State Tax Collections Beat Expectations The Commonwealth's Department of Revenue reported that February tax collections were 2.6 percent above benchmark ($59 million). This is welcomed news as tax collections have lagged this year, casting uncertainty over the State's fiscal picture. While this will not fully alleviate concerns over the state's future fiscal picture given Federal Government uncertainty, it does make it more likely that the state stays on track for a balanced budget later this year.

Agencies with CLIA Certificates of Waiver must now manage certification and fee payments online as CMS ends paper mailings.

CMS has completed the transition of the Clinical Laboratory Improvement Amendments (CLIA) program to a fully paperless system. CMS will no longer mail paper CLIA certificates or paper fee coupons. All CLIA certification and survey fees must now be paid online.

Massachusetts regulators are advancing new rules that would increase scrutiny of facility ownership, financial transparency, and infection control preparedness.

The Massachusetts Department of Public Health has proposed significant regulatory changes that would tighten oversight of long-term care facilities, including stricter reviews of ownership transfers and management companies. If adopted, the rules would add new financial reporting requirements, expand suitability criteria, and require facilities to submit outbreak response plans and enhanced staff training. The proposal reflects the state’s broader push to strengthen accountability and transparency across long-term care.

New CMS guidance clarifies that while technology may assist with documentation, clinicians must retain responsibility for the final OASIS coding decisions as agencies prepare for the April 1, 2026 OASIS-E2 implementation.

As agencies prepare for the April 1, 2026 implementation of OASIS-E2, the Centers for Medicare & Medicaid Services (CMS) has released its final Guidance Manual. Within that update, a small but meaningful revision in Convention #9 deserves attention—particularly for agencies using, or considering, AI-assisted documentation tools.

According to an article in this week's Hospice News, Programs of All-Inclusive Care for the Elderly (PACE) continue to draw investment as states look for coordinated, value-based models that keep medically fragile older adults living in the community. Industry leaders describe PACE as one of the most comprehensive care models in health care — integrating primary care, therapy, behavioral health, transportation, adult day services, and home-based support under a single structure.

Alliance Submits Formal Comments to DOI on 211 CMR 52.00 to Protect Timely Access to Home-Based Care

Drawing on direct feedback from Massachusetts home health agencies, HCA has urged the Division of Insurance to standardize prior authorization processes, reduce care delays, and ensure home health and hospice providers are clearly protected under proposed reforms.

New 2025 data shows persistent vacancy and turnover pressures — particularly in non-certified agencies — while nurse recruitment remains a top concern statewide.

CHIA’s 2025 Massachusetts Health Care and Human Services Workforce Survey underscores continued strain across the home care sector, with elevated turnover in non-certified agencies and registered nurses cited as the hardest roles to recruit and retain. The data will help inform ongoing advocacy for reimbursement and workforce development.

Independent review highlights Massachusetts’ low uninsured rate and cost savings, while some ACO feedback labels home health a “tremendous expense.”

CMS’s September 2025 evaluation of Massachusetts’ 1115 Demonstration Waiver confirms significant savings and strong coverage outcomes. Yet comments from some ACOs describing home health as a cost driver underscore the need to reinforce the sector’s value — particularly its critical role during the pandemic in keeping patients safely at home.

2025 CERT Report shows lowest FFS error rate since 2021, but clinical documentation gaps continue to fuel denials.

CMS’ latest Comprehensive Error Rate Testing (CERT) report brings encouraging news: the overall Medicare fee-for-service improper payment rate dropped to 6.55%. For home health and hospice, however, the story is familiar. Insufficient documentation, medical-necessity deficiencies, and certification errors remain the primary causes of improper payments — underscoring the need for tighter clinical oversight, stronger physician documentation, and focused internal audits.

Updated HQRP performance results now publicly visible to families, referral partners, and regulators.

The latest Hospice Quality Reporting Program refresh includes updated HIS, CAHPS, Star Ratings, and claims-based measures. Hospices are encouraged to review their publicly reported data, assess trends, and align quality improvement efforts accordingly.

New U.S. News analysis highlights “High Performing” home health providers based on CMS quality and patient experience data.

Massachusetts has 310 Medicare-certified home health agencies, and a smaller group earned “High Performing” status—signaling strong outcomes and consistently positive feedback from patients and families.

Federal settlement accelerates transitions, increasing demand for home- and community-based services statewide.

Two years after a landmark federal lawsuit, Massachusetts has moved hundreds of disabled residents from nursing facilities into community settings — with thousands more expected to follow. As the state advances its community-first strategy, home care providers are poised to play a central role in meeting rising demand for in-home services and coordinated supports.

Provider voices shaping the future of home care licensure in Massachusetts

Home care licensure is no longer theoretical—it’s moving. As the Senate considers next steps, providers from across Massachusetts are speaking plainly about what licensure means for patient safety, workforce stability, and the realities of delivering care at home. Watch their stories, then add your voice to the conversation.

Optional supervisory flexibilities introduced; core quality and oversight responsibilities remain unchanged.

MassHealth’s February 2026 CSN Bulletin 26 introduces optional flexibilities to Complex Care Assistant (CCA) supervision requirements, including changes to visit frequency and who may conduct supervisory visits. While the revisions may ease operational burdens for some agencies, MassHealth makes clear that core expectations around quality, safety, documentation, and oversight remain firmly in place. Agencies should carefully assess how — and whether — to incorporate these changes within their clinical, accreditation, an

Rapid HCA survey highlights delays, inconsistencies, and financial risk for home health providers

Member feedback confirms that prior authorization remains inconsistent and burdensome across payers, with delays that can disrupt care and shift risk onto agencies.

