Medicaid

Every authorized hour, paid

Medicaid only pays for hours that are authorized, verified, and billed clean. When those fall out of sync, you deliver the visit and lose the revenue. AlayaCare keeps authorizations, EVV, and claims connected, so every funded hour turns into a paid claim.

Thin margins leave no room for lost hours

Run a Medicaid-funded agency and the math is unforgiving. Reimbursement rates stay flat while labor and operating costs climb. State rules and EVV mandates decide whether you get paid at all. You should never have to choose between compliance, care, and cash flow.

Core Capabilities

Close the gap between hours worked and dollars paid

Every Medicaid claim depends on three things lining up: a valid authorization, clean EVV, and an accurate claim. AlayaCare connects all three in one system, so problems surface before they cost you.

Billing software built for Medicaid

Medicaid billing is one of the most complex, most regulated corners of home care: multiple rates, multiple programs, and rules that change by state. AlayaCare manages multi-tiered rates and rules for public and private payors. It submits claims electronically through your clearinghouses and keeps your records audit-ready. You spend less time chasing payments and more time growing.

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Proven Results

Turn compliance into cash flow

95 %
visit completion and EVV use at North Country Home Services
90 %
clean-claim rate across four states at Vitasya
81 %
reduction in bad debt at North Country Home Services
Related Solutions

One platform for every payor you bill

Most agencies bill more than Medicaid. Manage every payor source in the same system, with the same clean-claims discipline.

Private Pay

Run private-pay billing in the same system, with flexible rates, real-time invoicing, and faster reconciliation.

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Insurance

Handle long-term care insurance and other third-party billing with cleaner data handoffs and bulk invoicing.

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Veterans Affairs

Bill VA and other third-party vendors electronically, with less time spent and a faster path to reimbursement.

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FAQs

Quick answers to questions you may have

Coordination of benefits is built in. AlayaCare sequences the primary and secondary payors so claims go out in the right order, and your team does not rekey changes into the clearinghouse.

In supported states, AlayaCare captures compliant EVV and sends it to your state aggregator, so visits are verified at the source and ready to bill. Tell us your state and we will confirm the connection.

AlayaCare submits claims through clearinghouses and connects to payroll, screening, and EVV aggregators through its integration network. Tell us your current stack and we will confirm the connections.

Yes. Agencies run multi-state Medicaid on AlayaCare today. Each location can carry its own state rules, EVV requirements, and claim formats, so one team can manage compliance everywhere you operate.

The platform is built for HIPAA compliance, with role-based access, encrypted messaging, and audit-ready records. Your data stays protected as it moves from visit to claim.