MAC Legacy, 2800 Shoreline Drive, Suite 105, Denton, TX (2026)

05/01/2026

New CMS HCBS Quality Measures: Early Signals for Future Contract and Compliance Expectations

CMS has released a proposed 2028 Medicaid Home and Community‑Based Services (HCBS) Quality Measure Set that would require states to report on 23 core quality indicators, with several additional measures offered voluntarily. Although the reporting responsibility rests with states, not individual providers -the measures emphasize person‑centered care, safety, dignity, meaningful community engagement, and goal attainment, all of which directly reflect provider practices.

While CMS does not anticipate major new data‑collection burdens, the real impact will depend on how each state operationalizes the measures. Over time, states or managed care plans may embed these quality concepts into contracts, oversight activities, or value‑based purchasing strategies, making it essential for HCBS providers to ensure their operations, workforce training, and care planning processes are aligned with these priorities.

Public comments are due within 30 days of Federal Register publication, offering providers and stakeholders an important opportunity to influence implementation.

Read the CMS proposal and submit comments below -
https://www.federalregister.gov/documents/2026/04/28/2026-08190/medicaid-program-2028-medicaid-home-and-community-based-services-quality-measure-set

05/01/2026

Upcoming Learning Opportunities with MAC Legacy!
Webinar: FY 2027 Hospice Proposed Rule
May 7, 2026 | 12:00pm CST

In‑Person LA Workshop: Hospice Compliance & Operational Excellence: From Regulations to Results
August 19-20, 2026

Join us online and in Los Angeles for practical education, compliance insights, and real‑world guidance for home health & hospice professionals. We’d love to see you there!

Register Now -
https://www.askmaclegacy.com/services/education/

05/01/2026

We had a great time at the MACH Conference!

From insightful sessions with Chris Gallarneau and Lisa McClammy to meaningful conversations at our exhibit booth, it was a pleasure connecting with so many agency leaders and professionals. If we didn’t get a chance to connect, or want to continue the conversation, we’d love to hear from you!

04/30/2026

This week on 50% with Marcylle Combs, she talks to Jossie Haynes.

Jossie Haynes shares her journey from Princeton at 16 to a 25-year career in software engineering leadership. She discusses the impact of AI on jobs, strategies for women in tech, and how to leverage AI for career growth.

Jossie Haines is an executive leadership and career coach for experienced engineering leaders who are already delivering results but want greater recognition, influence, and growth, including promotion, expanded scope, and compensation that reflects their impact. With over 25 years in the tech industry, she brings deep, hands-on engineering leadership experience from Apple, Tile, Zynga, and American Express. At Apple, her teams earned a technical Emmy; at Tile, she created the VP of Software Engineering role and scaled the organization by 45% in under five months during COVID; and most recently, she served as a fractional engineering leader at SmartPin, leading engineering and product development from 0 to 1. Her work began with retaining women in tech, and she continues to advocate for women leaders navigating visibility and advancement in male-dominated environments.

Listen Today -
https://www.marcyllecombs.com/podcast

Connect with Jossie -
https://www.linkedin.com/in/jossiemann⁠

#50%

04/30/2026

MAC Legacy is excited to be at AGILE 2026, connecting with industry leaders and sharing insights that support excellence in home health and hospice care.

Don’t miss our speakers, Marcylle Combs and Valerie Cornett, as they share expert guidance on compliance, strategy, and real-world solutions designed to support your organization.

*Plus, stop by for a book signing with Marcylle Combs. MAC Legacy is proud to sponsor the first 50 copies of Never Hire Your Friends, so be sure to stop by early and grab one while they last.

We look forward to seeing you there!

04/30/2026

Happy Birthday, Kati!
From your friends at MAC Legacy!
Your leadership, energy, and ability to keep us all moving forward don’t go unnoticed. We’re lucky to be on your team.

Here’s to another year of big wins, bold ideas, and fun adventures!

We hope your day is filled with celebration, laughter, and maybe even a little time to relax, because you definitely deserve it!

04/29/2026

This manual includes the required policies and procedures to meet regulatory requirements, along with additional policies to support the daily operations of a home health or hospice organization. It covers key areas such as HIPAA, Exposure Control, and Compliance with OIG recommendations. The manual is organized into sections including Administration, Finance, Human Resources, Patient Care, Quality, Infection/Exposure Control, and Safety.

Each manual is delivered electronically in Microsoft Word format, incorporating both federal and state-specific regulations, allowing agencies to customize policies as needed.

With your purchase, you receive a one-year subscription that includes regulatory updates, policy revisions, and access to expert consulting and educational resources. This ensures your agency remains compliant, informed, and equipped to adapt to industry changes with confidence.

Available Options:
- Home Health (ACHC & CHAP)
- Home Care (Non-Skilled Care)
- Hospice (ACHC & CHAP)
- State-Specific Regulations Incorporated into Federal Conditions of Participation

**If you do not see your state listed, contact us for your state customized manual.

04/29/2026

Leadership Lessons with Marcylle: Self‑Knowledge

“Be yourself; everyone else is already taken.” – Oscar Wilde.

