NewCertification Courses
Medicaid Home-Care Compliance Essentials
A national compliance course for home-care staff and agencies: Medicaid HCBS program integrity, Electronic Visit Verification (EVV) under the 21st Century Cures Act, documentation and person-centered plans, billing and claims compliance, and fraud-waste-abuse prevention. Sourced from federal rules — verify state specifics with your Medicaid agency.
- 5 guided narrated lessons across 3 modules
- Approx. 4 continuing-education (CE) hours
- Downloadable workbook & printable certificate
- Created by Ohio home-care professionals
Course curriculum
- Explain what Medicaid HCBS is and why it is closely regulated
- Recognize the heightened 2026 fraud-and-abuse enforcement climate
- See compliance as protecting both clients and your agency
- Name the six data elements EVV must capture
- Understand EVV is a federal 21st Century Cures Act mandate
- Explain why accurate point-of-care clock-in prevents denied claims
- Keep contemporaneous, signed service logs
- Work within the client's person-centered care plan
- Document the amount, duration and scope of services
- Bill only for authorized, delivered and documented services
- Avoid common unit and increment errors
- Match every claim to its EVV record
- Recognize fraud, waste and abuse and your duty to prevent it
- Run regular internal audits and retain records at least three years
- Use corrective action plans and know whistleblower protections
Free sample lesson
Why Home-Care Compliance Matters
Medicaid Home and Community-Based Services, or HCBS, let people receive care in their own homes instead of a facility. Because these services are paid for with public funds, they are closely watched. Federal and state agencies increasingly use data analytics and electronic visit verification to detect fraud, waste and abuse, and enforcement has intensified. Compliance is not paperwork for its own sake — it protects vulnerable clients and keeps your agency able to keep serving them.