Insights on Compliance, Care & Policy
CertifyMed's take on the latest LTSS, HCBS, and Medicaid developments from the Federal Register, CMS, and national news.
From CertifyMed
Original analysis on LTSS assessment, compliance, and policy.
HCBS Workforce Compliance: Credentialing, Training Records, and Audit Readiness for Direct-Care Staff
Direct-care workforce compliance for HCBS providers covers credentialing, training documentation, the 80/20 rule, and audit readiness.
HCBS Survey Readiness: How Providers Can Stay Audit-Ready Every Day
Stop scrambling before surveys. Learn how HCBS providers build continuous audit readiness through evidence-based compliance and ongoing monitoring.
What Is HCBS? A Complete Guide to Home and Community-Based Services
Learn what HCBS is, who it serves, how Medicaid waivers work, and the compliance obligations every stakeholder needs to understand.
Person-Centered Service Plan Requirements: A Practical Guide to Compliance and Audit Readiness
Break down person-centered service plan requirements, required elements, annual review obligations, and how to keep plans audit-ready.
interRAI Assessment Medicaid: Why States Are Moving Away from Homegrown Tools
States are retiring homegrown assessment tools in favor of interRAI. Here is what is driving the shift and what it means for Medicaid compliance.
HCBS Quality Measures for 1915(c) Waivers: What State Agencies and MCOs Need to Know
A practical guide to the HHS-identified HCBS quality measure set for 1915(c) waivers, compliance deadlines, and automating evidence collection.
EVV Compliance in 2026: Hard Edits, Denials & Penalties Every HCBS Provider Must Understand
EVV compliance in 2026 means real claim denials and federal FMAP penalties. Here is what HCBS providers need to know before the next billing cycle.
CertifyMed Announces July 2026 Platform Launch with InterRAI Assessments and HCBS Settings Rule Compliance
CertifyMed today announced that its InterRAI Assessments and HCBS Settings Rule Compliance modules will be generally available beginning July 1, 2026. The platform will deliver digital InterRAI clinical workflows, automated compliance management for the HCBS Settings Final Rule, and full integration across state agencies, managed care organizations, assessment entities, and HCBS providers.
Closing the Safety Loop: How CertifyMed's Adverse Incident System Protects Participants and Programs
Adverse incident reporting in HCBS programs serves two critical functions: protecting participant safety and demonstrating regulatory accountability to state oversight agencies and CMS. When incident management is fragmented or manual, both functions fail. CertifyMed provides a complete incident lifecycle system built for HCBS regulatory requirements.
The Case for Integrated Case Management in HCBS Waiver Programs
Effective case management is at the heart of every high-quality HCBS program. But most case management tools were designed for other healthcare contexts — and the workarounds that result impose real costs on care quality, coordinator capacity, and regulatory compliance. CertifyMed's case management module was built specifically for the HCBS waiver environment.
Navigating the HCBS Settings Rule: From Complex Regulation to Operational Clarity
The HCBS Settings Final Rule is one of the most operationally complex requirements in Medicaid long-term services and supports. It governs where and how HCBS services can be delivered, mandates physical and operational changes across thousands of provider sites, and requires ongoing CMS reporting. CertifyMed was purpose-built to absorb this compliance burden.
InterRAI Assessments Made Digital: How CertifyMed Transforms Clinical Evaluation Workflows
InterRAI assessment instruments are the clinical cornerstone of many HCBS waiver programs — yet most organizations still administer them through paper forms, fragmented PDFs, or legacy tools that can't share data with the rest of the care system. CertifyMed's digital InterRAI platform changes that equation entirely.
Introducing CertifyMed: The Complete HCBS Platform Built for Modern Medicaid Programs
CertifyMed is a purpose-built enterprise platform for Home and Community-Based Services (HCBS) 1915(c) waiver programs. It unifies clinical assessments, compliance management, case coordination, program administration, and safety reporting in a single, connected system — designed for the operational realities of state Medicaid agencies, managed care organizations, and HCBS providers.
Policy news from around the web
Aggregated from CMS, ACL, the Federal Register, and health-policy outlets.
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Federal Panel Adopts Overhauled Autism Plan
Read at sourceVideos Put Human Face On Indiana Medicaid Waiver Service Denials - InkFreeNews.com
Read at sourceMedicaid Coverage for Women
Read at source
InterRAI disability assessment tool to be reviewed
Read at sourceMedicaid Program; Prohibition on Federal Medicaid and Children's Health Insurance Program Funding for Sex-Rejecting Procedures Furnished to Children
Read at sourceNew Medicaid Rules Could Impact Scores Of Beneficiaries. Many May Not Know It
Read at sourceLyft Removes Barrier For Riders With Developmental Disabilities - Disability Scoop
Read at sourceMedicaid/CHIP Monthly Enrollment Tracker
Read at sourceMandatory Electronic Filing (e-Filing)
Read at sourceGuardians Are Supposed To Care For Our Most Vulnerable. Why Are Exploitation Cases Skyrocketing?
Read at sourceAdvocates call for renewal of Medicaid waiver that launched Social Care Networks - Spectrum News NY1
Read at sourceAvailability of Rural Hospitals Providing Inpatient Maternity Care in Medicaid
Read at sourceStay ahead of LTSS compliance
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