Three sources, every page
Every state-specific page on Caregiving Atlas is built from three classes of source, and we cite each one:
- Primary statutes and regulations. The actual text of state laws, federal CMS rules, IRS publications, and Social Security Administration guidance. We link to the statute, not to a third-party summary of it.
- Government and academic data.CMS hospital transparency files, BLS occupational data, Genworth’s Cost of Care survey, peer-reviewed journal articles. Numbers in our content come from these sources with the citation attached.
- Credentialed reviewer input.A practicing professional in the relevant state — an elder-law attorney, a CFP, a nurse case manager, or a CPA — reads the draft, flags errors, and signs off. Their name appears above the fold on every page they review.
When sources disagree — and they sometimes do, especially on Medicaid eligibility edge cases — we name the disagreement and explain which interpretation we’ve adopted and why.
Source hierarchy
Not all citations are equal. When sources of different rank conflict, we follow the higher-ranked one and footnote the conflict. The hierarchy:
- Statutes— the actual text of state or federal law (e.g., 42 U.S.C. § 1396, Cal. Welf. & Inst. Code § 14005.62). We link to the legislative site, not a third-party summary.
- Regulations— codified rules implementing the statute (e.g., 42 C.F.R., Florida Administrative Code). Where state rules diverge from federal framework, we cite the state rule and explain the divergence.
- Agency guidance and binding letters— CMS All-State Medicaid Director Letters, IRS published rulings, State Medicaid Manual provisions, DHCS All-County Welfare Directors Letters. These bind agency staff and therefore practitioners.
- Peer-reviewed research— for empirical claims about caregiver burden, dementia prevalence, cost of care. Journals with a stated peer-review process; we name the journal in the footnote.
- Government data releases— CMS Hospital Compare, BLS Occupational Employment Statistics, Census ACS, Genworth Cost of Care survey. We cite the dataset and release date.
What we don’t cite as primary sources: general news reporting (we use it for breaking changes only, and then confirm against the underlying statute or guidance); industry trade publications (often paid placements); Wikipedia; AI-generated summaries of any kind; competitor caregiver sites; lawyer-marketing content farms.
Who reviews
Our reviewers are real people with real credentials. We list their names, professional licenses, and state of practice on their reviewer profile pages. We don’t take anonymous reviews. We don’t accept payment from reviewers in exchange for inclusion.
Reviewers are paid a flat per-page fee for their time. They don’t get a cut of any downstream revenue from the page they reviewed. That separation is deliberate — we don’t want a reviewer’s judgment biased by which page will likely earn the most affiliate revenue.
Reviewer credentialing process
Different topics demand different credentials. We don’t let a CPA review Medicaid eligibility rules; we don’t let an elder-law attorney review tax-treatment tradeoffs. What we look for, per topic:
- Legal, Medicaid planning, probate, POA, guardianship. A state-admitted attorney with an active bar license in the jurisdiction the page covers. We prefer (but don’t require) NELF (National Elder Law Foundation) board certification or equivalent state-bar elder-law certification.
- Tax treatment, FSAs, dependent-care credits. A state-licensed CPA or an IRS enrolled agent (EA) in good standing. Tax pages are reviewed against current-year publications, not whatever the reviewer remembers from prior seasons.
- Care settings, assisted living, memory care, skilled-nursing-facility selection. A geriatric care manager certified by the Aging Life Care Association, or a licensed RN with documented case-management experience in long-term care.
- Medicare, Medigap, Part D, MA plan analysis. A SHIP-trained counselor or a CFP/ChFC with documented Medicare-planning practice. We do not commission reviewers who are also captive agents for any specific carrier.
- Caregiver health and behavioral topics. A licensed clinical social worker, psychologist, or psychiatrist. Sources include peer-reviewed caregiver- burden literature alongside clinical judgment.
How we vet a prospective reviewer:
- License verification.We check the state bar, state board of accountancy, state nursing board, or certification body directly — not the reviewer’s self-report. Lapsed or restricted licenses disqualify.
