Navigating VA Home Care Billing in a Time of Change | What Texas Providers Need to Know

Program Description:

Veterans Affairs (VA) home care remains a critical but complex revenue stream for home care providers. As contracting structures evolve and reimbursement dynamics shift, providers are facing increased operational strain, payment delays, and uncertainty around future program requirements. This program provides Texas home care providers with a practical, provider-focused overview of how VA home care billing works today, where breakdowns most commonly occur, and how upcoming changes, particularly related to Optum and TriWest contracting, rate table updates, and the Elizabeth Dole Act may impact service delivery and financial performance. It also addresses how recently released 2026 Texas VA rate tables influence reimbursement expectations, authorized hours, and agency margins, and why understanding rate methodology is increasingly important for operational and financial planning.

Drawing on Paradigm’s direct experience supporting agencies nationwide with VA billing and revenue cycle operations, this presentation combines policy context with operational insights and best practices providers can apply. Also available: a valuable take-away with the Paradigm’s VA Rate Tool, which helps agencies quickly interpret VA rate tables, compare rates by service and geography, and proactively assess the financial impact of rate changes.

HCSSA Topic(s) Addressed:

• §558.259[c][2]information on the state and federal laws applicable to an agency
• §558.259[d][4] agency responsibilities
• §558.260[a][3] basic principles of management in a licensed health-related setting
• §558.260[a][7]financial management
• §558.260[a][8]skills for working with clients, families, and other professional service providers
• §558.260[a][9]community resources

Education-Training Credits:

• TX HCSSA Administrator/Alternate Continuing Education
  • 1.0 Clock Hr(s)

About the Presenter(s): Carmen Perry

Carmen Perry is the Vice President of Provider Engagement at Paradigm, where she leads initiatives that strengthen provider performance, engagement, and growth through strategic coaching and enterprise partnerships. She sits on the Editorial Board for the CSA Journal, chairs the National Board of Directors for the National Aging in Place Council (NAIPC), and serves on the VA Advisory Committee for the Home Care Association of America (HCAOA). With extensive experience in leadership development and provider relations, Carmen is dedicated to advancing collaboration, innovation, and excellence across the aging services network.