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Medicaid services expansion and growing caseloads put increased pressure and strain on an already stretched workforce and budget.

Our team of professionals includes many former state and local program directors who have been right where you are now. And we want to help you.

The Blue Compass suite of solutions includes case management tools for long-term services and supports (LTSS), offering a modular and configurable approach to waiver and program management. The CMS-certifiable, person-centered solution assists with the entire lifecycle of waiver/program management and streamlining operations.

Blue Compass LTSS case management solutions enable our clients to put the member at the center of the support system, eliminating redundancy, communication barriers, and information silos. Our case management tools support person-centered plans of care and offer robust tracking and monitoring capabilities. The system automation can be programmed to alert staff members of tasks needing completion and/or stakeholders when action is required.

Benefits

  • Ability to add programs quickly
  • Actionable insight with visualized data covers all domains
  • Driven by business rules
  • Centralized data access
  • Enterprise-wide and web-based
  • Fraud, waste, and abuse detection
  • Highly scalable and flexible
  • Improved communication among agencies
  • Maximum automation
  • Pre-built and ready to use

Features

  • Waiver application and eligibility
  • Integration with billing MMIS systems
  • Two-way MMIS interactions
  • Modular architecture design
  • Built-in Electronic Visit Verification (EVV)
  • Client access to records through a client portal or patient health record
  • Offline tablet capabilities
  • Longitudinal reporting
  • Predictive modeling
  • Table and mobile apps
  • NIEM standards-based reporting extracts for innovative grant research

Modules

  • Administration Function
  • Client and Common
  • External Interfaces
  • Personal Care Programs
  • Quality Monitoring
  • Rebalancing Programs
  • Screening and Assessments
  • Service Monitoring and Billing
  • Specific-Purpose Portals
  • Waiver Programs