A new op-ed in Generations warns that cuts to home- and community-based services could push more vulnerable older adults into nursing homes — including in Massachusetts. The author points to recent reductions in enrollment in the state’s Enhanced Community Options Program (ECOP), which provides limited in-home support to low-income seniors who qualify for nursing facility–level care but wish to remain at home.

Massachusetts Fired Its Elder Affairs Chief. She’s Now Suing the State.

Former Massachusetts elder affairs chief Elizabeth Chen has filed suit in Suffolk Superior Court alleging racial discrimination and retaliation following her dismissal from the Massachusetts Executive Office of Health and Human Services in 2024. The complaint claims anti-Asian bias may have influenced the decision to remove her from leadership of the state’s aging agency, now known as the Executive Office of Aging and Independence.

CMS Releases Hospice Preview Reports in CASPER, Offering Providers a Critical Review Window Before Public Reporting Refresh

Hospice agencies can now review their latest quality data before it goes live on Care Compare this May — including updated CAHPS Star Ratings and a temporary change to a key caregiver training measure.

Public hearing February 19 — HCA preparing comments and seeking agency feedback

The Division of Insurance has proposed changes to streamline prior authorization requirements, including a ban on PA for certain post-acute services delivered on weekends and holidays. HCA believes additional home-based services should be exempt and is finalizing written comments for the February 19 hearing. Members are encouraged to complete the brief six-question survey to help inform our advocacy.

Exhibit on display this week at the Massachusetts State House

The Portraits of Care exhibit is on display through Friday in the 4th Floor Gallery, honoring the caregivers and patients who shared their stories. Thank you to our intern Lily Casey and the many volunteers who helped bring this project to life. Visit this week—and consider submitting a portrait or hosting a traveling exhibit in your community next fall. Learn more and get involved at: https://www.thinkhomecare.org/poc/

Strengthening regulatory and policy leadership for home health, hospice, and home-based care

Kim Portello, PT, COS-C, has transitioned into a full-time role as Associate Director of Regulatory Policy & Strategy, supporting HCA’s work translating complex state and federal requirements into practical guidance for members across the Commonwealth.

New member resource focuses on heart health, caregiving, and care at home

As part of the Alliance’s growing library of member benefits, this Valentine’s Day we’re spotlighting the Advanced Cardiac Care Patient & Caregiver Resource Guide. Available at no cost to members, the guide provides practical, easy-to-use information for patients and caregivers managing advanced cardiac disease at home. It reflects the Alliance’s commitment to supporting care that is informed, compassionate, and grounded in real-world needs.

From startup to sustainability: a board member’s real-world perspective

Alliance Board Member Gertrude Mageza shares her firsthand experience building Purple Nurse Home Care Services during the pandemic, offering practical insight into leadership, mentorship, and what it takes to grow a home care agency in Massachusetts. A candid discussion with Alliance Board Member Gertrude Mageza on entrepreneurship, resilience, and strengthening the next generation of home care leaders.

Opportunities available to support veterans through in-home care partnerships with the VA

The U.S. Department of Veterans Affairs continues to strengthen access to care through its Community Care Network and is seeking qualified home care providers in several Massachusetts counties where veteran demand remains high. While much of the state is currently well served, targeted regions are open for new participation—creating a meaningful opportunity for agencies to expand services, partner with the VA, and help veterans remain safely at home.

Court order protecting Haitian caregivers collides with employer uncertainty, triggering layoffs and renewed calls for clear guidance

A federal court has halted the termination of Temporary Protected Status for Haitian workers, preserving their legal right to work. Yet confusion over documentation and rapidly shifting immigration policy has already led to layoffs in Massachusetts home care, exposing the real-world workforce consequences of federal uncertainty.

Alliance advocacy leads to clarification and next steps for providers impacted by claims errors

After reports of inappropriate denials for twice-daily visits, the Home Care Alliance raised the issue directly with Commonwealth Care Alliance. CCA has acknowledged the error, confirmed that authorized BID visits are reimbursable, and is issuing guidance to affected providers.

Consolidated Appropriations Act, 2026 restores federal funding and extends critical Medicare flexibilities for care at home providers

The Consolidated Appropriations Act, 2026 ends the federal government shutdown and funds agencies through September 30, 2026. The legislation includes important provisions for home health, hospice, and hospital-at-home providers, including extended Medicare telehealth flexibilities through 2027, a five-year extension of the Acute Hospital Care at Home waiver, and steps toward streamlined Medicaid enrollment for certain pediatric providers.

Recognizing the contributions of Black leaders and minority-owned businesses shaping care at home across the Commonwealth

February is Black History Month, a time to honor the history, leadership, and impact of Black Americans. In Massachusetts, minority-owned businesses represent a growing share of the economy, a trend clearly reflected in home care. Many Alliance member agencies are owned, operated, and staffed by people of color, strengthening culturally responsive care and community trust. We invite members and partners to share what Black History Month means to them, with selected reflections featured in an upcoming CEO message.

Federal judge blocks Trump administration’s termination of Haiti’s protected status, keeping work authorization in place as legal challenge continues.

Federal court halts the planned end of Haiti’s Temporary Protected Status, allowing thousands of Haitian workers — including an estimated 800 to 1,000 in Massachusetts home care — to remain authorized to work while the case moves forward, offering short-term stability amid ongoing legal uncertainty.

