Home & community-based care
Home and community-based care delivers services in people’s own homes — home health, home care, hospice, palliative care, private-duty nursing and HCBS waiver services. Oversight combines federal participation rules with state Medicaid programs.
What this sector covers
The provider types and settings included in the home & community-based care sector.
Supporting the home & community-based care sector
Coordinate visits, care plans and documentation across dispersed teams.
Evidence home-health and hospice participation requirements clearly.
Keep lone-worker safety, training and credentials current.
Give managers real-time oversight of care delivered off-site.
The framework around this sector
The federal agencies, programs and regulatory frameworks most relevant to this sector. Applicability varies by provider type, program and jurisdiction.
Federal agencies
- CMS — Medicare, Medicaid, conditions of participation & survey
- ACL — Aging & disability community services
- OCR — HIPAA privacy & civil-rights enforcement
Programs
- Medicare — Federal health coverage for people 65+ and some younger people with disabilities.
- Medicaid — Joint federal-state coverage for eligible low-income individuals and families.
Regulatory frameworks
- HIPAA — Privacy & Security Rules for protected health information.
- CoPs — Federal standards providers must meet to participate in Medicare/Medicaid.
- AKS — Prohibits remuneration for referrals of federally funded care.
- FCA — Liability for false or fraudulent federal healthcare claims.
- OSHA — Workplace health & safety obligations for care employers.
- ADA — Accessibility and non-discrimination for people with disabilities.
Alongside federal requirements, this sector is also shaped by state licensure, survey agencies and Medicaid programmes across all 50 states. Explore the 50-state directory for state-level intelligence.
Bring the home & community-based care sector into one platform
One intelligent platform for 64+ US care sectors — federal regulation, state requirements and operational intelligence.
CareFocusIQ provides technology and intelligence to support care operations and compliance. It is not a medical device and does not provide legal advice. Regulatory requirements vary by provider type, program and jurisdiction, and remain the responsibility of each provider.