How Much Does 24-Hour Home Care Cost, and What Will Medicare Pay?
A national price survey, the arithmetic for 24 hours a day, a state-by-state estimate, what Medicare covers around it, and who else may pay.
Reza
·19 min read
October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.
See what changedStay current on CMS rule updates, HIPAA requirements, EVV mandates, and home health policy changes — with clear breakdowns of what each regulation means.
CMS changes the rules for home health every year, and the changes rarely arrive as a clean announcement. A payment update sits inside a 700-page rule alongside a clawback, a quality reporting deadline moves by a month, an OASIS item is replaced by one with a different code.
These pieces read the primary source and say what changed, when it takes effect, and what an agency has to do differently. Every figure is taken from the rule text or the CMS guidance manual rather than from a summary — which is slower to write and the only way this is worth reading.
32 articles in Regulations & Policy
A national price survey, the arithmetic for 24 hours a day, a state-by-state estimate, what Medicare covers around it, and who else may pay.
Reza
·19 min read
What the 2027 home health proposed rule would do, the 2% Medicare sequester, what happened to the PAYGO cut, and what your parent pays. As of Oct 11, 2026.
Reza
·12 min read
Your parent has home health now or may need it. The open enrollment dates for 2027, what the plan's change notice tells you, and what to check before switching.
Reza
·12 min read
If federal funding lapses after December 11, 2026, Medicare keeps paying home health claims. What stops, how the payment floor works, and what expires.
Reza
·13 min read
Will a Medicare Advantage plan cover home health? The coverage rules it must follow, prior authorization deadlines, the 90-day transition and appeal rights.
Reza
·13 min read
The home health NOA is due 5 calendar days after start of care. How the 1/30th late penalty is counted from day 0, the exceptions, and what to file on transfer.
Reza
·12 min read
Which states are in the Home Health Review Choice Demonstration, how the 90% affirmation rate moves an agency between choices, and what each does to cash flow.
Reza
·12 min read
A home health order names a service, not a licence. A PTA visit is physical therapy, a COTA visit is occupational therapy, an LPN visit is skilled nursing.
Reza
·12 min read
A HIPAA checklist for home health agencies with the rule behind each line: Privacy and Security Rules, BAAs, field devices, breach deadlines, the proposed rule.
Reza
·16 min read