Honoring the people and stories behind home care across the Commonwealth

A moving photo exhibit on display February 9–13 highlights caregivers, clients, and the power of care at home. Join us at the State House to see the faces and stories that define home care in Massachusetts.

Agencies are encouraged to share a paid research opportunity with eligible dementia caregivers. Participants will complete a brief confidential interview and receive a $40 Amazon gift card for their time.

Home care agencies are encouraged to share a paid research opportunity with home health aides who support older adults with memory loss or dementia. A VA Bedford–led study is seeking aides with at least six months of experience to participate in a 30–40 minute interview about communication with family caregivers. Eligible participants will receive a $40 Amazon gift card for their time. Participation is voluntary and confidential, and the study aims to strengthen understanding of dementia caregiving in home-based setting

Partial Government Shutdown Looms, Telehealth Flexibility Uncertain

breakdown in federal negotiations has sharply increased the likelihood of a partial government shutdown on January 30—putting recent telehealth extension plans in jeopardy. With DHS funding at the center of the standoff, home health and hospice agencies should prepare for federal telehealth F2F flexibilities to expire and plan accordingly.

Making the Case for Home Care Reform in Massachusetts

Jake Krilovich, CEO of the Home Care Alliance of Massachusetts, joined Dan Stockhaus, Director at Always Best Care on the Wellness Wave Morning Show to discuss licensure and the future of private-pay home care in Massachusetts. Their conversation breaks down what providers, families, and policymakers need to understand as the regulatory landscape evolves. Listen now to the January 17, 2026 episode on Spotify.

The Northeast Leadership Summit for Care at Home brought leaders together for two days of honest conversation, shared challenges, and practical ideas for the work ahead. It was a chance to step back, compare notes, and remember that no one is doing this alone. One of the most talked-about moments came during the evening event, when the dueling pianos took over the room. It was a fun, unexpected break and a reminder that connection and community matter just as much as the work itself.

An Alliance member is taking center field for compassion, service, and the power of care at home.

Community Nurse, Inc. recognized by the Kraft family, Patriots Foundation, and Gillette with a $25,000 Difference Maker of the Year award for hospice volunteer leadership.

Home Care Alliance launches three printed directories connecting families and professionals with trusted private-pay home care providers—now open for advertising.

Finding reliable care at home can be daunting. This spring, the Home Care Alliance of Massachusetts will put a clearer map in the hands of families, discharge planners, and community leaders—one region at a time.

Medicare’s new GUIDE initiative shifts dementia care toward prevention and caregiver support, creating both opportunity and new expectations for home care agencies.

A little-known Medicare program is quietly reshaping dementia care nationwide. Built around care coordination, caregiver respite, and prevention, GUIDE offers home care agencies a new way to engage families earlier — and a glimpse of where federal health policy is headed next.

Collections dropped $285M year over year as the state enters the second half of the fiscal year

Massachusetts collected $4.06B in December—$285M (6.6%) less than last year and below benchmark expectations—tightening the margin for error as the Healey administration finalizes its FY27 budget proposal.

December Revenue Shortfall Narrows Budget Flexibility Midyear

Massachusetts collected $285 million less than expected in December, tightening the state’s budget margin as officials shape the FY2027 spending plan amid modest growth projections.

DPH Reports Very High Flu Activity and Hospital Strain Across Massachusetts

State health officials warn that Influenza A (H3N2) is driving rising cases and hospital pressure, urging home- and community-based providers to reinforce infection control, appropriate treatment, and vaccination efforts statewide.

IRS Expands Tax Exclusion to Include Massachusetts PCA Program

A new IRS ruling allows qualifying live-in family caregivers in the Massachusetts PCA program to exclude payments from federal and state income taxes, a change in effect January 1, 2026 that could deliver meaningful tax relief.

HHCAHPS Survey Overhaul Takes Effect April 1, 2026

CMS is implementing the first major HHCAHPS update since launch, removing several questions, adding new person-centered measures, and revising how HHCAHPS factors into HHVBP and Star Ratings—requiring agencies to confirm readiness with vendors before April 1.

CMS Clarifies Face-to-Face Flexibility Under the 2026 Home Health Final Rule

Under the CY 2026 rule, the practitioner conducting the F2F encounter does not need to be the certifying provider or have prior involvement in the patient’s care—an update intended to reduce transition delays while leaving all other F2F requirements unchanged.

Alliance member Elizabeth Kleber highlights the essential role of home health and hospice as Massachusetts’ population ages and long-term care options narrow.

As Massachusetts loses nursing facility beds and demand for care rises, home health and hospice providers are filling critical gaps. A new op-ed from VNA Care’s Elizabeth Kleber highlights why advocacy for care at home has never mattered more. With fewer long-term care options available, home-based care is becoming essential. Alliance member Elizabeth Kleber makes the case for why home health and hospice are vital to patients, families, and communities.

Honoring Harrison Collins’ impact on home care licensure, advocacy, and grassroots leadership at the Home Care Alliance as he begins his next chapter.

Over nearly four years at the Home Care Alliance, Harrison Collins helped shape some of the organization’s most important advocacy work—from advancing licensure for non-medical home care agencies to re-energizing grassroots engagement on Beacon Hill. Along the way, he brought clarity, persistence, humor, and heart to the work, leaving a lasting impact on colleagues, members, and the field.

