CertifyMed

Trusted by state agencies, MCOs & assessment entities

One platform for assessment, care planning, and continuous compliance - built for the federal standards you are audited against.

app.certifymed.com

The leading software provider of

interRAI
Feature Overview

10 Integrated Modules

Each module works together so your compliance, clinical, and operational data all live in one place.

10 modules·74 features·11 AI-powered

Assessments & Screening

6 available · 3 coming soon

InterRAI Assessment Engine

Full multi-module, multi-section assessment workflow with progress tracking, auto-save, and completion reports.

14 Clinical Screening Tools

PHQ-9, GAD-7, MoCA, SLUMS, Katz ADL, Lawton IADL, AHC SDOH, Braden Scale, Morse Fall Scale, AUDIT-C, Zarit-12, EQ-5D-5L, PAINAD, PC-PTSD-5.

Screening Tool Catalog

Browse, search, and filter all instruments by domain - Behavioral Health, Functional Status, Cognitive, Safety & Risk.

Client Profile Screening

Select a screening tool from the client profile, search and select the client, preview demographics, then step through questions.

Questionnaire Engine

One question at a time with progress indicator, response selection, question navigation dots, safety flag alerts, and submit with validation.

Assessment Reports

Clinical scales, raw responses, trends, and CAPs (Collaborative Action Plans) tabs for completed assessments.

HCBS Settings Compliance

Turn the HCBS Settings Rule into a score you can defend.

CHCS scoring measures every setting you operate against the CMS HCBS Settings Final Rule - so a survey is never a surprise.

  • CHCS score 0-100 across 6 weighted compliance domains
  • 9 statuses, from Fully Compliant to Critical - Institutional Risk
  • Evidence document tracking with expiration alerts
  • Remediation workflow and corrective actions per setting
app.certifymed.com/compliance
Compliance Overview
The Citadel Organization · 4 settings
Substantially Compliant
92/100
CHCS Compliance Score
Community Integration
96
Individual Rights
92
Setting Eligibility
94
Autonomy & Choice
88
Provider-Owned Safeguards
85
Heightened Scrutiny Risk
90

Everything Your MCO and State Surveyors Require

From HCBS compliance scoring to clinical assessments to care plans - CertifyMed replaces your spreadsheets, binders, and guesswork with one platform.

HCBS Settings Compliance

Know your compliance score before the state does.

CHCS scoring (0-100) across 6 domains aligned with the CMS HCBS Settings Final Rule, with document tracking and status from Fully Compliant to Critical.

Clinical Assessments & Screening

Every screening your MCO requires, in one place.

The interRAI engine plus 14 validated instruments - PHQ-9, GAD-7, MoCA, Katz ADL and more - scored automatically with clinical bands and safety protocols.

Person-Centered Care Planning

Assessment to care plan in 30 minutes, not 4 hours.

Plans auto-populate from assessments: goals in the client's own words, measurable objectives, risk mitigation, and full version history. CMS 42 CFR §441.725 compliant.

Platform Overview

One platform. One record. No re-keying.

Data flows across every module - a screening result updates the care plan and the compliance score without anyone touching a spreadsheet.

Assessment
interRAI engine
Care Plan
Auto-populated
Compliance
Live CHCS score
Audit
Evidence ready
Product Roadmap

Built for where LTSS is going.

A clear investment path - AI assistance, automated monitoring, and interoperability - so the platform keeps pace with your program.

AI & Intelligence

  • AI screening recommendations
  • AI care plan generation
  • AI session summaries (SOAP notes)
  • Incident pattern detection

Automation & Monitoring

  • Automated credential expiration alerts
  • Monthly OIG/SAM exclusion checks
  • Care plan compliance monitor
  • Remediation & outcome tracking

Interoperability & Scale

  • FHIR R4 interoperability
  • Public API for MCO integrations
  • State-specific reporting templates
  • Multi-state compliance profiles
90+HCBS Setting Types
14Validated Screening Instruments
5interRAI Assessments
10Integrated Modules

Built to the standards you're audited against

HIPAAEnd-to-End EncryptedCMS 42 CFR §441.725interRAI

See how state agencies, MCOs, and provider networks run assessment, care planning, and continuous compliance on one platform.

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Federal Data · CMS.gov

Healthcare Compliance at National Scale

These aren't projections. They are the latest federal figures - the real scope of what U.S. healthcare compliance must manage, sourced directly from CMS.gov.

108.8M+
Medicaid & CHIP Beneficiaries

One in three Americans depends on this system working.

Every one depends on compliant, well-managed care - the standard CertifyMed helps you meet.

Source: CMS.gov enrollment data

73,894
Deficiency Citations - Past 12 Months

Each citation is a compliance failure that put someone at risk.

The majority are preventable with structured compliance tooling and proactive monitoring.

Source: CMS Care Compare

12,460
CMS-Certified Home Health Agencies

Each required to meet ongoing federal quality standards.

Each faces continuous CMS surveys and documentation mandates - few can manage it at scale.

Source: CMS Provider Data

CertifyMed is built for every agency, MCO, and provider operating inside this system - bringing automated compliance workflows, federal-standard assessments, and real-time audit documentation to organizations that can't afford the cost of getting it wrong.

Data sourced from CMS.gov (data.medicaid.gov and data.cms.gov). Figures represent national aggregated totals.

Walk into your next survey ready.

See how state agencies, MCOs, and provider networks run assessment, care planning, and continuous compliance on one platform.