Built for California Home Health Agencies

Eligibility Monitoring for
California Home Health Agencies

California has over 1,000 Medicare-certified home health agencies navigating one of the most complex Medicaid systems in the country. With 58 counties administering Medi-Cal independently and the CalAIM transformation reshaping managed care, eligibility gaps are harder to track than ever. ClientCare monitors every patient's coverage and screens your staff against the OIG/LEIE automatically.

Questions? Call Riley at +1 (943) 202-1897

1,000+

Medicare-certified California HHAs

58

Counties administering Medi-Cal

CalAIM

Managed care transformation underway

Why California Home Health Agencies Lose Revenue to Eligibility Gaps

58 Counties, 58 Sets of Rules

California administers Medi-Cal through a county-based system. Each county can have different managed care plans, enrollment processes, and redetermination timelines. A patient moving from Los Angeles County to San Bernardino can lose coverage without a single notification to your agency.

CalAIM Transformation Complexity

California's CalAIM initiative is restructuring how Medi-Cal managed care works statewide — shifting populations between plans, changing eligibility categories, and introducing new Enhanced Care Management requirements. Agencies that cannot track these changes in real time fall behind.

Medi-Cal Redetermination Backlog

Post-pandemic Medi-Cal redeterminations have created a wave of coverage disruptions across California. Patients are losing eligibility due to paperwork backlogs, address changes, and income fluctuations — and agencies discover it only after claims are denied.

How ClientCare Protects California Agencies

Eligibility monitoring and compliance screening purpose-built for the California home health market — from San Diego to Sacramento.

Real-Time Eligibility Verification

ClientCare checks every California patient's Medi-Cal, Medicare, and managed care status on a rolling basis — across all county plans and CalAIM managed care arrangements. Know before the next visit, not after the denial.

Monthly OIG/LEIE Screening

Every staff member is screened against the federal exclusion list every month. 100% of your California workforce, zero sampling, fully automated.

Automated Coverage Lapse Alerts

Get notified the moment a patient's eligibility changes across any Medi-Cal managed care plan or county program. Plain-English alerts with the patient, payer, and recommended action.

CSV Upload From Any EMR

Export your roster from WellSky, Axxess, AxisCare, or any system used by California agencies. Upload the CSV and screening starts automatically — no special formatting required.

Get Your California Agency Protected in 3 Steps

1

Export Your Rosters

Pull patient and staff CSVs from WellSky, Axxess, AxisCare, or any EMR used by your California agency. No special formatting required.

2

Upload to ClientCare

Drag and drop your files. Our system maps columns automatically, starts eligibility checks across all Medi-Cal managed care plans and county programs, and screens staff against the OIG/LEIE.

3

Catch Problems Before They Cost You

ClientCare monitors eligibility on a rolling basis across Medi-Cal, Medicare, and managed care plans. You get alerts the moment coverage changes — whether from CalAIM transitions, county transfers, or redetermination lapses.

We also serve home health agencies in:

Stop Losing Revenue to Coverage Lapses in California

Join California home health agencies that catch eligibility gaps before they become denials. 30 days free. Full access. No credit card required.