Medicaid Eligibility Monitoring

Stop Billing Patients
Who Lost Coverage.

Medicaid coverage drops without warning. New patients checked daily. All Medicaid patients monitored weekly — 4x faster than the industry monthly batch.

The average agency loses $34,000/year to undetected coverage lapses. ClientCare verifies every patient's eligibility automatically — weekly Medicaid checks catch gaps 4x faster than the industry monthly batch. Monthly OIG exclusion screening on your entire staff is included free with every plan.

0M

patients lost Medicaid in the 2023–2024 unwinding

0%

of Medicaid beneficiaries churn off coverage annually

Up and running in 5 minutes

No integrations required

ClientCare Dashboard
Live

12

Patients

10

Verified

2

Alerts

$4.5K

Saved

CriticalMaria Santos

Medicaid Coverage Lapsed

WarningJames Thompson

Medicare Redetermination Due

Clear10 other patients

Coverage verified today

0-hourLapse Detection
0+Eligibility Checks Run
0.7%Uptime

Verified Against Primary Federal Sources

Medicare.gov
Medicaid.gov
HHS Office of Inspector GeneralOIG / LEIE
SAM.gov
HIPAA BAA256-bit EncryptionSOC 2 Type II
Industry Risk

The Cost of Missed Coverage Lapses

0days

Industry average to detect a coverage lapse

$0

Average annual revenue lost to undetected Medicaid coverage lapses

0hours

ClientCare detection time

One missed check pays for a year of ClientCare.

Live Demo

How It Catches What Others Miss

Coverage lapses, accent marks, missing suffixes — the gaps that cost you money.

Patient Name

Maria Santos

Basic Eligibility Check
ClientCare

Simulated for demonstration purposes. No real patient data is used.

Platform

Everything You Need

Weekly Eligibility Monitoring

New patients checked daily. All Medicaid patients monitored weekly — 4x faster than the industry monthly batch.

Smart Risk Alerts

Coverage changes surface as risk tickets with severity levels, confidence scores, and plain-English fix instructions.

Revenue Protection

See exactly how much revenue you’re protecting. The average agency saves $34K/year by catching lapses early.

OIG Screening — Included Free

Monthly exclusion list screening on all staff, with fuzzy matching for accent marks and aliases. Included with every plan at no extra cost.

Free Compliance Check

Check Your Agency's Risk — Free

Enter your agency name. We'll search federal databases and show you what we find. No signup required.

Data sourced from NPPES, OIG/LEIE, and CMS. No patient data is accessed or stored.

Revenue Loss Calculator

How Much Are You Losing to Coverage Drops?

Agencies with 50 patients lose ~$25K/year to undetected coverage drops.

Your Agency

50 patients
10200+
$30/hr
$15$75
20 hrs/week
4 hrs40 hrs

Estimated Annual Loss

$51,429

Revenue lost to undetected coverage drops

Coverage Drops per Year

30 patients

You work for free for ~20 days per incident

ClientCare Catches Drops In

4x faster

New patients checked daily. All Medicaid patients monitored weekly.

* Based on 5% Medicaid churn rate and 20-day average discovery lag (industry averages).

Product Scope

Revenue Protection for Home Health Agencies

We do one thing: make sure every patient you serve has active coverage on the day you bill. Monthly staff screening against federal exclusion lists is included — because compliance shouldn't cost extra.

What's Included

Eligibility Monitoring — Why Agencies Choose ClientCare
Medicare & Medicaid coverage verification — every patient, every payer
Coverage lapse detection before you submit claims
Real-time eligibility check at patient intake
Claim status tracking (276/277) across all active patients
Medicaid spend-down & coverage-gap alerts
Automated email & SMS alerts when coverage changes
Daily, weekly, or monthly audit cadence — you choose
Federal Staff Screening — Included Free
Monthly OIG/LEIE exclusion screening on all staff
SAM.gov cross-reference for federal exclusions
Fuzzy matching catches accent marks, suffixes, and aliases
SSN trace & alias detection for deeper screening
FACIS Level 3 — all 56 state jurisdictions (Enterprise)
Audit-ready screening reports with timestamps

Every Plan

HIPAA-compliant dashboard & PDF exports
Business Associate Agreement (BAA) included
Up and running in 5 minutes — no integrations required
Starting at$149/mo

What We Don't Do

We're not trying to replace your background check vendor or your EHR. We focus on the compliance gap that costs agencies the most money.

Criminal background checks

Your existing vendor (Checkr, GoodHire, Sterling) handles this

Drug testing or substance screening

Handled by your HR process

Credentialing or license verification

Handled by your credentialing service

EHR or billing system replacement

We work alongside your existing systems

Why we stay focused: agencies lose $25K+/year to coverage lapses they don't catch for weeks. That's the problem we solve.

One missed check pays for a year of ClientCare

Coverage lapse (undetected)

$1,500–$4,500

One patient with lapsed Medicaid. Every dollar billed during the gap gets clawed back.

Medicaid redetermination gap

$1,500–$4,500 per patient

Patient loses coverage between visits. You keep billing. Every claim gets denied retroactively.

Excluded employee (OIG)

$22,427 per service

Federal penalty per item or service billed while an excluded individual is on payroll.

From the Blog

Compliance & Eligibility Insights

Practical guides for home health agencies navigating Medicare, Medicaid, and federal screening requirements.

Every Day You Don't Monitor Coverage, You're Working for Free

Revenue protection for home health agencies. Starting at $149/month. 30 days free, no credit card required.

HIPAA BAA256-bit EncryptionMFA Enforced

Built for:

Home HealthHospiceSNFsStaffingBehavioral HealthAssisted Living