What to look for in case management software for Medicaid waiver programs and how to choose the right solution.
Service plan development should center on the participant:
Meeting state requirements is essential:
Case managers need to stay on top of their caseload:
Case management services need to be billed too:
If you operate across states:
Software designed for social work case management broadly.
Pros: Flexible, often lower cost
Cons: May not have Medicaid waiver-specific features
Electronic health record systems with case management modules.
Pros: Clinical integration
Cons: Often complex, expensive, clinical focus
Purpose-built for Medicaid waiver case management.
Pros: Designed for HCBS compliance
Cons: May be waiver-specific
Designed specifically for HCBS, SCL, RISE, and other Medicaid waivers
Service plan templates with goals, preferences, and participant voice
Alerts for monitoring visits, plan renewals, and expiring documents
Case management documentation flows to claims
Configurable for different state requirements
Case management plus EVV, scheduling, and billing together
Schedule a demo and we'll show you how One Care Portal handles case management for waiver programs.