HHAeXchange published its 2026 Homecare Insights: Provider Voices survey, aggregating operational data from 465 home- and community-based services (HCBS) agencies. Compliance ranked as the #1 business priority for HCBS providers for the second consecutive year, with “ensuring a competitive advantage” ranking last. Regulatory pressures negatively impacted 52.1% of agencies over the last 12 months, driven by authorization changes, Medicaid rate cuts, payment delays, and enhanced Electronic Visit Verification (EVV) rules. Over half of providers (57.1%) are actively using, testing, or evaluating AI tools, primarily targeting scheduling/shift filling (37.8%), compliance tracking (34.5%), and claims processing (27.1%). Data reporting underutilization spiked: 42.2% of agencies do not leverage reporting tools for business decision-making (up from 22% in 2025), despite 27.8% marking analytics as a top investment priority. Software for EVV and compliance remains the top technology priority, cited by 63.9% of respondents. Concerns over software costs fell to 33.2%, down from 43% in 2023 and 41.1% in 2025. Workforce management continues to drive internal strategy, with agencies facing ongoing recruitment challenges (54%), wage pressures (51%), and last-minute call-outs (31.9%), and attempting to stabilize turnover through higher pay rates (53%).