PRIOR AUTHORIZATION
Simplify Eligibility and Documentation for Connecticut AFC Providers
Member Eligibility and Service Verification - Easily verify AFC member eligibility in line with Connecticut Department of Social Services (DSS) guidelines.
- DSS AFC Care Assessment Form
- Digitized templates help you meet all state-specific documentation requirements.
- Primary Care Provider (PCP) Order Form
- Enable quick submission and tracking of PCP orders with built-in reminders.
DSS ASSESSMENT & PCP FORM – VERIFY ACCURACY
- Confirm that member identifiers (Name, Medicaid ID, DOB, SSN) match across all DSS forms.
- Ensure ADL and behavioral data are consistent between the PCP form and DSS care plan.
- Validate that attached visit notes align with documentation completed by the Registered Nurse (RN) per DSS standards.
Intake and Scheduling
Streamlined Visit Scheduling for Connecticut AFC Programs
- Schedule and Track Visits in Real-Time
- Keep caregivers and nurses synchronized with instant updates.
- Add, Edit, or Cancel Visits Easily
- Manage visits, track missed appointments, and receive automatic alerts.
- Automated Notifications
- All changes update across your team in real time.
- Color-Coded Calendar View
- Organize visits visually by type, staff, or urgency for better time management.
Visits Made Easy
Smart Visit Management for Better Efficiency
- Verify Visits at the Point of Care
- GPS-enabled visit verification ensures accuracy and eliminates fraud.
- Capture Member Signatures
- Secure electronic signatures right from your device.
- Ensure DSS Compliance
- Built-in validations ensure every record meets Connecticut AFC guidelines.
- Real-Time Access to Care Plans
- Caregivers can review member care plans instantly during visits.
- Mobile-Ready Documentation
- Document visits quickly - even with one hand, from any device.
Operational Activity
Seamless Daily Operations for AFC Providers
Care Log
- Comprehensive Caregiver Scheduling – track levels of care, medical and non-medical activities.
- Monitor Completed & Missing Logs to stay audit-ready.
- Automatic Missing Signature Alerts for caregivers, nurses, and care managers.
Claims
- Eligibility Expiration Tracking for timely renewals.
- Medical & Non-Medical Leave Tracking for caregivers and alternate staff.
- Automated Claim Submission – minimize manual work and errors.
- Denial Management Reports to streamline reprocessing.
Operational
- Visit Logs by Care Manager & RN with time-stamped documentation.
- Progress Notes, Care Plans, MDS Evaluations, and Assessments all in one unified system.
Quality Assurance
Enhance Accuracy, Compliance, and Performance
- Maximize reimbursements
- Reduce claim errors and improve payment accuracy.
- Compliance-Driven Workflows
- Stay inspection-ready with automated DSS compliance checks.
- Quick Documentation Access
- Clinicians can complete notes and reports anytime, anywhere.
- Smart Filtering & Reporting Tools
- Identify gaps, avoid duplication, and boost operational efficiency.
Care Team Member Records
Comprehensive Staff Verification and Record Management
- Sex Offender Registry (SOR) Check
- Ensure every staff member passes state-level background checks.
- Criminal Background (State & Federal) Validation
- Fully compliant with DSS employment requirements.
- OIG Exclusion Verification
- Automatically screen staff against the federal list of excluded individuals.
- Staff Qualification & Licensing Data
- Keep reference checks, job history, certifications, and licenses securely stored.
