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Unified Care Management Platform for IDD/HCBS Providers in United States

Product Summary

IDD/HCBS providers in Virginia manage care plans, service authorizations, scheduling, documentation, billing and training across disconnected tools, making it hard to reconcile authorized, delivered, documented and billed services.

AccessStar is a unified, HIPAA-oriented, multi-tenant SaaS platform with 19 connected modules covering onboarding, ISP/PCP, service authorization, mobile-first EVV, documentation, eMAR, incident and compliance, Medicaid billing/RCM, HR, LMS and analytics. It links authorized hours to scheduling, visit verification, notes, claims and payroll reconciliation, with governed AI assistance and human review retained for all high-stakes actions.

Features

  • ISP/PCP & service authorization: person-centered plans with authorized units and hours
  • Mobile-first EVV & scheduling: DSP visit time and location capture
  • Billing/RCM: 837/835, 270/271 and 276/277 claim workflows with Claim.MD
  • Service documentation, eMAR & incident/risk tracking in one connected record
  • Governed AI for documentation, incident classification & compliance evidence gaps

Technical Challenges

  • Keeping many agencies and payers on one platform while meeting differing Virginia Medicaid, DBHDS and program rules. : Multi-tenant architecture with tenant data isolation, RBAC, MFA/SSO and a configurable payer and program rules engine.
  • Connecting authorized hours, EVV visits, service notes, claims and payroll so they reconcile to actual hours worked. : Cross-module rules, audit trails and workflow orchestration, with claim submission subject to authorized staff review.
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