Authorizations in place to prevent service disruptions as expanded benefits sunset January 1, 2026

As One Care coverage shifts in 2026, Commonwealth Care Alliance has issued continuity of care authorizations—but ongoing financial instability and state oversight raise important considerations for providers seeking timely payment and clear guidance.

Federal funding creates new opportunity to support home care, hospice, and community-based services statewide

Massachusetts will receive $162 million in federal funding through CMS to expand access, workforce capacity, and care coordination in rural communities—an investment the Home Care Alliance will continue to advocate be used for home-based care.

Proposal to double primary care spending highlights pressures across the care continuum—including home-based services.

As Massachusetts weighs a proposal to significantly increase primary care spending, new reporting underscores a familiar reality for home care and home health providers: workforce strain, uneven access, and growing demand tied to an aging population. Any lasting solution will require strengthening care beyond the doctor’s office—into the home.

We Appreciate Your Feedback

The Alliance has launched a brief, nine-question member survey to better understand how member organizations are using Alliance resources and where additional support may be needed. The survey takes only a few minutes to complete. Members who would rather discuss their experience or review their benefits directly are always welcome to contact me one-on-one.

CMS policy updates will affect eligibility, covered services, and authorizations starting January 1, 2026.

Beginning January 1, 2026, major changes to Senior Care Options and One Care will impact eligibility, service coverage, and payment pathways. Providers should review caseloads now to avoid service disruptions and reimbursement delays.

Advance Care Planning measure under review for Home Health QRP; no hospice measures included

CMS has published its 2025 Measures Under Consideration (MUC) list, identifying a single potential new quality measure for home health—Advance Care Planning—while proposing no new measures for hospice. Public comments are open through January 6, offering providers an early opportunity to weigh in before any future rulemaking.

New IRS exemption could boost take-home pay for thousands of MassHealth-funded aides

Massachusetts will exempt many live-in personal care attendants (PCAs) paid through MassHealth from state and federal income taxes, following a new IRS ruling requested by the Healey administration. Thousands of live-in personal care attendants in Massachusetts will no longer owe state or federal income taxes on their earnings, a change state officials hope will offer modest financial relief to a workforce under strain and help stabilize home-based care across the Commonwealth.

Legislation moves to Senate Ways and Means, positioning licensure for early 2026 action

The Home Care Alliance’s licensure bill cleared a key Senate committee last week and is now before Senate Ways and Means, typically the final step before a floor vote. With lawmakers in recess, HCA is working with Senate leadership to make licensure a priority when the Legislature reconvenes in early 2026.

Statewide advocacy and support for care delivered at home

Across every region of Massachusetts, the Home Care Alliance represents providers working to strengthen access, quality, and sustainability in home-based care.

Findings from the Alliance’s Holiday Staffing Pulse Poll

Holiday coverage is one of the toughest operational tests of the year. We asked agencies how they plan for holiday staffing and callouts—and the results point to a clear theme: advance planning, clear policies, and the right tools make a measurable difference.

Clarity, fairness, and accountability during the most challenging weeks of the year

How are agencies managing holiday coverage and last-minute callouts? Take one minute to share your approach and help shape upcoming conversations, resources, and advocacy.

Boston Globe letters highlight growing support for regulation, accountability, and workforce investment

Recent public commentary points to increasing momentum behind Massachusetts’ proposed home care licensure bill—along with clear expectations for meaningful implementation and oversight.

Move highlights bipartisan pressure as enhanced Affordable Care Act subsidies near expiration

A small group of House Republicans has joined Democrats in using a procedural maneuver to force a vote on extending enhanced ACA subsidies, underscoring growing urgency as the policy’s expiration approaches.

Defendant sentenced for submitting false claims totaling more than $150,000 in unprovided PCA services

The Massachusetts Attorney General’s Office announced guilty pleas and sentencing in a significant MassHealth Personal Care Attendant fraud case, reinforcing the importance of oversight and enforcement in publicly funded home- and community-based care programs.

Budget forecasters cite economic uncertainty and federal shifts as key variables

State budget officials are projecting slower tax revenue growth in the coming years, setting the stage for a cautious fiscal environment as Massachusetts prepares its next budget cycle.

Insights from Steve “The Hurricane” Weiss at the 2025 Home Care Symposium

At the Home Care Symposium in Worcester, Steve “The Hurricane” Weiss broke down the disciplined marketing, referral development, and customer targeting strategies that position private-pay agencies for scalable, durable growth. Here’s what he shared.

Why the caregiving system is reaching a breaking point — and what shrinking access means for families

As demand for home care surges, agencies are confronting a perfect storm: accelerating costs, shrinking federal support, and immigration policies that threaten the very workforce keeping older adults safe at home. Jake Krilovich, CEO of the Home Care Alliance of Massachusetts, underscored the competitive pressure on wages: “When his state passed a $15 minimum wage, we saw a lot of the workforce migrate as a result of that.”

A proposed commission would explore a publicly funded program to ease the financial burden on families and stabilize the state’s long-term care system.

With annual care costs reaching $87,000–$180,000 and Medicaid footing a growing share of the bill, Massachusetts is weighing a payroll-tax-funded long-term care insurance program. The Home Care Alliance would have a seat at the table as lawmakers shape the path forward. Article

A unanimous vote moves the Medicare waiver one step closer to long-term stability for hospitals delivering acute-level care in the home.

The U.S. House has approved a bipartisan reauthorization of “Hospital at Home,” clearing the way for expanded remote and in-home acute care services through 2030. Ten Massachusetts hospitals already participate, with more expected to join once the bill becomes law.

