME/MCOsSource: NC Medicaid Policy 3L - State Plan Personal Care Services ↗ · our copy

Medicaid Direct

North Carolina's name for fee-for-service Medicaid.Also written: NC Medicaid DirectSource: NC Medicaid Policy 3K-1 - CAP-C Waiver ↗ · our copy

Medical Care CommissionNorth Carolina Medical Care Commission

The state body that writes North Carolina's home care licensing rules (10A NCAC 13J). DHSR enforces them.Source: NC DHSR Home Care FAQ ↗ · our copy

NC Innovations

An NC Medicaid waiver whose services are managed by local management entities/managed care organizations (LME/MCOs).Also written: NC Innovations waiverSource: NC Medicaid Policy 3L - State Plan Personal Care Services ↗ · our copy

NCACNorth Carolina Administrative Code

North Carolina's book of state agency rules. Rule numbers like 10A NCAC 13J point to a chapter in it.Source: NC Adult Protective Services Manual 2025-09 ↗ · our copy

NCLIFTSS

The organization that does the independent assessments for NC Medicaid personal care. The assessment decides a client's hours.Source: NC DHSR Home Care FAQ ↗ · our copy

NCTracks

NC Medicaid's claims system (MMIS). A Medicaid Direct claim line with no verified EVV visit pends in NCTracks.Source: CAP-DA Approved Waiver Application ↗ · our copy

PCSPersonal Care Services

NC Medicaid's State Plan personal care program, under Clinical Coverage Policy 3L. Only home care agencies licensed by DHSR for the county can bill it.Also written: State Plan Personal Care ServicesSource: NC Medicaid Policy 3L - State Plan Personal Care Services ↗ · our copy

QAPIquality assessment and performance improvement

A home health quality program requirement. NC Medicaid's July 2026 policy 3A amendment moved it into a note in Section 7.0.Source: NC Medicaid Policy 3A - Home Health Services ↗ · our copy

QiRePort

NC Medicaid's Provider Interface for personal care. Agencies accept referrals, build service plans and upload yearly attestations there.Also written: Provider InterfaceSource: NC Medicaid Policy 3L - State Plan Personal Care Services ↗ · our copy

Sandata

North Carolina's state EVV system. Agencies may use it or an alternate EVV system that sends visits to the Sandata Aggregator.Also written: Sandata AggregatorSource: NC EVV Service Codes List ↗ · our copy

Standard Plans

One kind of NC Medicaid health plan: AmeriHealth Caritas, Healthy Blue, UnitedHealthcare and Carolina Complete Health.Source: NC Medicaid Health Plans list (web page text) ↗

Tailored Plans

One kind of NC Medicaid health plan, started July 1, 2024: Alliance, Partners, Trillium and Vaya.Source: NC Medicaid Health Plans list (web page text) ↗

Open the North Dakota page →

Acentra

Where you request a service authorization when an ND Medicaid member needs more than 50 home health visits in a calendar year.Source: 1915c HCBS Aged and Disabled Waiver ND.0273 Jan 2026 ↗ · our copy

Adult and Aging Services

The North Dakota HHS division that reviews QSP complaints.Source: NDCC 23-17.3 Home Health Agencies Law ↗ · our copy

Aged and Disabled waiver

North Dakota's Medicaid waiver for the aged and disabled (ND.0273). Waiver personal care is paid only to enrolled QSPs.Also written: ND.0273Source: 1915c HCBS Aged and Disabled Waiver ND.0273 Jan 2026 ↗ · our copy

cognitive/supervision endorsement

A North Dakota QSP qualification that companionship, respite and supervision services also need.Source: QSP Agency Handbook Jan 2026 ↗ · our copy

critical incident

A serious event, such as abuse, serious injury, death or a medication error, that QSPs report to the HCBS case manager within 24 hours.Also written: critical incidentsSource: QSP Agency Handbook Jan 2026 ↗ · our copy

Family Personal Care

The North Dakota waiver service that live-in relatives who meet the family member definition provide, since they can't provide Waiver Personal Care or Supervision.Source: 1915c HCBS Aged and Disabled Waiver ND.0273 Jan 2026 ↗ · our copy

General Event Report

The report a North Dakota QSP files in Therap for a critical incident, along with telling the HCBS case manager within 24 hours.Source: QSP Agency Handbook Jan 2026 ↗ · our copy

HHSNorth Dakota Department of Health and Human Services

Usually North Dakota's Department of Health and Human Services, which licenses home health agencies and enrolls QSPs. In "HHS OIG list" it means the federal department.Source: NDCC 23-17.3 Home Health Agencies Law ↗ · our copy

NDACNorth Dakota Administrative Code

North Dakota Administrative Code, the state's rules, cited on the page by number (for example, NDAC 33-03-10.1).Source: ND Medicaid Provider Requirements ↗ · our copy

