I have reviewed dozens of provider applications. The single most common reason for MCO credentialing delays is not missing paperwork. It is mismatched information. Here is exactly what I mean: Your NPI record says your practice address is 1234 Main St, Suite A. Your state license has 1234 Main Street. Your W-9 shows 1234 Main St with no suite number. Those are three different addresses to a credentialing system. And the application gets kicked back, flagged, or held — sometimes for weeks — while someone tries to reconcile them manually. Before you submit anything to an MCO, do this: Pull your NPI record at nppes.cms.hhs.gov. Pull your state license. Pull your W-9. Pull your certificate of insurance. Lay them side by side and make sure every single address, legal entity name, and tax ID is character-for-character identical across all four. This check takes less than 10 minutes. It can save you 6 to 8 weeks of delays. I have seen agencies lose entire contracting cycles because of this. Do not let that be you. Fix it before you submit. Always.

We have some new members. I want to make sure everything I share this month actually hits for where you are. So tell me: What is the #1 thing keeping your agency stuck right now? Vote in the poll above. And if your answer is "all of the above" — drop that in the comments because I hear you, and we are going to address every single one. I will post the results tomorrow along with the first real insight tied to whatever wins. This community runs on honesty. No sugarcoating what is hard about building a home care business.

Let me be straight with you. I stepped back from this community for a bit. Life happened, conference planning, client work piled up, and I let this space go quiet. That was on me. But here is what I kept seeing in the meantime: home care agency owners grinding in isolation. Working 60-hour weeks, trying to figure out credentialing, compliance, and contracts with no real support system. Spinning their wheels. This community was built to change that. And I am back to make sure it actually does. Here is what you can expect from me over the next 30 days: Every single day, I am showing up with something useful. Real frameworks. Actual answers. No fluff. Week 1 — I want to hear from you. What is actually keeping your agency stuck right now? Week 2 — I am going to walk you through the systems that scale home care agencies past $1M. Week 3 — Deep dives, templates, and a real case study on what compliance-ready growth looks like. Week 4 — I am going to share what is inside Inner Circle and open a limited enrollment window. This is not a relaunch. This is a recommitment. Drop a comment below. Tell me where you are right now with your agency — even if the honest answer is "barely keeping my head above water." Especially if that is the answer. That is exactly who this community is for. Let's get to work.

Home care referrals do not only come from case managers. Many valuable partners influence families before a crisis happens. Elder law attorneys often guide families through long-term care planning, Medicaid questions, and aging-in-place decisions. Geriatric care managers help families coordinate support, monitor changes, and choose trusted providers. Senior living directors may meet residents who need extra one-on-one help to remain safe and comfortable. Hospice and palliative care teams often support families who need caregiver relief and non-medical assistance at home. Physicians, pharmacists, social workers, faith leaders, and community organizations may also notice when an older adult is struggling with meals, mobility, transportation, or personal care. The key is to build relationships before asking for referrals. Offer education, be responsive, and show how your agency makes their work easier. A strong referral network is not built around one title. It is built around people who care about helping families find the right support. Sign your agency up using the link below for referrals: https://coe.aginganddisabilitybusinessinstitute.org/national-cch-map/

May 19, 2026. No fluff. Actionable Steps to take your agency to the next level. Reserve your spot below: https://www.tickettailor.com/events/heassociatesllc/2060552