A forceful editorial highlights consumer risk, quotes the Alliance’s legislative leadership, and adds momentum for Senate action.

The Boston Globe’s editorial board is calling for statewide licensing of private-pay home care agencies — a reform the Alliance has championed for years. With Harrison Collins featured prominently and the House already on board, pressure now shifts to the Senate.

Comfort Home Care and Visiting Angels earn statewide recognition for strong culture, leadership, and caregiver support.

From Methuen to Chelmsford/Burlington, two Alliance members landed spots on the Globe’s prestigious Top Places to Work list — a testament to workplaces where caregivers feel valued and supported.

NYT highlights new care models—but affordability remains the hard stop

Worker-owned co-ops, caregiver registries, and training programs are improving care delivery, yet the fundamental question of who can afford home care remains unanswered.

CY 2026 Home Health Final Rule aligns F2F policy with the CARES Act

CMS has finalized a long-awaited update to the Face-to-Face encounter requirement, expanding who may perform the visit and easing administrative barriers to timely admissions.

Today’s Boston Globe brings statewide attention to the urgent need for home care regulation in Massachusetts—featuring a powerful quote from the Home Care Alliance of Massachusetts.

Today’s Boston Globe feature casts a powerful spotlight on the gaps in home care oversight across Massachusetts—elevating a message the Home Care Alliance has been delivering for years.

The U.S. Department of Veterans Affairs (VA) has released its 2026 VA Fee Schedule (VAFS), effective January 1 through December 31, 2026. For Massachusetts providers, the most important update is straightforward: rates for 2026 remain unchanged across all listed home care and adult day services. This stability provides welcome continuity for providers serving veterans through VA-authorized community care.

A compassionate, practical resource to help families navigate the complexities of late-stage dementia care.

Now available as a member-only benefit for Home Care & Caregiver Month, this new Dementia Care Patient & Caregiver Guide offers clear, trusted guidance on safety, comfort, symptom changes, and when to consider hospice and palliative care—supporting families at every step.

Payments Reduced 1.3%, Avoiding Deeper Proposed Cuts

CMS has officially released the CY 2026 Home Health Final Rule, confirming a 1.3% net reduction in Medicare payments—significantly less than the originally proposed 6.4% cut, but still a meaningful hit to provider operations. While CMS scaled back the most severe reductions after industry feedback, the final rule continues to place financial strain on home health agencies and may further impact patient access to care.

Study reveals emotional and practical support from agencies dramatically improves job satisfaction and retention for home-based caregivers

A new Massachusetts-based study reinforces what many agencies see every day: workplace support is one of the most powerful drivers of home health aide (HHA) job satisfaction and retention. Researchers conducted six focus groups with 37 HHAs across four agencies to better understand how aides experience support from supervisors, office staff, coworkers, and agencies—and how that support impacts their work.

CMS resumes public reporting following federal shutdown, releasing updated HH QRP performance data across Medicare.gov and the Provider Data Catalog.

The latest Home Health Quality Reporting Program (HH QRP) update is now available, giving agencies and the public access to refreshed OASIS, claims-based, and HHCAHPS performance data through 2025.

Actionable insights to strengthen patient experience, team performance, and CAHPS outcomes.

A national quality improvement study identified the strongest drivers of CAHPS performance—including structured care teams, organizational commitment, and turnover. Learn what truly moves patient and family satisfaction scores and how your agency can act on the research.

Massachusetts Remains One of the Highest-Paying States for HCAs and Clinical Staff

New national data reveal rising wages, improving turnover, and continued workforce pressure across home health agencies, with Massachusetts leading in compensation for key frontline roles.

The 2026 Care at Home Resource Directory goes to print tomorrow. Please take a moment to review your agency’s online profile today to ensure your information is accurate and complete. Listings will print as-is after the deadline. Need help accessing your account? Contact the HCA office at (617) 482-8830 or info@thinkhomecare.org before 5 p.m. tomorrow.

State grant supports new training pipeline to expand Massachusetts’ home care and long-term care workforce.

Boston-based Hebrew SeniorLife, an HCA member, has launched the Lunder CareForce Institute, a 10-year initiative to train 3,000 new health care workers and address frontline staffing shortages.

Help Improve the Safety and Usability of Mobility Equipment

Researchers are seeking volunteers for a one-hour, supervised usability study of a new power wheelchair featuring advanced joystick control, collision avoidance, and Bluetooth connectivity. Participants will receive $200 for their time and contribute valuable insights that enhance future wheelchair design and safety.

Benchmarking the 2025 Workforce, Training, and Operational Trends in Palliative Care

CAPC’s 2025 Palliative Pulse survey gathered responses from more than 850 palliative care professionals nationwide, offering a snapshot of workforce well-being, training priorities, and operational challenges. Team morale and emotional health remain top concerns, followed by misconceptions about palliative care and the need for more community resources.

VNANE Expands Membership Network to Include For-Profit Agencies

Visiting Nurse Associations of New England (VNANE), a clinically integrated network with a 40-year history of advancing high-quality home health care, has announced updates to its by-laws to include for-profit, community-based agencies in its Home Health & Hospice Membership Network.

