Built for Texas Home Health Agencies

Eligibility Monitoring for
Texas Home Health Agencies

Texas has more Medicare-certified home health agencies than any other state — over 1,700. With 5 Medicaid managed care regions, STAR and STAR+PLUS plans, and constant HHSC redeterminations, eligibility gaps cost the average Texas HHA $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

1,700+

Medicare-certified Texas HHAs

5

Medicaid managed care regions

$34K

Average annual loss per agency

Why Texas Home Health Agencies Lose Revenue to Eligibility Gaps

5 Medicaid Managed Care Regions

Texas splits Medicaid into 5 managed care service areas, each with different MCOs running STAR and STAR+PLUS plans. A patient who moves across regions can lose coverage without your billing team knowing until claims start bouncing.

HHSC Redetermination Churn

The Texas Health and Human Services Commission requires periodic Medicaid redeterminations. When patients miss paperwork deadlines, coverage drops silently. You keep sending aides and keep stacking unpaid visits.

Highest HHA Count in the Nation

With over 1,700 Medicare-certified home health agencies, Texas is the most competitive HHA market in the country. Agencies that cannot track eligibility in real time lose revenue faster than they can recover it.

How ClientCare Protects Texas Agencies

Eligibility monitoring and compliance screening purpose-built for the Texas home health market — from Houston to the Rio Grande Valley.

Real-Time Eligibility Verification

ClientCare checks every Texas patient's Medicaid and Medicare status on a rolling basis — across STAR, STAR+PLUS, and fee-for-service 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 Texas workforce, zero sampling, fully automated.

Automated Coverage Lapse Alerts

Get notified the moment a patient's eligibility changes across any Texas 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 Texas agencies. Upload the CSV and screening starts automatically — no special formatting required.

Get Your Texas Agency Protected in 3 Steps

1

Export Your Rosters

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

2

Upload to ClientCare

Drag and drop your files. Our system maps columns automatically, starts eligibility checks across all Texas 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 STAR, STAR+PLUS, and Medicare plans. You get alerts the moment coverage changes — not after a denial stacks up.

We also serve home health agencies in:

Stop Losing Revenue to Coverage Lapses in Texas

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