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Electronic Visit Verification has been a federal requirement for Medicaid-funded services since the 21st Century Cures Act. But in 2026, enforcement has moved from a compliance checkbox to the front line of your revenue cycle. Hard edits, automated rules that reject claims before payment, are going live in states across the country, and agencies that […]

The numbers behind the direct support professional workforce crisis are hard to ignore. Research from the American Network of Community Options and Resources found that over 90% of IDD agencies reported moderate or severe staffing shortages in recent years, and for many organizations, turnover isn’t a quarterly challenge. It’s a daily operational reality. The pressure

Person-centered planning has been the philosophical and regulatory foundation of IDD service delivery for decades. The principle is straightforward: the individual receiving services should be at the center of every decision about how, where, and when those services are delivered. Their goals, preferences, relationships, and vision for their own life should drive the plan, not

Software decisions in the IDD sector rarely get made quickly. Budgets are tight, timelines are long, and the operational risk of a disruptive implementation feels real, especially at organizations where administrative capacity is already stretched. Decision-makers want to know, before they commit: will this actually pay off, and how fast? It’s a fair question. The

If your IDD agency has grown significantly in the last five years, there’s a good chance some version of this is true: your billing team has a master spreadsheet for tracking authorizations. Your program managers have their own sheets for scheduling. Your payroll person has a workbook that only they fully understand. And somewhere in

For IDD agencies, operational success depends on alignment. When electronic visit verification (EVV), billing, and case management systems do not agree, agencies experience more than administrative frustration.  The disconnect creates compliance risks, revenue loss, staff burnout, and delays in care delivery, all of which threaten long-term stability.  The Hidden Costs of Disconnected IDD Agency Systems

There’s a version of the IDD staffing crisis that doesn’t get talked about as often as DSP turnover, but that may be doing as much damage to agencies: the burnout and departure of experienced supervisors and program managers. IDD supervisors are often the organizational layer that holds everything together. They manage staff, maintain client relationships,

IDD billing is not standard medical billing. It involves waiver-specific funding structures, state-by-state service code variations, complex authorization management, unit-based billing, and increasingly strict EVV validation requirements. Generic medical billing software can handle a lot, but it wasn’t built for this environment, and the gaps become apparent as soon as the complexity rises. If your

The IDD software market has grown significantly, and agencies of every size now have more options than they did five years ago. But the software evaluation process doesn’t work the same way for a 75-person agency as it does for a 500-person organization or a small community provider. Mid-size agencies occupy a specific position in

The phrase “purpose-built for IDD agencies” appears in a lot of software marketing. It’s worth understanding what it actually means, and, more importantly, what it means operationally for your agency. The distinction matters because the IDD sector has specific operational characteristics that don’t map well onto generic healthcare technology. When software is adapted from a