Leadership begins with self‑knowledge. Before we lead teams, navigate regulations, or make hard calls in home health and hospice, we must understand who we are. Our values, triggers, strengths, and blind spots show up whether we acknowledge them or not and our teams feel the difference. When leaders lack self‑awareness, leadership feels inconsistent. When leaders know themselves, clarity and trust follow.

So let me ask you: how often do you truly check in with yourself? When pressure hits whether that is surveys, staffing shortages, census drops, do your actions still align with the words you say in meetings? Are you leading from conviction or reacting from stress? Do your expectations of others match how you model behavior yourself? Alignment between words and actions is where credibility is either built or broken.

Self‑knowledge requires courage. It takes courage to pause, to listen to feedback, and to admit when growth is needed. It takes courage to ask, what is mine to own here? The strongest leaders in our industry aren’t flawless, they’re honest, reflective, and willing to adjust. When we lead from self‑awareness, we create stable teams, consistent culture, and leadership that holds steady even in the most demanding seasons.

04/28/2026

Are You Leaving Money on the Table? Let MAC Legacy Be Your Coding Backup

MAC Legacy’s Coding Services are designed to support you when you need it most. Whether you’re looking for a full‑service solution or a trusted backup during busy seasons, our credentialed coding and OASIS team works directly in your EMR to ensure accuracy, compliance, and consistency.

Why agencies partner with MAC Legacy:

Over 20 years of industry experience supporting home health and hospice agencies since 2004
Founded by and built from real provider experience, including operating as a large, multi‑state organization
Proven accuracy above national benchmarks (98%), helping reduce denials, corrections, and downstream rework
Clinically informed OASIS review focused on reimbursement integrity and compliance protection
Flexible support, whether you need a primary coding partner or reliable backup during volume surges, PTO, or staffing gaps
Fast, dependable turnaround to keep billing moving and cash flow on track
Cost‑effective expertise without the expense of hiring, benefits, training, or overtime
Not sure where you stand? We offer a complimentary code‑over‑code analysis to identify missed opportunities where revenue may be slipping through the cracks, many agencies are surprised by what we uncover.

Let MAC Legacy be the safety net behind your coding process, so you can stay focused on patient care while protecting your bottom line.

We’d love to connect and explore how our coding services can support your team

04/27/2026

We’re looking forward to seeing you at the Missouri Alliance for Care at Home (MAHC) Annual Meeting later this month on April 29 – May 1, 2026

MAC Legacy is proud to be both exhibiting and speaking, bringing practical, real‑world insight focused on compliance, security, and protecting your agency in today’s rapidly evolving regulatory environment.

As part of the program, members of our team will be presenting sessions designed for leaders responsible for oversight, quality, and operational accountability.

Featured MAC Legacy Sessions:

From the Starting Gate to the Finish Line: Defensible Documentation in Home Health
April 30, 2026 | 4:00 - 5:30pm

Getting VBP on Board!
May 1, 2026 | 8:00 - 9:30am

Lisa McClammy, Senior Clinical Education Consultant along with M. Aaron Little, CPA and Angela Huff, Senior Manager at Forvis Mazars

Racing Towards Excellence: Preparing for the Next Turn in Hospice Quality
April 30, 2026 | 9:15 - 10:45am

Chris Gallarneau, Senior Education Consultant

Visit Us in the Exhibit Hall - Be sure to stop by the MAC Legacy booth for a chance to win a Ring Doorbell, because compliance risks don’t always announce themselves and neither do audits, surveys, or investigations.

Bonus: Mention this email at our booth and receive a complimentary digital compliance cheat sheet, created by MAC Legacy experts to help you identify blind spots and strengthen your compliance “security system.”

We look forward to connecting with you in person and continuing the conversation.

04/23/2026

NEW PODCAST EPISODE OUT THIS WEEK. Oona Metz discusses her new book 'Unhitched,' exploring the emotional journey of divorce, handling grief, and supporting children through separation. She shares expert advice on navigating complex family dynamics, boundaries, and finding hope after divorce.

Listen Now -
https://www.marcyllecombs.com/podcast

04/22/2026

Leadership Lessons with Marcylle: Emotional Intelligence

Emotional intelligence isn’t about avoiding hard conversations, it’s about how we have them. Leaders set the emotional temperature of the room. Our tone, timing, and reactions signal whether it’s safe to speak up or safer to stay silent.

When leaders listen beyond the words, acknowledge pressure, and respond with intention, trust grows, even when expectations stay high. Especially in healthcare, emotionally intelligent leadership notices what’s unsaid and responds with clarity, calm, and humanity.

Strong leaders don’t just manage outcomes. They manage impact.

Limited Series. Meaningful Seats. We’re opening a small, intentionally limited leadership series focused on real conversation and practical growth.

Join the waiting list for early access and priority registration - mailto:info@mac-legacy.com

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