From Medicaid to VA Clients: Turning Your Approval Into a Growth Engine

Most home care agencies were built around Medicaid clients — and for good reason. It’s where many families start when they need affordable support.But Medicaid is getting harder to rely on. Reimbursement rates have stayed flat while costs keep climbing. Paperwork is increasing. State rules are always changing.

If your agency is already VA-approved but hasn’t made that program part of your daily operations, now is the time to change that. It's time to start getting VA clients. The VA is expanding home- and community-based care faster than ever — and agencies that can keep up with the paperwork and billing demands are the ones seeing steady, reliable growth.

Why Medicaid No Longer Covers the Bills

Medicaid helps millions of Americans, but for providers, it’s tough to sustain:

• Home-care agencies lose 3–5% per Medicaid client on average due to low rates and higher staffing costs (PHI National, 2023).

• The median caregiver wage is only $14.50/hour, making staff retention difficult (KFF, 2023).

• Many states haven’t updated home-care reimbursement rates in years (JLARC Virginia, 2022).

  
  

When wages rise but reimbursement doesn’t, agencies end up doing more work for less return.

Why VA Clients Are the Next Step for Growth

There are over 18 million Veterans in the U.S., and nearly half are age 65 or older (U.S. Census Bureau, 2023).More Veterans are choosing to stay at home, and the Department of Veterans Affairs (VA) is making that possible through its Community Care and Homemaker/Home Health Aide (H/HHA) programs.

In 2023, the VA spent over $28 billion on community care, a 17% increase from the year before (U.S. Department of Veterans Affairs Budget Summary, 2024).That funding is meant to flow directly to providers — like you — who are ready to take referrals and deliver care.

The Challenge: VA Systems Aren’t Simple

Even experienced agencies can struggle with the VA’s structure.Billing systems, documentation standards, and authorization processes are all different from

Medicaid’s.Common issues include:

• Claims getting delayed due to missing details or wrong formats

• Staff not trained in VA billing codes or portals

• Missed referrals because the agency isn’t following up with VA case managers or VSOs

• Disconnected reporting between VA and internal systems

These small gaps add up, causing lost revenue and missed opportunities.

How Foboa Helps Agencies Work Their VA Approval

Foboa’s Back-Office Services are designed for agencies already credentialed with the VA that want to make the most of that status.We take the operational burden off your team so you can focus on providing care.

Your Current Challenge	What Foboa Does	What Changes for You
Complex VA billing and claim tracking	We handle your VA billing, claims, and follow-ups	You get paid accurately and on time
Missed referrals or weak relationships	We help your team communicate consistently with VA offices and VSOs	You build strong, steady referral streams
Overwhelmed admin team	We manage data entry, reporting, and VA compliance	Your team focuses on care, not paperwork
Poor visibility on performance	We provide reports on claim status, revenue flow, and growth metrics	You see where your VA program is thriving

Our goal is simple: help you run your VA operations efficiently so you can serve more Veterans and grow profitably.

Why the Time Is Right

Thousands of agencies have already been approved to work with the VA — but many never moved past setup.That means the agencies that take action now have a head start.With VA community programs growing each year, providers who learn how to navigate the system will be positioned for steady, federally funded growth in the years ahead.

The Bottom Line

If your agency is already approved with the VA but hasn’t seen the results you hoped for, you don’t need to start over — you just need the right back-office support.Foboa helps you put your approval to work by managing the billing, reporting, and follow-through that keeps your VA program moving.

The VA is ready to fund more care. Veterans are ready to receive it.Let’s make sure your agency is ready to deliver.

👉 Learn how Foboa’s Back-Office Services can help you grow your VA program