Fall Regional Meetings Spark Connection and Resolve Across Massachusetts

Over the past two weeks, the Alliance team met with members in Gardner and Dartmouth for our fall regional meetings—gatherings that reminded us why this work matters and how deeply our members care about the future of care at home. Full Article:

CMS suspends most routine surveys, MassHealth reinstates in-person face-to-face encounters, and Congress weighs a new telehealth parity bill

As the federal shutdown stretches into its second week, home care and hospice providers are navigating halted CMS survey activity, lapses in telehealth flexibility, and uncertainty around TRICARE reimbursements. A key state hearing next week could help expand long-term telehealth access in Massachusetts.

After distribution delay, vaccines due to arrive this week, DPH chief says Goldstein says purchasing began immediately after drawn-out federal process

Massachusetts is seeing “glitches” in vaccine distribution just as flu and COVID season begins, Public Health Commissioner Robert Goldstein reported Wednesday. ACIP’s COVID-19 vaccine recommendations, normally adopted in days, took three weeks—delaying shipments to clinics, which are now expected to arrive by next week. Goldstein also warned that the ongoing federal shutdown is disrupting CDC and FDA operations, adding pressure on state vaccination efforts as the Vaccine Purchasing Advisory Council will meet again

MassHealth Temporarily Keeps Telehealth Options in Place

After the federal government shutdown ended Medicare’s telehealth flexibilities, MassHealth announced it will continue allowing telehealth for its members—at least for now—while Congress negotiates a funding deal that could determine the program’s future.

New England Financial Management Conference brought together home care and hospice leaders for a full day of timely updates, practical tools, and strategic discussions.

Yesterday’s New England Financial Management Conference brought together home care and hospice leaders for a full day of timely updates, practical tools, and strategic discussions.

The inaugural Home Health Care News Executives to Watch report will spotlight top leaders driving innovation and impact in home health and home care.

The inaugural Home Health Care News Executives to Watch report will spotlight top leaders driving innovation and impact in home health and home care. This is a chance for companies to recognize executives whose work is shaping the industry during a dynamic period of change. Nominations are open through October 3—submit today to ensure your leader is considered.

New requirements on salary disclosures, reporting, and penalties aim to close pay gaps — covered employers must prepare now.

As of October 29, 2025, Massachusetts law will require employers with 25 or more employees to include pay ranges in job postings, and current employees to receive them on request. Employers with 100+ employees will also face new reporting duties. Penalties escalate with repeated violations — this guide breaks down the who, what, when, and how.

Author Michael Tougias Inspires at Care Central VNA & Hospice’s 17th Annual Leadership Breakfast

At the 17th Annual Leadership Breakfast in Fitchburg, MA, author Michael Tougias brought The Finest Hours to life, sharing harrowing stories and timeless lessons in leadership.

Bipartisan bill from Reps. Kevin Hern (R-OK) and Terri Sewell (D-AL) would pause Medicare home health payment cuts for 2026–2027

The Home Health Stabilization Act of 2025 (H.R. 5142) aims to halt CMS’s proposed reductions to home health payments—advocates warn cuts could limit access, increase hospital crowding, and raise overall Medicare costs. Massachusetts providers and patients would feel the impact acutely; email your Member of Congress to co-sponsor H.R. 5142.

Recognizing the leaders shaping the future of at-home care

Today’s home care executives are steering their organizations through complex challenges while driving innovation in care delivery, payment models, and technology. The Executives to Watch program highlights those making the greatest impact—visionaries whose leadership, strategy, and commitment are setting the course for the industry’s future.

Overlook Visiting Nurse Association transitions its Home Health, Hospice, and Palliative Care operations to Care Central VNA & Hospice, ensuring continuity of compassionate, community-focused care.

Two long-standing nonprofits join forces to strengthen home health and hospice care across Central Massachusetts.

2024 Serious Illness Scorecard Highlights State Leadership

Massachusetts ranks among the top states nationwide for access to high-quality palliative care, but opportunities for improvement remain.

The Massachusetts Executive Office of Health and Human Services (EOHHS) will be issuing new guidance for complying with the Electronic Visit Verification (EVV) requirement to providers early next week. T

The Massachusetts Executive Office of Health and Human Services (EOHHS) will be issuing new guidance for complying with the Electronic Visit Verification (EVV) requirement to providers early next week.

Members should review the full guidance to ensure their policies align with state expectations.

The Massachusetts Department of Public Health has issued updated guidance for health care personnel with respiratory viral infections or exposures, effective September 1, 2025. The new standards outline when staff may safely return to work, masking requirements, and considerations for exposures and immunocompromised workers. This replaces earlier COVID-specific guidance and now applies broadly to illnesses such as COVID-19, influenza, and RSV.

The Program for Evaluating Payment Patterns Electronic Reports (PEPPER) is on its way back.

The Program for Evaluating Payment Patterns Electronic Reports (PEPPER) is on its way back. These reports, distributed annually by CMS, provide valuable data to help home health agencies and hospices monitor potential areas of improper Medicare payments. Many agencies have relied on PEPPERs as a benchmarking tool and as part of their compliance and quality improvement programs.

Submit your comments to CMS by Friday, August 29

CMS has proposed a fourth straight year of Medicare home health payment cuts—threatening patient access and agency stability. The Alliance has prepared draft comments and member toolkits to help you craft and submit your own response. Even if your agency is private pay or hospice, your voice is vital to showing CMS the ripple effects these cuts create across the entire care-at-home industry.

CMS seeks additional payment reductions alongside major policy changes

CMS’s proposed rule for 2026 would slash Medicare home health payments by another $1.135 billion—on top of nearly 9% in cuts already imposed. HCA has drafted detailed comments opposing these changes and created a Member Action Kit with customizable templates to help your agency submit personalized feedback by the August 29 deadline.