- Disciplinary-history check. Public disciplinary records via the state regulator. Anything unresolved is a hard no.
- Sample-page review.We ask the prospective reviewer to mark up a published page in their area. We don’t pay for this and we don’t commit either way before seeing the work. The point is to verify the reviewer reads with the rigor we need, not to test trivia.
- Conflicts-of-interest disclosure.Every reviewer signs a written disclosure naming any active cases, business relationships, paid speaking arrangements, or expert-witness work that could affect their independence on the topics they’ll review. The disclosure appears on their reviewer profile page verbatim — we don’t paraphrase it.
- Per-page conflict re-check. Before signing off on a specific page, the reviewer re-confirms in writing that they have no conflict on the specific subject matter of that page (e.g., a Florida elder-law attorney reviewing a Florida Medicaid page confirms no active client matter depends on the contested interpretation discussed).
Correction policy
We get things wrong sometimes. When we do, we want to know, and we want the record to show it.
What triggers a correction:
- Factual error.An incorrect figure, date, citation, or statutory interpretation that materially affects a reader’s decision. Even small errors (transposed digits in a Medicaid income cap, wrong statute section number) qualify.
- Source error. A footnote pointing at a URL that no longer resolves to the cited material, or a statute that has since been amended without our page tracking the change.
- Reviewer change. A reviewer rescinds their sign-off on a page, or their credentials lapse. The page stays up but the reviewer attribution updates.
- Substantive nuance. A page that was technically accurate but missed a meaningful exception or edge case the reader needed.
How to flag one: Cite or correct this page (linked at the bottom of every editorial page). Tell us the page, the specific text or footnote, and what you think should change. If you’re flagging based on a primary source, include the citation.
Our SLA:
- Factual errors — 48 hours from verified report to corrected publication. The corrected page carries a dated correction note above the article body.
- Source-link errors — 5 business days. Replacement primary source identified and footnote updated; old citation preserved in an editorial note.
- Substantive-nuance issues — 1 week for a reviewed update. Larger structural rewrites land in the next quarterly review cycle and get noted in the corrections log.
Where corrections are logged: we maintain a running corrections record in the repository (docs/corrections.md). It lists the date, affected page, what changed, and what triggered the change. The log is open-source-style and survives editorial turnover.
What we don’t do
The clearest way to describe a business model is sometimes to name the things it excludes. Caregiving Atlas does not, will not, and cannot:
- Sell facility placements.We do not refer readers to specific assisted-living, memory-care, or nursing facilities in exchange for a per-lead or per-placement fee. This is the dominant industry model and we’re built to avoid it. We help readers compare categories and tradeoffs; we do not pick a specific facility for them in exchange for money from the facility.
- Take referral kickbacks from law firms. When we link to a state-bar lawyer referral service, it is the state-bar service, not a paid placement. Any future commercial relationship with a specific firm will be disclosed on every page that benefits from it.
- Publish paid mentions or sponsored content. There is no “Brought to you by” content anywhere on Caregiving Atlas. If a product appears in our comparison tables, it is because our editorial team believes it earns the slot.
- Use AI-generated text in published guidance. Drafts may be assisted by AI for grammar, structure, or outline; the substantive claims and citations are written and verified by human editors. We don’t publish AI- summarized statutes or AI-paraphrased case law. The distinguishing-from-AI test is a brand commitment, not a marketing pose.
- Fabricate quotes or invent reviewer attribution. Quotes come from named, verifiable sources. Reviewer names on pages are real people with real licenses; we don’t ship a page with “reviewed by Dr. Smith” when Dr. Smith is fictional or anonymous-on-request. Until a real reviewer is signed, the page reads “Reviewer to be assigned.”
- Bury affiliate disclosures.Where we earn commission, the disclosure runs at the top of the page, not in the footer of a separate page. Footer-only disclosure is technically compliant and substantively misleading; we don’t use it.
