New York has over 1,100 Medicare-certified HHAs — one of the largest markets in the country. With Managed Long-Term Care (MLTC) plans, 13 Medicaid health plans including Fidelis, Healthfirst, and UnitedHealthcare Community Plan, eligibility complexity is unmatched. Coverage gaps cost the average New York HHA $34K per year. ClientCare monitors every patient's coverage and screens your staff against the OIG/LEIE automatically.
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1,100+
Medicare-certified New York HHAs
13
Medicaid health plans
$34K
Average annual loss per agency
New York’s Managed Long-Term Care system requires dual-eligible patients to enroll in an MLTC plan for home health services. Tracking eligibility across MLTC plans, mainstream Medicaid, and Medicare simultaneously is nearly impossible without automation.
With 13 different Medicaid managed care plans across the state, each with different enrollment rules and redetermination cycles, coverage changes happen constantly. A patient who switches from Fidelis to Healthfirst mid-episode can leave your agency with unpaid visits.
New York requires home health aides to maintain specific certifications. Combined with OIG/LEIE screening requirements, keeping a compliant workforce means tracking both clinical credentials and federal exclusion status.
Eligibility monitoring and compliance screening purpose-built for the New York home health market — from Manhattan to Buffalo.
ClientCare checks every New York patient’s Medicaid and Medicare status on a rolling basis — across MLTC plans, Fidelis, Healthfirst, and UnitedHealthcare Community Plan. Know before the next visit, not after the denial.
Every staff member is screened against the federal exclusion list every month. 100% of your New York workforce, zero sampling, fully automated.
Get notified the moment a patient’s eligibility changes across any New York Medicaid managed care plan. Plain-English alerts tell you which patient, which payer, and what to do next.
Export your roster from WellSky, Axxess, HHAeXchange, or any system used by New York agencies. Upload the CSV and screening starts automatically — no special formatting required.
Pull patient and staff CSVs from WellSky, Axxess, HHAeXchange, or any EMR used by your New York agency. No special formatting required.
Drag and drop your files. Our system maps columns automatically, starts eligibility checks across all New York Medicaid managed care plans, and screens staff against the OIG/LEIE.
ClientCare monitors eligibility on a rolling basis across MLTC plans, Fidelis, Healthfirst, and UnitedHealthcare managed care. You get alerts the moment coverage changes — not after a denial stacks up.
We also serve home health agencies in: