What’s new in your states

2012-05-01 · New York · 🆕 new

The NYS Medicaid Home Health Manual policy guidelines governing CHHA participation, clinical recordkeeping, provision and RN supervision of home health aide and personal care services, prior authorization, and program definitions.

2005-10-07 · Vermont · 🆕 new

Establishes the mandatory assessment and person-centered service-planning duties for Vermont's Choices for Care home and community-based long-term care program. Requires initial and periodic re-assessments (at least annually and after any significant change), individualized written service plans developed through informed consent and negotiated risk, and delivery of services pursuant to Department-approved plans not exceeding twelve months. Framework topic: Assessment & Service Planning / Person-Centered Care.

2025-01-03 · New York · 🆕 new

DOH notice activating the mandatory 2023 annual statistical reports for CHHAs and LTHHCPs and the 2023 Hospice Cost and Utilization Report, requiring submission between January 3 and February 28, 2025 under threat of civil penalties.

2024-07-01 · Ohio · 🆕 new

Governs the person-centered planning process, the required content of the person-centered services plan, and documentation standards for assessments and care coordination in NF-based level of care HCBS waiver programs.

2023-10-02 · New York · 🆕 new

DOH programmatic guidance issued after the COVID-19 public health emergency establishing the circumstances in which telehealth is and is not acceptable for home care, hospice, and adult day health care providers, including a prohibition on substituting telehealth for in-person personal care services.

2025-04-01 · Ohio · 🆕 new

Establishes the baseline qualifications, background checks, insurance, incident-reporting, EVV, records-retention, supervision, and conduct requirements every ODA-certified provider (including personal care and participant-directed providers) must meet to become and remain certified.

2012-05-19 · Pennsylvania · 🆕 new

Specifies the required content of each participant's service plan, back-up plan requirements, services needing a physician's prescription, and the person-centered development and review process.

2024-07-01 · Ohio · 🆕 new

Sets out the disciplinary actions ODA and its designees may impose against certified providers (including personal care providers) for good cause, the notification and appeal procedures, and the categories of sanctions.

2025-01-01 · Ohio · 🆕 new

Establishes the schedule, sampling methodology, and procedures for ODA's structural compliance reviews of certified providers, including personal care providers, and the plan-of-correction and disciplinary follow-up process.

2012-05-19 · Pennsylvania · 🆕 new

Governs how HCBS/Act 150 services are paid (fee schedule or vendor payment), conditions on payment, recoupment, and the requirement that services be delivered per an approved service plan.

2020-10-13 · New York · 🆕 new

DOH guidance clarifying how home care agencies must meet aide in-service, orientation, and RN supervision requirements during the COVID-19 emergency, including permitted remote methods and documentation standards.

2012-05-19 · Pennsylvania · 🆕 new

Requires each HCBS/OLTL provider to create, implement, annually update, and submit on request a Quality Management Plan (QMP) with measurable goals and data-driven outcomes.

2012-05-19 · Pennsylvania · 🆕 new

Sets the pre-service and annual staff-training requirements, and the training documentation a HCBS/OLTL provider must maintain.

2012-05-19 · Pennsylvania · 🆕 new

Requires participant records to be kept confidential and limits who may access them absent written participant consent or a court order.

2024-01-01 · Ohio · 🆕 new

Defines the federal home and community-based settings requirements (CMS settings rule) that a residence or setting must meet for individuals to receive HCBS under Ohio's NF-based level of care waiver programs, including provider-owned/controlled residential setting conditions.

2005-10-07 · Vermont · 🆕 new

Requires the Department to operate a quality assurance/quality improvement system with discovery, remediation, and improvement, including complaint handling, incident reporting, provider performance monitoring, fraud response, and abuse/neglect/exploitation reporting. Obligates service providers to comply with the QA/QI system, including survey and certification procedures. Framework topic: Quality Assurance / Incident Reporting / Abuse Reporting.

2024-01-01 · Ohio · 🆕 new

Defines the community transition service that pays non-recurring start-up living expenses for individuals moving from an institution to an HCBS setting, its limitations, provider requirements, and the per-service documentation the provider must keep.

2005-10-07 · Vermont · 🆕 new

Governs requests by applicants, participants, and providers for a variance from the Choices for Care regulations to protect an individual's health, safety, or welfare, including the required contents of a written variance request, the documentation the Department may require, and the 30-day decision timeline. Framework topic: Provider Standards / Variances & Exceptions.

2016-05-04 · New York · 🆕 new

DOH notice of amendments to 10 NYCRR 763.7 and 766.4 (effective May 4, 2016) extending the timeframe to obtain signed physician orders based on verbal orders for CHHAs, LTHHCPs, and LHCSAs.

2012-05-19 · Pennsylvania · 🆕 new

Sets the education/experience qualifications for service coordinators and their supervisors and the initial and annual training hours and topics they must complete.