Update cadence
Caregiving rules change. Medicaid eligibility thresholds adjust annually. State legislatures pass new statutes every session. Medicare AEP rules and Advantage plan availability reset each fall. To keep up:
- State pagesare reviewed quarterly. The review date appears above the fold; if you’re reading a state page that hasn’t been reviewed in the last 120 days, please flag it.
- Federal topic pages (Medicare, federal Medicaid framework, federal tax) are reviewed at least twice a year and after any major federal rule change.
- Articlesshow both a publish date and a last-updated date when the content has been materially revised. Older articles are not deleted — we mark them as historical and link to the current guidance.
Our affiliate policy, in plain English
Specifically:
- We may earn a referral fee from Medicare Advantage and Medigap brokers when a reader connects with one through us. We disclose this on every Medicare-related page.
- We may earn a per-lead fee from elder-law attorneys when a reader requests a consultation. We disclose this on every legal-services page.
- We may earn commission from medical-alert devices and OTC hearing aids when a reader purchases through our links. We disclose this on every product-review page.
- We do not accept payment for facility placement. We do not refer to specific assisted-living, memory-care, or nursing-home facilities for a fee. (This is the model used by A Place for Mom and several competitors. We don’t do it because the financial incentives are misaligned with the reader’s interest.)
- We do notpublish sponsored content. There is no “Brought to you by” content on Caregiving Atlas.
Editorial independence
The reviewer signing off on a page does not get to edit our recommendations to favor their own services or jurisdiction. The advertiser whose product we discuss does not see the article before publication and does not have copy approval. When we change a recommendation, it’s because the evidence changed, not because a partnership did.
If we get something wrong, we want to know. Corrections are dated and visible at the top of the affected page. Cite or correct any page using the link at the bottom of every article.
What we are not
Caregiving Atlas is not:
- Not legal advice. Our guidance is general information, not a substitute for an attorney licensed in your state.
- Not medical advice. We summarize Medicare, Medicaid, and treatment-setting decisions; we do not diagnose, prescribe, or counsel on specific care plans.
- Not financial advice. We explain how programs and benefits work. A licensed CFP, EA, or CPA should advise you on your specific situation.
- Not a placement service.We don’t help you choose a specific facility; we help you understand the categories, costs, and tradeoffs so you can make that choice better.
Tooling that keeps us honest
A trust commitment is only as good as the mechanism that enforces it. We maintain a small set of automated checks inside the repository so editorial drift is caught at PR time, not after a reader writes in:
- Freshness signal. Every page with a reviewed-date field auto-renders a stale-content banner once the date exceeds six months. At twelve months it promotes to a higher-urgency notice. The banner names the specific number of months since review and links to the re-review flag, so the reader gets context rather than a generic disclaimer.
- Citation integrity check. A node script (
scripts/check-citations.mjs) walks every state-topic guide and every article, extracts the footnotes, and reports which citations contain URLs (and therefore need periodic verification), which cite statutes or cases only (no URL needed), and any malformed entries. Run withnpm run check:citations; the report lands atdocs/citation-check.md. An optional--check-urlsflag attempts a HEAD request to each URL, but is off by default so the check is offline- safe. - Corrections log.
docs/corrections.mdis the editorial change record. Each correction is dated, names the affected page, and notes what triggered the fix. The log is intentionally visible in the repository — it’s a permanent history of where we’ve been wrong.
Why we publish this page
Most of the caregiving information online is published by businesses that profit from your decisions. Some of it is good; much of it is incentive-distorted in ways the reader can’t see. By laying out exactly how we work — including which decisions earn us money and which don’t — we let you weigh our guidance against our incentives directly.
We’re betting that a thoughtful 50-year-old caring for an 82-year-old parent at 11 p.m. on a Tuesday would rather read a sourced page from a brand that’s honest about its model than an unsourced page from a brand that isn’t. If we’ve done this right, you’ll notice the difference within a paragraph.