Nov 5, 2026in effectFederal
80/20 rule
HCBS Access Rule 80/20 compensation requirement still in effect with a July 9, 2030 compliance date; repeal pressure continues
No new rule published.
What changed in your state's home care?
Pick your state and read every recent change in one list: Medicaid rates, minimum wage, EVV deadlines, licensing fees and federal rules like the 80/20 rule. Each entry links to its source.
Last reviewed November 5, 2026
Updated monthlyLast entry November 5, 2026
Changes in Texas home care
Oct 1, 2026in effectTexas
EVV
HHSC EVV compliance reviews for EVV usage and reason-code misuse
Reviews apply to visits on and after the announced date of service; 80% usage threshold.
Jul 4, 2026in effectFederal
Medicaid
One Big Beautiful Bill Act signed: six-month redeterminations, community engagement requirements, retroactive coverage limits
Key dates: retroactive coverage limits January 1, 2027; work requirements no later than December 31, 2026 (states may start earlier); verify your state's implementation.
Jul 1, 2026in effectFederal
Minimum wage
DOL state minimum wage table updated (July 1, 2026)
Mid-year increases in DC, Oregon, Nevada and others.
Nothing stored but your state.
Medicaid managed care in your state: the plans, how to enroll, and who to call.
If you take Medicaid, most home care hours in your state are paid by managed care plans. Each plan has its own provider enrollment steps, EVV setup and provider relations contacts. The managed care page lists them for your state.
How this log is kept
- One entry per dated change, with the primary source linked. No entry without a source.
- Reviewed on the first business day of each month: DOL state wage table, each state's Medicaid provider bulletins, EVV pages, licensing fee schedules, the Federal Register for the 80/20 rule and CMS OBBBA guidance.
- Entries feed the compliance calendar (dates), the rate letter (wage changes) and the margin calculator (rate changes).
- Federal entries go to every state list. Entries are never edited after publication; a correction is a new entry.
How Caregiver Scheduling handles this
Rules change. Payroll should keep up. Caregiver Scheduling keeps an EVV record for every visit today, and with timesheets (coming soon) it will apply your state’s daily and weekly overtime rules when you approve them. See timesheets and payroll (coming soon).
Sources
Related guides
Compliance
Caregiver Minimum Wage Increases on January 1, 2027, by State
Fifteen states raise their minimum wage on January 1, 2027, from Montana's $11.20 to Washington's $17.73, and New York raises its home care aide minimum. The new rates, and what each increase does to your bill rate.
Compliance
Medicaid 80/20 Rule: What HCBS Agencies Do in 2026
CMS-2442-F gives providers six years to put 80% of Medicaid HCBS payments into worker compensation. Here's what changes now versus what changes in 2030.
Compliance
New York Home Care Aide Minimum Wage 2027: $20.00 and $19.00
From January 1, 2027, New York home care aides must be paid at least $20.00 an hour in New York City, Long Island and Westchester and $19.00 in the rest of the state, even though the general minimum wage doesn't change.
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