NDCCNorth Dakota Century Code

North Dakota Century Code, the state's laws, cited on the page by number (for example, NDCC 23-17.3).Source: ND Medicaid Provider Requirements ↗ · our copy

NEMTnon-emergency medical transportation

Rides to medical care that aren't emergencies. ND Medicaid paused new NEMT enrollments statewide from June 11, 2026.Source: QSP Rates and Rural Differential July 2026 ↗ · our copy

provisional license

A short-term North Dakota home health license, for up to 90 days, that HHS may issue when it finds serious or repeated deficiencies.Source: NDCC 23-17.3 Home Health Agencies Law ↗ · our copy

QSPQualified Service Provider

Qualified Service Provider: a provider enrolled with North Dakota HHS so it can serve clients whose care HHS pays for. Non-medical agencies enroll as QSP agencies.Also written: QSPs, QSP agency, Qualified Service ProvidersSource: NDCC 23-17.3 Home Health Agencies Law ↗ · our copy

QSP Enrollment Portal

The North Dakota portal where you enter each direct-care worker before they serve public-pay clients. It checks ND courts, sex offender registries, SAM and exclusion lists.Source: QSP Agency Handbook Jan 2026 ↗ · our copy

QSP Hub

A help center for North Dakota QSPs with enrollment, revalidation, EVV and billing (701-777-3432, info@NDQSPhub.org).Source: NDCC 23-17.3 Home Health Agencies Law ↗ · our copy

rural differential

A separate North Dakota QSP rate for providers who travel at least 21 miles round trip.Also written: rural differential ratesSource: QSP Rates and Rural Differential July 2026 ↗ · our copy

Sandata

North Dakota's EVV data aggregator. If you use an EVV vendor other than Therap, it must send data to Sandata, at your own cost.Also written: data aggregatorSource: ND Medicaid EVV Policy Oct 2025 ↗ · our copy

service authorization

Approval to provide services. For QSP services the HCBS case manager sends it in Therap; don't start before you have it, or you may not be paid. Home health needs one from Acentra after 50 visits a year.Source: 1915c HCBS Aged and Disabled Waiver ND.0273 Jan 2026 ↗ · our copy

SFNState Form Number

The number on North Dakota state forms, such as SFN 749 (competency) and SFN 1607 (abuse report). It is on the upper left side of the form.Source: QSP Agency Handbook Jan 2026 ↗ · our copy

SFN 1607

The North Dakota form you can use to report suspected abuse of a vulnerable adult to VAPS.Source: NDCC 50-25.2 Vulnerable Adult Protective Services ↗ · our copy

SFN 749SFN 749 Documentation of Competency

The North Dakota form showing a QSP direct-care worker is competent. A licensed professional such as an RN, LPN, physician, PT or OT signs it before work starts; valid 5 years.Source: QSP Agency Handbook Jan 2026 ↗ · our copy

SPEDService Payments for Elderly and Disabled

Service Payments for Elderly and Disabled, one of the North Dakota programs that pay for in-home care. There is also an Expanded SPED program.Also written: Expanded SPEDSource: 1915c HCBS Aged and Disabled Waiver ND.0273 Jan 2026 ↗ · our copy

Therap

North Dakota's state-contracted EVV system, free to providers.Source: ND Medicaid EVV Policy Oct 2025 ↗ · our copy

VAPSVulnerable Adult Protective Services

North Dakota's adult protection office, part of HHS. Central intake: 1-855-462-5465, option 2.Also written: Vulnerable Adult Protective ServicesSource: NDCC 23-17.3 Home Health Agencies Law ↗ · our copy

WSIWorkforce Safety and Insurance

North Dakota's workers' comp. QSP agencies upload proof of WSI coverage when they enroll.Also written: Workforce Safety and InsuranceSource: QSP Agency Handbook Jan 2026 ↗ · our copy

Open the Ohio page →

BCIBureau of Criminal Investigation

Ohio's Bureau of Criminal Investigation, which conducts state criminal records checks, using fingerprints, for home care job applicants.Source: OAC 5160-45-07 ODM-administered waiver programs - criminal records checks involving agency providers ↗ · our copy

CMAcase management agency

The case management agency for a PASSPORT or Ohio Home Care Waiver client. Providers report incidents to it right away, within one business day at most.Also written: case management agencySource: OAC 5160-44-05 Nursing facility-based level of care home and community-based services programs and specia ↗ · our copy

DODDDepartment of Developmental Disabilities

Ohio's Department of Developmental Disabilities. Providers it certifies are left out of the home health license law's definition of a home health agency.Source: ORC 3740.01 Definitions ↗ · our copy

HQ modifier

The modifier for Ohio Home Care Waiver group visits, which are paid at up to 75% of the maximum rate.Source: OAC 5160-31-03 eff 2025-09 ↗ · our copy

