The Research Institute for Home Care and National Alliance for Care at Home Release Inaugural Medicaid Home Care Chartbook
April 27, 2026
(Alexandria, VA and Washington, DC) — The Research Institute for Home Care (the Institute) and the National Alliance for Care at Home (the Alliance) today released the 2026 Medicaid Home Care Chartbook, the first report of its kind providing a broad overview of the Medicaid Home and Community-Based Services (HCBS) user population, workforce, organizational trends, and economic contributions of Medicaid home care providers across the U.S.
This report is the first Medicaid Home Care Chartbook produced and released by the Institute, in partnership with the Alliance, building off the success and insights from the organization’s signature annual research products – the Home Health Chartbook and Hospice Chartbook released earlier this year. This research, compiled and charted by Health Management Associates (HMA), a leading national healthcare and human services consulting firm, summarizes and analyzes statistics on Medicaid HCBS from a range of government sources.
“The Alliance is proud to launch the first Medicaid Home Care Chartbook to more fully understand the landscape and trends impacting the delivery of services and care for older adults, people with disabilities, individuals with complex conditions, and other individuals who require care in the home,” said Jennifer Sheets, CEO of the Alliance and President of the Institute. “The insights gained from this report will be critical to shaping future policies that strengthen Medicaid home care services and protect the future of beneficiaries who use Medicaid HCBS. Our affiliation with the Institute and investment in Medicaid home care research is part of the Alliance’s commitment to supporting and advocating for the Medicaid HCBS provider community and the essential services they deliver.”
The 2026 Medicaid Home Care Chartbook includes a comprehensive snapshot of the national Medicaid HCBS landscape, including:
- Medicaid enrollee and home care use data by state
- Medicaid HCBS service types
- Proportion of home care users who are dual eligible
- Home care use across various Medicaid eligibility groups
The Chartbook also includes the first look at potential effects of H.R.1 on home care, the One Big Beautiful Bill Act, which made substantial changes to Medicaid eligibility and enrollment policies for individuals enrolled in the ACA expansion population. To better understand the dynamics of H.R.1 and its impact on home care, the chartbook examines:
- Proportion of home care users enrolled via the ACA expansion
- Projected enrollment changes of home care users due to H.R.1
- Estimated number of individuals who receive home care and will be subject to mandatory cost-sharing requirements established by the legislation
On Thursday, April 30th, the Alliance and the Institute will host a webinar on the 2026 Medicaid home care Chartbook findings. This webinar will share critical data and information relevant to the care at home community. We invite Alliance members and the media to attend this important conversation.
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About the Research Institute for Home Care
The Research Institute for Home Care (the Institute) is a non-profit, national consortium of home care providers and organizations. The Institute invests in research and education about care at home and its ability to deliver quality, cost-effective, patient-centered support across the care continuum. The Institute is committed to conducting and sponsoring research and initiatives that demonstrate and enhance the value proposition that home care has to offer patients and the entire U.S. health care system.
About the National Alliance for Care at Home
The National Alliance for Care at Home (the Alliance) is the leading authority in transforming care in the home. As an inclusive thought leader, advocate, educator, and convener, we serve as the unifying voice for providers and recipients of home care, home health, hospice, palliative care, and Medicaid home and community-based services throughout all stages of life. Learn more at www.AllianceForCareAtHome.org.
Press Contact
communications@allianceforcareathome.org
Hannah Kristan | 202-355-1647