2024-01-01 · New York · 🆕 new

DOH guidance implementing Public Health Law 3614-c that requires home care aides on Medicaid-funded jobs in the NYC region and Nassau, Suffolk, and Westchester counties to be paid a base wage plus a supplemental benefit portion meeting a minimum total compensation rate, and sets the current benefit-portion amounts.

2018-08-23 · New York · 🆕 new

DOH letter reminding Licensed Home Care Services Agencies of their obligations under state and federal anti-kickback rules and Title 10 regulations as MLTC contract limits drive LHCSA consolidation under the 2018-2019 budget.

2019-06-11 · New York · 🆕 new

DOH directive requiring all CHHAs, LTHHCPs, Hospices, and LHCSAs to participate in a mandatory statewide emergency response drill (June 11-13, 2019) using the HERDS Home Care Emergency Response Survey, with deficiency citations and enforcement for non-participation.

2024-01-01 · Ohio · 🆕 new

OAC rule enumerating the rights and responsibilities of individuals enrolled on ODM-administered waivers, including service-verification signature timing and record-location requirements.

2024-07-01 · Ohio · 🆕 new

Sets the application, pre-certification review, and denial procedures for becoming an ODA-certified home and community-based services provider, including personal care and participant-directed personal care providers.

2025-10-28 · New York · 🆕 new

Restates CNA recertification requirements and clarifies that home care services agencies (Article 36) and adult care facilities are ineligible to recertify CNAs.

2012-05-19 · Pennsylvania · 🆕 new

Sets conditions, monitoring duties, and time limits for hiring a person provisionally pending a criminal history check, and requires immediate termination if the check reveals disqualification.

2012-05-19 · Pennsylvania · 🆕 new

Establishes that the Department monitors HCBS/OLTL providers at least biennially and requires providers to submit documentation of compliance on request.

2012-05-19 · Pennsylvania · 🆕 new

Requires a provider to submit, on a Department form, a corrective action plan (CAP) responding to monitoring findings and to implement a Department-approved CAP.

2022-09-06 · New Jersey · 🆕 new

Sets the per-unit fee-for-service payment basis, unit definition, time-rounding rules, and claim/charge requirements for PCA services.

2026-07-01 · Michigan · 🆕 new

Notice that MDHHS intends to submit a Section 1915(b)/(c) MI Choice waiver amendment to CMS adding "Coordinated Caregiving" (a structured family caregiving live-in caregiver personal care service) plus EVV, provider-type, cap, and transportation changes effective July 1, 2026.

2025-10-01 · Michigan · 🆕 new

The October 2025 quarterly Medicaid Provider Manual update bulletin incorporating Home Help service-hour caps, the Home Help Services Agreement (MSA-4676) requirement, and new EVV requirements for Home Help services provided in the community or at secondary addresses.

2025-10-01 · Michigan · 🆕 new

Explains how Home Help coordinates with and is distinguished from other Medicaid personal-care programs (CLS, Home Health, MI Choice, PACE, hospice, MI Health Link, CTS, APS) to avoid duplication, establishing non-duplication rules, first-payer ordering, and APS payment caps.

2022-09-06 · New Jersey · 🆕 new

Sets the registered professional nurse's assessment, plan-of-care, and periodic supervision duties for personal care assistants in the Medicaid PCA program.

2024-12-02 · New Jersey · 🆕 new

Assigns the Division sole authority over a participant's appropriateness for self-direction and sets the reporting and transition process when a participant can no longer self-direct.

2026-04-01 · Michigan · 🆕 new

Requires all Home Help cases to be reviewed every six months in MiAIMS, specifying the required in-home face-to-face client contact, guardian and caregiver contacts, Medicaid eligibility verification, documentation, and the mid-review increase and out-of-county transfer procedures.

2024-12-02 · New Jersey · 🆕 new

Enumerates the employer-of-record and program-compliance duties a self-directing PPP participant must carry out, including hiring/firing, timesheets, workers' comp, records, and reassessment participation.

2026-01-01 · Michigan · 🆕 new

Describes the MI Coordinated Health (HIDE SNP) program that replaced MI Health Link effective 1/1/2026, its eligibility and covered services, and the rules requiring dual-eligible enrollees to receive personal care through the HIDE SNP rather than concurrently with Home Help.

2026-07-01 · Michigan · 🆕 new

The July 2026 quarterly Medicaid Provider Manual update bulletin incorporating changes to the Home Help, MI Choice Waiver, MI Coordinated Health, and EVV chapters, including new agency-caregiver CHAMPS revalidation, medical-need certification, EVV manual-edit compliance thresholds, and critical incident reporting requirements.

2022-09-06 · New Jersey · 🆕 new

Defines who may provide Medicaid personal care assistant services, what those services consist of, and the ADL-need thresholds a beneficiary must meet to qualify.