Plus, you'll learn about the top HCBS trends for 2025.
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Quarterly Payer Newsletter

February 2025


FROM THE BLOG

HCBS Trends to Watch in 2025

 

The Home and Community-Based Services (HCBS) landscape is evolving—are you ready for what’s ahead? In our latest blog, "What’s Next for HCBS? 2025 Trends to Watch," we break down the key industry shifts, policy updates, and technology advancements shaping the future of HCBS.

 

📖 Read the full blog now: What’s Next for HCBS? 2025 Trends to Watch

 

PAYER PRODUCT UPDATES

We’ve made some recent updates for our Payer Network Management system users. Here’s a quick overview:

  • Custom Rounding Option (Up to 15 Minutes) We’ve added a new custom invoice rounding option to provide more flexibility. Customers can now set rounding “Up to 15 minutes”, ensuring greater control over invoice calculations.
Rounding Option
  • Blended Services for Discharged Members: We’ve improved the split patient automation process to better support blended services scenarios, where a patient receives care from two different offices within the same provider portal.

    • Now even with a discharged payer patient, a new split provider patient record will be created in the second office.
    • This eliminates the “Authorization should be imported for different Office in the same provider” import rejection.

     

  • Disable Reply on System Generated Messages: Providers can no longer reply to system-generated messages on the member notes page. All communication should now be done through the message center using payer-configured note reasons.

PROVIDER PRODUCT UPDATES

We’re excited to introduce key updates designed to help providers improve compliance tracking and accelerate billing.

  • EVV Reporting Enhancements: We’ve renamed and consolidated key Exception Reports into a new EVV Compliance Reports section (Reports > EVV Compliance Reports).
    • New filters and data columns provide deeper insights. Providers can now track and improve compliance with confidence.

  • Surface Additional Rejection Reasons: Providers can now see all claim rejection reasons directly on the Invoice Visit page, eliminating the need to check SFTP files or contact support.
    • This enhancement helps identify and resolve billing issues faster by reducing dependency on support, providers can rebill and get paid sooner.
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NEED MORE INFORMATION?

 

These updates are part of our ongoing commitment to supporting your success. Login today to explore the new features or check out our Release Notes for a closer look. If you have any questions, reach out directly to your Client Success Representative. We’re always here to help!

 

HHAeXchange-icon

About HHAeXchange

Founded in 2008, HHAeXchange is the leading technology platform for homecare and self-direction program management. Developed specifically for Medicaid home and community-based services (HCBS), HHAeXchange connects state agencies, managed care organizations, providers, and caregivers through its intuitive web-based platform, enabling unparalleled communication, transparency, efficiency, and compliance. For more information, visit hhaexchange.com.

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