CertifyMed
Coming January 1, 2027Program Management

Run Every Long-Term Care Program You Administer, On One Platform

From enrollment and eligibility through transitions, longitudinal monitoring, and federal reporting, CertifyMed manages the full lifecycle of any LTSS program you run, across HCBS waivers, demonstrations, and institutional settings.

5+
Program Types Supported
Platform Capabilities

One Platform for Every Program You Run

Whether it is a Money Follows the Person demonstration, a self-direction program, an ICF or nursing facility transition, or a waiver renewal, your team operates every program with the same rigor, visibility, and audit-ready compliance.

Enrollment & Eligibility
Centralized enrollment with eligibility screening, waitlist management, and automated notices, configurable for each program type you administer.
Transition & Pipeline Tracking
See every participant pipeline stage by stage. Track progress, surface bottlenecks, and get timeline alerts across all active transitions in real time.
Longitudinal Outcome Monitoring
Automated follow-up scheduling, outcome assessments, and risk screening across configurable monitoring periods, with escalation when a participant needs intervention.
Federal Reporting & Documentation
Generate CMS annual progress reports, participant-level exports, and audit-ready documentation straight from program data. No manual assembly.
Example Program

Money Follows the Person

MFP is exactly what these capabilities are built for: a federally funded demonstration with strict eligibility rules, mandatory transition workflows, 12-month monitoring, and CMS reporting obligations, all in one program.

Institutional Screening & Eligibility

Automated screening against MFP criteria: institutional stay duration, waiver enrollment status, and willing-and-able determination, with documentation captured at each decision point.

Community Setting Placement

Match participants to qualified community settings with preference-based matching, provider availability, and setting suitability scoring aligned to the HCBS Settings Rule.

12-Month Follow-Up Management

Automated follow-up scheduling and outcome assessments across the mandatory monitoring period, with escalation workflows for participants showing risk indicators.

MFP Annual Progress Reports

Generate APRs, participant-level data exports, and CMS-required outcome documentation directly from program data. No manual pulls or spreadsheets.

Coming January 1, 2027

Ready to streamline your MFP program?

Schedule a walkthrough and see how CertifyMed handles end-to-end MFP management.

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Built for Every LTSS Stakeholder

See how CertifyMed delivers value to state agencies, managed care organizations, assessment entities, and LTSS providers

Platform Overview

One Platform. Every Module You Need.

Twelve integrated modules that replace scattered tools, spreadsheets, and paper binders - so you can focus on your clients, not your compliance gaps.

Available Now

Assessments & Screening

InterRAI engine plus 14 validated screening tools. Scored automatically with clinical bands and safety protocols.

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Service Planning

Person-centered service plans auto-populated from assessments. CMS 42 CFR §441.725 compliant.

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Sessions & Telehealth

Video, audio, chat, in-person consultations with recording, live transcription, and scheduling.

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HCBS Settings Compliance

CHCS compliance scoring (0-100) across 6 modules for 90+ setting types.

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Incident Reporting

9 categories, 34 subcategories, automated severity scoring, and 5-stage investigation workflow.

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Workforce Compliance

Staff credentials, expiration alerts, payer enrollment, and OIG/SAM exclusion monitoring.

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Compliance Dashboard

One view of all compliance areas with priority action items and per-module health cards.

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Available Now

Organization Management

Client registry, team management, roles & permissions, and 10-tab client profiles.

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Client Portal

Clients view their own care plan, appointments, and care team with restricted access.

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Platform & Security

HIPAA compliant, end-to-end encryption, multi-role architecture, 2FA, and AI integration roadmap.

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Available Now

Service Authorization & Billing

Authorize services in units, track utilization automatically, enforce frequency caps, and keep every change auditable.

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Coming Soon

Electronic Visit Verification

Integrate with state EVV aggregators and reconcile verified visits against authorizations and units. Cures Act ready.

Learn more
Available Now

Assessments & Screening

InterRAI engine plus 14 validated screening tools. Scored automatically with clinical bands and safety protocols.

Learn more
Available Now

Service Planning

Person-centered service plans auto-populated from assessments. CMS 42 CFR §441.725 compliant.

Learn more
Available Now

Sessions & Telehealth

Video, audio, chat, in-person consultations with recording, live transcription, and scheduling.

Learn more
Available Now

HCBS Settings Compliance

CHCS compliance scoring (0-100) across 6 modules for 90+ setting types.

Learn more
Available Now

Incident Reporting

9 categories, 34 subcategories, automated severity scoring, and 5-stage investigation workflow.

Learn more
Available Now

Workforce Compliance

Staff credentials, expiration alerts, payer enrollment, and OIG/SAM exclusion monitoring.

Learn more
Available Now

Compliance Dashboard

One view of all compliance areas with priority action items and per-module health cards.

Learn more
Available Now

Organization Management

Client registry, team management, roles & permissions, and 10-tab client profiles.

Learn more
Available Now

Client Portal

Clients view their own care plan, appointments, and care team with restricted access.

Learn more
Available Now

Platform & Security

HIPAA compliant, end-to-end encryption, multi-role architecture, 2FA, and AI integration roadmap.

Learn more
Available Now

Service Authorization & Billing

Authorize services in units, track utilization automatically, enforce frequency caps, and keep every change auditable.

Learn more
Coming Soon

Electronic Visit Verification

Integrate with state EVV aggregators and reconcile verified visits against authorizations and units. Cures Act ready.

Learn more

Walk into your next survey ready.

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