Built for Illinois Home Health Agencies

Eligibility Monitoring for
Illinois Home Health Agencies

Illinois has over 500 Medicare-certified HHAs and operates HealthChoice Illinois managed care across 6 Medicaid regions. With MCOs including CountyCare, Meridian, Molina, and Blue Cross Community, eligibility gaps cost agencies an average of $34K per year. ClientCare monitors every patient's coverage and screens your staff against the OIG/LEIE automatically.

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

500+

Medicare-certified Illinois HHAs

6

Medicaid managed care regions

$34K

Average annual loss per agency

Why Illinois Home Health Agencies Lose Revenue to Eligibility Gaps

6 Medicaid Managed Care Regions

Illinois divides Medicaid into 6 HealthChoice regions with different MCOs managing coverage. Patients who move between regions or switch MCOs can lose coverage without notice.

Cook County Concentration

Over half of Illinois HHAs operate in or near Cook County. High density means intense competition — agencies that can't track eligibility in real time lose revenue faster than they can recover it.

Redetermination Backlog

Illinois has faced significant Medicaid redetermination backlogs since the unwinding of continuous enrollment. Patients cycle on and off coverage unpredictably.

How ClientCare Protects Illinois Agencies

Eligibility monitoring and compliance screening purpose-built for the Illinois home health market — from Chicago to Springfield to Rockford.

Real-Time Eligibility Verification

ClientCare checks every Illinois patient's Medicaid and Medicare status on a rolling basis — across HealthChoice Illinois, CountyCare, Meridian, Molina, and Blue Cross Community plans. 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 Illinois workforce, zero sampling, fully automated.

Automated Coverage Lapse Alerts

Get notified the moment a patient's eligibility changes across any Illinois Medicaid managed care plan. Plain-English alerts tell you which patient, which payer, and what to do next.

CSV Upload From Any EMR

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

Get Your Illinois Agency Protected in 3 Steps

1

Export Your Rosters

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

2

Upload to ClientCare

Drag and drop your files. Our system maps columns automatically, starts eligibility checks across all Illinois Medicaid managed care plans, and screens staff against the OIG/LEIE.

3

Catch Problems Before They Cost You

ClientCare monitors eligibility on a rolling basis across HealthChoice Illinois managed care plans. You get alerts the moment coverage changes — not after a denial stacks up.

Stop Losing Revenue to Coverage Lapses in Illinois

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