Save the Date! two in-person Member Meetings this fall

We’re hitting the road this fall to reconnect with members across the Commonwealth! Join us for one of our upcoming Regional Member Meetings.

New MassHealth Guidance on EVV Compliance Reporting

MassHealth has issued step-by-step instructions for Home Health and Group Adult Foster Care providers on accessing Fee-for-Service EVV Compliance Reports. Providers can request technical support through Sandata On-Demand, call 833-511-0164, or reach the MassHealth LTSS Support Center at 844-368-5184 / support@masshealthltss.com . ⚠️ Remember: the LTSS Provider Portal works best with the latest versions of Chrome, Edge, Safari, and Firefox.

Stay ahead on EVV compliance—MassHealth and Sandata share new guidance and tools to keep your agency on track.

Download the latest job aides, learn who to contact for support, and avoid common pitfalls in meeting EVV requirements.

MassHealth is bringing back referral requirements you haven’t needed since 2020.

MassHealth has updated referral requirements for services covered under the Primary Care Accountable Care Organizations (ACO) and the Primary Care Clinician (PCC) Plan. As of August 1, 2025, home health services are now exempt from referral requirements under these plans. This change is intended to streamline access and reduce administrative barriers for MassHealth members needing home health care. During this week's stakeholder call, MassHealth announced the Bulletin will be released in a week or two.

Short-staffing jeopardizes patient safety and increases costs, leaving agencies scrambling and families without essential care. If your agency has been affected, share your story with Jake Krilovich to advocate for solutions

Massachusetts' healthcare system faces escalating risk as the sudden end of the CHNV parole program strips vital caregivers of work authorization, according to Alliance Executive Director Jake Krilovich.

Alliance Advocacy Leads to Reduced Reporting Burden for Agencies

Following strong advocacy from the Home Care Alliance and feedback from members, CHIA has dropped the FY24 NSR Supplemental Schedule requirement for Home Health and Continuous Skilled Nursing cost reports—streamlining compliance without changing core reporting deadlines.

Act now—this deadline will not be extended again.

Your participation matters—help us make sure Massachusetts agencies are well represented and have the data they need to stay competitive in recruitment and retention.

TACPAC Task Force Completes Work

The Massachusetts TACPAC Task Force, including Alliance Executive Director Jake Krilovich, has completed its work to address barriers in moving patients from acute to post-acute care. Recommendations call for streamlined payer authorizations, workforce investments, and greater public awareness of community-based care options.

2024 SHPBest™ Awards Highlight Excellence in Home Health and Hospice Patient Experience

From Norwell to Pittsfield, home health and hospice agencies across Massachusetts have been nationally recognized for their exceptional commitment to patient-centered care. The 2024 SHPBest™ Awards spotlight providers in the top 5% and 20% nationwide—along with a rare honor for sustained excellence achieved by just a handful of agencies across the U.S. Massachusetts is proud to be home to several of them.

Personalized, around-the-clock care helps seniors stay safe, independent, and supported at home.

Excel Nursing Services, led by Rebecca Paquette, has reaffirmed its dedication to providing high-quality, 24-hour home care for seniors in Springfield, MA. The agency emphasizes personalized support, safety, and companionship to help clients age with dignity at home. With a team of trained caregivers and a focus on individualized care plans, Excel continues to be a trusted partner for families seeking compassionate, around-the-clock support.

Finding Purpose Through Connection

Over lunch with members, we talked about more than work—we talked about why we do this. Community, purpose, and showing up for one another. As we launch our renewal campaign, we’re asking: What is your why?

Massachusetts Providers Report Layoffs, Job Uncertainty Amid Federal Enforcement

Recent federal immigration actions are forcing home care agencies to reverify hundreds of workers, leading to immediate layoffs and threatening care access for seniors. “Any number of aides—whether it’s five or 10—has a significant impact,” says HCA Executive Director Jake Krilovich.

Key Legislation Advances to Health Care Financing Committee Ahead of Schedule

A top priority for the Home Care Alliance, legislation to establish licensure for non-medical home care cleared its first hurdle this week. With more time this session, HCA plans to ramp up advocacy to ensure it reaches the finish line by July 2026.

How Local Training Programs Are Shaping the Next Generation of Healthcare Workers

From students like Ana Mihal to countless others, aide training programs across Massachusetts are launching meaningful careers and strengthening communities. Share your organization’s success stories and help us spotlight the future of home care.

$50,000 Commitment Expands Access to Special Needs Trusts and Community Support

PLAN of MA & RI has partnered with Boston Senior Home Care to help older adults and people with disabilities stay in their homes and communities. With a $50,000 investment, the partnership offers families access to essential Special Needs Trust services, ensuring financial security and continued independence.

Alliance Member Shares Expertise on Telemedicine’s Role in Home Care and Hospice

Advancing Telehealth: Kathy Duckett Featured in Home Healthcare Now: An in-depth look at how telemedicine improves outcomes, reduces hospitalizations, and strengthens home care services — as presented by Alliance member Kathy Duckett in Home Healthcare Now.

Top National Ranking Highlights Both Achievements and Challenges for Home Care Providers

Massachusetts leads the nation in health system performance, but gaps remain in supporting older adults and reducing hospital readmissions. Home care agencies are key to sustaining this success — and advancing equity, access, and outcomes across the Commonwealth.

