Can family caregivers get paid through Medicaid waiver programs—and what do EVV and managed care have to do with it? This Alliance 2026 conversation covers the policy pressure behind healthcare spending, how state Medicaid programs differ, and how family-caregiver compensation models work in practice.

On this episode of Home Health Revealed, recorded live at the Alliance conference in Washington, DC, Hannah Vale talks with Joe Russell and Sabiel Rodriguez (Sabi) about Entyre Care’s family-caregiver model, waiver programs that can compensate family members already providing care, EVV and payment-integrity concerns, and how this approach can complement—not replace—traditional home health agencies.

In this episode:

• Why healthcare spending and managed care policy keep accelerating
• How Medicaid caregiver programs differ state by state
• Family caregivers who are already providing care—and may qualify for compensation
• EVV, fraud concerns, and payment integrity for family-caregiver services
• How an agency-style credentialing and documentation model supports these programs
• Adult foster care / family caregiving costs compared with hospital stays
• Why the model is framed as complementary to skilled home health, not competition

Guests:

• Joe Russell
• Sabiel Rodriguez (Sabi), Licensing and Expansion Manager, Entyre Care

Company discussed: Entyre Care (entyrecare.com) — caregiver compensation / Medicaid-funded family caregiving support.

Timestamps:

00:00 Intro: Home Health Revealed

00:20 Meet Joe Russell and Sabiel Rodriguez at Alliance 2026

00:41 Managed care, spending, and government policy

02:16 Entyre Care model and family caregiver compensation

06:12 EVV, payment integrity, and family-caregiver rules

12:49 How the agency model and credentials work

20:11 Adult foster care costs, hospitalizations, and home health partnership

21:49 Where to learn more and wrap-up

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