Client intake services for home care & NEMT agencies

AssistBPO's client intake services for home care and NEMT agencies take a referral or an inquiry and turn it into a client ready for the first shift or a member ready for the first trip. NEMT intake captures member eligibility, broker authorization, mobility and vehicle needs, escorts, standing orders and facility details.

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How does client intake work for home care & NEMT?

Your HIPAA-trained intake specialist works under a BAA in your hours: home care referrals from discharge planners, case managers, physicians and families are logged with services needed, payer source and start date; payer eligibility and authorization are verified for Medicaid waiver, LTC insurance, VA and private pay; the RN assessment is scheduled; consents, service agreements, privacy notices and payment authorizations are sent and chased; emergency contacts, home access and safety notes are recorded; and the client record is built in AxisCare, WellSky or AlayaCare with the care plan tasks entered once the RN signs. Referrers hear back the same day with the assessment date. SS Support Network has run this intake since 2020, and the daily report shows referrals received, assessments booked, files complete and starts of care.

What tasks does client intake cover for home care and NEMT agencies?

  • Log referrals with services, payer, start date and referrer the same day
  • Verify payer eligibility and authorization before the assessment
  • Schedule the RN assessment and confirm with the family and referrer
  • Send and chase service agreements, consents and payment authorizations
  • Record emergency contacts, home access and safety notes
  • Build the client record and enter care plan tasks once the RN signs
  • Capture NEMT member eligibility, mobility needs, escorts and standing orders
  • Report referrals, assessments, files complete and starts of care daily

The KPI that matters here

Referral to start-of-care time and client files complete before the first shift. Both are reported daily and reviewed weekly against your targets.

What rules does client intake follow for home care & NEMT?

  1. HIPAA and the BAA. Client and member information is protected health information. Every engagement runs under a business associate agreement, staff are HIPAA-trained before they see a care plan or a trip, access is minimum necessary, and breach notification follows the HHS Office for Civil Rights rules.
  2. EVV under the 21st Century Cures Act. Medicaid-funded personal care and home health visits must be verified electronically under the Cures Act, enforced by CMS through each state's aggregator. Assistants work exceptions in your EVV system daily so visits are complete, verified and billable, and never alter a caregiver's recorded times without a documented reason and your approval.
  3. No clinical decisions. Assistants schedule, coordinate and relay. Changes to a care plan, a client's condition, a fall, a medication question or anything clinical goes to your RN supervisor or on-call nurse by the protocol your clinical lead signs, in line with state home care licensing rules.
  4. TCPA for shift and trip messages. Shift offers, schedule confirmations and trip reminders go by text and call only with consent from caregivers, clients and members, inside calling hours, with opt-out wording, under the Telephone Consumer Protection Act enforced by the FCC.

Home care & NEMT software we work in

Also in use

  • WellSky Personal Care
  • AlayaCare
  • RouteGenie
  • Broker portals (ModivCare, MTM)

See all 80 tools we work in

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Frequently asked questions

What does a home care intake include?

Client demographics and contacts, the responsible party, services requested and hours, payer source with eligibility and authorization verified, physician and diagnosis information where required by the payer, the RN assessment date, service agreement, consents and privacy acknowledgment, payment authorization for private pay, emergency contacts, home access instructions, pets and safety notes, and caregiver preferences. The record is checked against a checklist before the first shift is scheduled.

How does NEMT member intake work?

The specialist captures the member's name and contact, Medicaid or plan ID, broker authorization or trip number, pickup and drop-off addresses, appointment times, mobility needs and vehicle type, escorts or attendants, standing orders for recurring treatments, facility contacts and any special instructions, then enters the trip in your dispatch system and confirms with the member and facility. Missing authorizations are chased with the broker before the trip date.

Can intake verify Medicaid waiver and LTC insurance coverage?

Yes. The specialist checks Medicaid eligibility through your state portal, confirms waiver enrollment and the authorized service codes and units with the case manager, and for LTC insurance requests the policy details, elimination period and benefit limits from the family and the carrier. VA benefits are confirmed with the referring VA contact. Results are entered on the client record and any gap is flagged before the assessment.

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