Showcasing Innovative Telehealth Approaches from Massachusetts Home Care Providers

Alliance member Kathy Duckett, MSN, BSN, RN, is featured in the July/August issue of Home Healthcare Now with the article Telemedicine Today: Integral to Healthcare. The piece explores how telemedicine improves patient outcomes, reduces hospitalizations, and expands care access in home care and hospice settings.

Strengthening Our Industry Through Collective Advocacy and Support

As we celebrate Independence Day, it's time to reflect on the power of unity. The Home Care Alliance of Massachusetts is more than just a membership—it's a movement for change. Join us as we come together to fight for fair regulations, advocate for better care standards, and empower each other to build a stronger future for home care and hospice services across the state. Your voice is critical in this collective effort.

Comprehensive reports offer valuable insights into salary trends, staffing issues, nursing vacancy rates, and employee incentives, drawing data from over 1,000 home health and hospice agencies.

The HCS Home Care and Hospice Salary & Benefits Studies are underway, marking the 5th consecutive year of collaboration between the Home Care Alliance of Massachusetts and Hospital & Healthcare Compensation Service (HCS). These comprehensive reports offer valuable insights into salary trends, staffing issues, nursing vacancy rates, and employee incentives, drawing data from over 1,000 home health and hospice agencies.

Public Hearing Held on June 27, 2025, with Details on Proposed Changes to Personal Care Attendant Services

On Friday, June 27, 2025, Harrison testified at the MassHealth public hearing regarding proposed PCA regulations. HCA submitted both verbal and written testimony to provide feedback on the potential impact of the changes on proposed amendments to the Personal Care Attendant (PCA) services regulations. The changes are set to enhance the PCA program’s sustainability and ensure quality of care for MassHealth members.

Your Agency’s Data Can Shape Policy and Strengthen Home Care Advocacy

Participation in this state-backed workforce survey is lagging — and we need your voice. The deadline is Monday, June 30. Responses help shape credible, data-driven policy, and agencies that complete the survey receive a tailored benchmark report.

Welcome to the New 2025-2026 Board of Directors

The Home Care Alliance of Massachusetts is pleased to announce the election of its new Board of Directors, a group of dedicated professionals committed to advancing high-quality home care services statewide. Learn more about the new leadership team and how you can get involved in shaping the future of home care in Massachusetts.

Submit Your Agency’s Data and Save on Report Pricing

The 2025 HCS Home Care and Hospice Salary & Benefits studies are now underway. This year marks the fifth collaboration between HCA-MA and Hospital & Healthcare Compensation Service. Home care and hospice ag

Proposed Legislation Aims to Regulate Temporary Nurse Staffing Charges in Home Health and Hospice

The Joint Committee on Public Health held a hearing on June 23 to discuss H.2408/S.1633, a bill aimed at regulating temporary nurse staffing rates in home health and hospice agencies. The legislation would have empowered the Department of Public Health to set caps on what staffing agencies can charge, providing much-needed relief for agencies facing rising costs. While the hearing has passed, individuals can still submit their testimony in support of the bill by emailing JointCommittee.PublicHealth@malegislature.gov. HC

Celebrating the Strength, Compassion, and Leadership of Our Home Care Community

Your Continued Support Powers Advocacy and Access to Essential Benefits

Your membership with the Home Care Alliance of Massachusetts is more critical than ever. Stay connected and ensure uninterrupted access to vital resources, advocacy, and updates. Don’t let changes in the coming year affect your agency’s support—renew today!

American Dream Homecare and El Roi Homecare Achieve Prestigious Accreditation

We are proud to announce that American Dream Homecare Agency of Brockton and El Roi Homecare of Weymouth have recently earned accreditation through the Home Care Alliance of Massachusetts. This achievement reflects their dedication to upholding the highest standards of care and providing clients with peace of mind. Congratulations to these exemplary agencies!

Holly Chaffee, CEO of Care Central VNA & Hospice, speaks out about the growing challenges for nonprofit home health providers.

Nonprofit home health care providers are struggling to keep up as Medicare Advantage reimbursement rates fall short. Holly Chaffee of Care Central VNA & Hospice shares her concerns and the urgent need for change.

Please help us by using this ACTION ALERT to write to Legislators on the FY26 Conference Committee to support home care programs!

The State Legislature is in the midst of their budget deliberation and we need your help to make sure that ASAP home care programs receive the funding they need to support the growing demand for services!

Avoiding "Baby Talk" Can Improve Caregiver-Patient Relationships and Enhance Patient Dignity

Elderspeak, often seen as "baby talk," can unintentionally undermine the confidence and autonomy of older adults. Learn why it’s crucial for home care providers to communicate respectfully and effectively, and discover best practices to ensure your approach fosters dignity and trust.

Last Call: Home Care Alliance Annual Meeting

The Home Care Alliance of Massachusetts is hosting its Annual Meeting on June 11, 2025, at the Courtyard by Marriott in Marlborough. This is your final opportunity to register and join us for a day of networking, celebrating excellence, and reflecting on the successes of the past year. Don't miss out on the Caregiver and Innovation Awards, a business meeting to review key initiatives, and valuable networking opportunities. Secure your spot today before it’s too late!

New 60-Day Authorization Process and Clearer Rules Aim to Reduce Confusion When Both HHAs and PCAs Provide Care

MassHealth is rolling out an updated protocol that clarifies who can assist with medications when both Home Health Agencies and Personal Care Attendants are involved. Agencies must review the changes and engage in determining appropriate care pathways for each patient.