Medicaid home care software built around the authorization.

Medicaid home care software runs an HCBS, waiver or CFC agency against the authorization: it tracks authorized units live, captures the six data elements the 21st Century Cures Act requires on every visit, submits electronic visit verification to the state aggregator, and produces authorization-checked billing data. On a fixed Medicaid rate, margin comes from utilization and clean claims rather than price, so the software's job is to keep hours inside the authorization and visits out of the exception queue.

A Sandata lane is built and deployed, with more lanes in progress. Every submission runs preflight checks before anything is transmitted. Talk to us about yours.

Capture is recording the six Cures Act elements at the visit: the caregiver clocks in and out on the app, with GPS and a signature where one is required. Submission is transmitting the verified visit to your state's aggregator in that state's format. Nestaid captures nationwide; submission needs a lane per state. A Sandata lane is built and deployed, with more in progress, every submission runs preflight first, and which states apply to you is confirmed per agency.

Live-in exemption rules are built into the aggregator lane.

Not directly. Nestaid produces verified, authorization-checked billing data and a claims export guide, and your payer workflow submits the claim. Nothing unverified and nothing past the authorized units reaches that export.

Yes. Many concurrent authorization periods per payer are supported, each with live utilization, and one care plan line is tied to each authorization.

They fall to the next payer you've configured on the ladder — long-term care insurance or private pay, under that payer's own agreement — with a per-hour audit trail, so every hour is billed to exactly one payer.