HCBS Rules & Regulations are Changing—Fast. Most Providers Aren't Ready. 

Regulatory changes within the One Big Beautiful Bill Act and the 21st Century Cures Act are creating confusion and rising challenges for HCBS providers, but nobody is talking about it.  

See how we've helped other HCBS organizations like yours regain clarity, compliance, and efficiency with custom software solutions built for HCBS providers navigating the evolving demands of Medicaid billing, EVV, and 1915(c) waiver programs. 

KDG Homecare Clients:

The Arc logo featuring an orange and yellow curved line above the words "The Arc" in bold black letters.
Easterseals logo with orange text and yellow dots, featuring the tagline "taking on disability together.
Meals on Wheels logo with stylized blue and green "M" shapes above the words "Meals on Wheels" in bold, uppercase letters.

“Every single pay period, we see more and more benefits of this transition and we’re continuing to work with KDG to do more.”

– Peg Breckinridge, Director of Finance for The Arc

Play Video: A Custom Payroll Solution for The Arc

The Problem

Changes to Rules & Regulations Within the HCBS Industry Bring Daily Challenges to Your Team 

Recent regulatory updates from the government have brought unprecedented changes to waiver billing, EVV rules, and claim reporting. Organizations are scrambling to stay up-to-date and facing rising claims denials, audit risks, budget restrictions, funding shifts, procedural breakdowns, and difficulty keeping track of all the new rules. 

Frontline staff and leadership alike are under pressure to adapt quickly to shifting mandates and shrinking margins. Many providers have been left with more questions than answers on how this will impact their financial stability, compliance readiness, and operational structure.  

38%

The percent of providers that experienced claim denial rates in 2024 of 10% and higher. [Source]

46%

The approximate percentage of fraud cases nationwide that originate from duplicate billing errors in 2021. [Source]

$14 billion

The cost of Medicaid homecare services that lacked compliant EVV in New York alone in 2024. [Source]

The Solution

Custom Solution Development That Fits Your Organization’s Specific Needs

Working closely together, our development and IT teams can support your custom application from end to end, ensuring it fits your organization’s unique requirements. Our knowledgeable team can create tools to help you stay compliant and able to pivot when regulatory changes happen.

Billing Automation

Cut down on time spent manually billing clients with automated billing cycles set to your preference.

Service Management

Standardize your service codes and track approvals and updates for every client.

Time, Mileage, and Visit Verification

Protect your agency during audits and stay compliant with new EVV regulations using tamper-proof logs and real-time reporting.

Denied Claim Reporting

Stay on top of denied claims with claim status updates that allow you to quickly correct issues and resubmit.

Authorization Tracking

Maintain current client eligibility info for efficient and accurate client care.

Payment Submission

Track funding sources and payment status for services with automated systems.

Play Video: A Custom Payroll Solution for the Arc

Arc’s Custom EVV System with Zoho

By working with KDG to update a 20-year-old system to a custom-built application, Arc was able to bring efficiency, compliance, and full platform adoption to their 700+ person team.

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The software definitely has improved our accuracy…it totally eliminates double payments or double billings…at the end of the day, it’s saving the company money.

Kristy Polluck, Director of Human Resources

The Arc of Lehigh & Northampton Counties

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