JFSjob and family services

Ohio's county department of job and family services. Home health agency employees, nurses and senior service providers report suspected abuse of adults there.Also written: county department of job and family servicesSource: ORC 5101.63 Reporting abuse, neglect or exploitation ↗ · our copy

Next Generation MyCare

Ohio's Medicaid plans for people 21 or older with Medicare Parts A, B and D and full Medicaid, in all 88 counties since August 1, 2026. Enroll with ODM and contract with each plan.Also written: MyCareSource: OAC 5160-31-03 eff 2025-09 ↗ · our copy

nonmedical home health services license

Ohio's ODH license for home health aide services (such as hands-on bathing and help with dressing and toileting) and personal care. A skilled license also covers these services.Source: ORC 3740.01 Definitions ↗ · our copy

OACOhio Administrative Code

The Ohio Administrative Code: the state's rules, cited by number (for example, OAC 3701-60-03 for home health licensing).Source: ODH HEA0621 Skilled Home Health Services License Application ↗ · our copy

ODAOhio Department of Aging

The Ohio Department of Aging, which certifies PASSPORT providers under OAC Chapter 173-39. Its newer rules call it AGE.Also written: AGESource: ORC 3740.03 Applications for licensure ↗ · our copy

ODHOhio Department of Health

The Ohio Department of Health. Its Licensure Program issues both home health licenses (skilled and nonmedical).Source: ORC 3740.03 Applications for licensure ↗ · our copy

ODMOhio Department of Medicaid

The Ohio Department of Medicaid. It runs the Ohio Home Care Waiver (OHCW) and the Next Generation MyCare program.Source: ORC 3740.03 Applications for licensure ↗ · our copy

OHCWOhio Home Care Waiver

Ohio's Medicaid waiver for people 59 or younger who need a nursing facility level of care. ODM runs it and case management agencies authorize services.Also written: Ohio Home Care Waiver, Home Care WaiverSource: OAC 5160-31-03 eff 2025-09 ↗ · our copy

OMESOhio Medicaid Enterprise System

The Ohio Medicaid Enterprise System. Providers submit Medicaid claims through its "one front door," using the member's Medicaid ID.Source: Next Gen MyCare Provider FAQ ↗ · our copy

ORCOhio Revised Code

The Ohio Revised Code: the state's laws. Chapter 3740 requires home health agencies to be licensed by the Ohio Department of Health.Source: ODH HEA0621 Skilled Home Health Services License Application ↗ · our copy

PAAPASSPORT administrative agency

ODA's regional designee for PASSPORT: an area agency on aging or Catholic Social Services of the Miami Valley. PAAs provide case management and authorize services.Also written: PAAsSource: ORC 3740.03 Applications for licensure ↗ · our copy

PASSPORT

Ohio's Medicaid waiver for people 60 or older who need a nursing facility level of care. ODA runs it, PAAs authorize services, and claims go to ODA.Source: OAC 5160-31-03 eff 2025-09 ↗ · our copy

PCApersonal care aide

In Ohio, an ODA personal care aide. They must be an STNA, meet Medicare home health aide standards, or qualify another listed way.Source: OAC 173-39-02.11 ODA provider certification - personal care ↗ · our copy

PNMProvider Network Management

ODM's online Provider Network Management module, where Ohio Medicaid providers enroll and keep their provider record.Also written: Provider Network ManagementSource: ORC 3740.03 Applications for licensure ↗ · our copy

Sandata Aggregator

The Sandata hub that receives Ohio EVV data. If you use an ODM-certified alternate EVV system instead of ODM's free Sandata system, it must send visits here.Source: Ohio EVV Resource Guide (updated 4-28-2026) ↗ · our copy

single case agreement

An agreement a MyCare plan may offer an Ohio provider instead of a full contract with that plan.Source: Next Gen MyCare Provider FAQ ↗ · our copy

STNAstate-tested nurse aide

Ohio's state-tested nurse aide. Being an STNA is one way an ODA (PASSPORT) personal care aide can qualify.Source: OAC 173-39-02.11 ODA provider certification - personal care ↗ · our copy

structured family caregiving

A per-day Ohio waiver service. ODM's proposed EVV rules (not final) would add it and other per-day services to EVV.Source: Ohio EVV Resource Guide (updated 4-28-2026) ↗ · our copy

surety bond

A bond Ohio home health license applicants need if they weren't providing services on or just before Sept. 30, 2021: $50,000 (skilled) or $20,000 (nonmedical).Source: ORC 3740.01 Definitions ↗ · our copy

T1019

The billing code for Ohio Home Care Waiver agency personal care aide visits.Source: OAC 5160-31-03 eff 2025-09 ↗ · our copy

Verified status

The Sandata EVV status an Ohio visit must reach before you bill. Waiver claims for EVV services that don't match a Verified visit are denied.Source: OHCW EVV Update 2025-12 ↗ · our copy