One Care Portal is a full EHR/EMR and agency operations system for Adult Day Health Care, case management, HCBS, and waiver programs. You get HIPAA-compliant records, scheduling, visit notes, document storage, reports, AI-assisted workflows, and billing support in software designed by people who work in Medicaid programs.
Pay as you go
Published participant, claim, and ERA usage pricing
Month to month
No long-term contract or lock-in
One-week go-live target
With guided organization setup and training
platform fee / month
+ $7.99 per active participant
per submitted claim
document storage, reporting, and staff support
Why agencies buy
Assessments, care plans, visit notes, daily notes, authorizations, signatures, and participant records in one place.
Scheduling, attendance, staff workflows, document storage, audit-ready reports, and billing handoff all stay connected.
The product is shaped by people who deal with audits, authorizations, claims deadlines, and compliance reviews in real programs.
Pick the pricing path that matches your question
Pricing visitors usually arrive with one of three buying questions. Choose the path that fits, then use the demo to confirm module scope before you change systems.
Use participant count and claim volume to get a practical starting number before talking with anyone.
Open the calculatorIf your charting workflow already works, review claims, ERA posting, denials, and remittance visibility separately.
Review billing workflowPricing fit check
Most pricing questions become clear once we review the size of your program, monthly claim volume, and whether billing needs to connect to care documentation. The walkthrough is designed to leave you with a practical module recommendation, not a generic sales quote.
Pricing follows the product architecture: choose the Case Management or ADHC Care Module for operations, add Billing for a connected workflow, or use Billing by itself. The 835 ERA Dashboard remains available for teams that only need remittance visibility.
Care Modules
Case Management and ADHC each use a $299 monthly platform fee plus $7.99 per active participant. Onboarding scope and pricing are reviewed during the demo.
Case Management
Calendars, visits, notes, supervisor review, caseloads, completed work, and hours.
ADHC
Attendance, daily notes, care workflows, meals, transportation, and authorizations.
Standalone or connected · All major payer types
Use Billing alongside a Care Module or with your current care system for claim submission through supported payer workflows, tracking, denials, 835 ERA posting, reconciliation, and better reimbursement visibility. No HCBS program required — any agency that submits claims can use it.
Medicaid, Medicaid MCOs, Medicare and Medicare Advantage, and commercial payers are supported through clearinghouse-supported workflows. Exact payer, plan, transaction, enrollment, and claim-type fit is confirmed during setup.
Standalone product
NewKeep your current clearinghouse, EMR, or billing platform. Upload raw .835, .era, or .txt remittance files to track paid, denied, and underpaid claims, review CARC/RARC denial codes, and organize all-payer ERA reconciliation — no platform switch required.
The usage charge is $0.10 for each claim contained in an ERA file One Care Portal parses — for example, files containing 2,000 claims in a month would cost $99 + $200 = $299/mo. This product is separate from Care Module platform and participant pricing.
+ $0.10 for each claim contained in an ERA file One Care Portal parses
Pay as you go, month to month, with no long-term contract. Sold standalone or alongside the platform.
One Care Portal is priced to stay affordable for agencies while still giving you the depth most programs end up piecing together across multiple systems. You are getting one Medicaid-focused platform for documentation, operations, compliance, and reimbursement support.
Assessments, service plans, visit notes, attendance, signatures, and ongoing documentation live in one record.
Participant files, staff records, and supporting documents stay organized and available for audits and daily operations.
Staff scheduling, visit tracking, authorizations, and documentation requirements stay connected instead of being managed in spreadsheets.
AI helps staff draft and clean up documentation faster, but the platform value is the full operating workflow around that work.
What agencies usually replace
The common alternative is paying for multiple point solutions while staff still spend hours moving information between systems, fixing claims, and preparing for audits. One Care Portal gives agencies a more complete setup without pushing them into bloated enterprise pricing.
Separate charting, document storage, schedules, spreadsheets, and billing follow-up.
One system for daily work, compliance oversight, reporting, and claim readiness.
Less duplicate entry, fewer missing documents, cleaner handoff to billing, and faster supervisor review.
A more defensible record when auditors, payers, or state reviewers want to see the full story behind a claim.
Turn on the modules you need and see a monthly estimate based on the published platform and usage rates.
Select modules
Starting estimate
Combined starting estimate based on the modules selected below.
This is a monthly estimate. Onboarding pricing is reviewed during the demo and is not included in this calculator.
Platform fee
Fixed monthly fee for a Care Module
Active participants
75 active participants x $7.99
Billing
$1.50 × 500 submitted claims
Bring this estimate to a 30-minute walkthrough. We can confirm whether care management, billing, or both modules fit your agency, and what setup would look like before you commit.
Representative examples based on the way agencies usually combine the platform.
Waiver care management agency
Good fit for agencies that need strong documentation, supervisor review, and cleaner claim follow-through without adding more disconnected tools.
Adult Day Health Care center
Useful when attendance, transportation, daily notes, document storage, and billing all need to stay aligned for the same participant record.
Billing-focused provider group
For agencies that already have their own documentation workflow but need stronger claim control, posting, and denial visibility.
Before you book
The calculator gives a starting estimate. The demo helps confirm the right scope for your actual workflow.
We can walk through how your team documents services today, how claims are prepared, and whether a phased rollout makes more sense than changing everything at once.
Yes. If your documentation workflow already works, the demo can focus on claim generation, submission tracking, ERA posting, denials, and billing visibility.
Yes. The 835 ERA Dashboard is sold separately at $99/month plus $0.10 for each claim contained in an ERA file One Care Portal parses. You keep your current clearinghouse or billing platform and use it for remittance review and reconciliation.
Guided organization setup, administrator access, purchased modules, role configuration, and one hands-on training are included in the onboarding plan. Onboarding scope and pricing are reviewed during the demo. One Care Portal targets a one-week go-live, and email and phone support are included.
Approximate active participant count, monthly claim volume, current tools, and the workflow problems your team wants to fix are enough for a useful fit discussion.
A short walkthrough can turn the estimate into a practical rollout conversation for your agency.
A more defensible buying decision
One Care Portal was not designed as a generic software platform that tries to fit every healthcare use case. It was shaped by real users who work in Medicaid-funded programs and need the system to hold up in day-to-day operations.
That matters when your team is handling authorizations, state-specific documentation, visit scheduling, signatures, plan updates, and claims that can be denied if the record is not complete.
The pricing reflects that depth. You are paying for software that helps agencies run the work, not just record it.
We will show you the workflows, talk through your participant volume and billing process, and give you a clear estimate based on how your agency actually operates.