Built for Medicaid programs, not generic healthcare workflows

Straightforward pricing for a full care management and billing platform

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

Live in one week

Most agencies, with migration and training

Care Management
$5.99

per active participant / month

Billing
$1.50

per submitted claim

Included
HIPAA

document storage, reporting, and staff support

Why agencies buy

One system instead of five workarounds

Clinical and program documentation

Assessments, care plans, visit notes, daily notes, authorizations, signatures, and participant records in one place.

Operations that affect reimbursement

Scheduling, attendance, staff workflows, document storage, audit-ready reports, and billing handoff all stay connected.

Real Medicaid program experience

The product is shaped by people who deal with audits, authorizations, claims deadlines, and compliance reviews in real programs.

Choose the pricing example closest to your program: adult day care, waiver case management, or billing-only support. Bring participant count and claim volume to the demo for a practical fit check.

Pick the pricing path that matches your question

Do you need a quick estimate, a workflow fit check, or a billing-only review?

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.

Pricing fit check

Not sure which module applies? Bring three numbers to the walkthrough.

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.

  • Active participants or caseload for the care management estimate.
  • Approximate monthly claims for billing or ERA dashboard pricing.
  • Current workflow gaps so we can confirm full-platform vs. billing-only fit.

Clear pricing. No pricing gimmicks.

The software is priced around the parts agencies actually buy: the day-to-day care management system, the billing operation that turns completed work into paid claims, and a standalone 835 ERA Dashboard for teams that only need remittance visibility.

Module 1

Care Management Module

$5.99
per active participant / month

This is the core platform for agencies that need to run documentation, scheduling, staff workflows, and oversight inside one HIPAA-compliant system.

  • Participant charts, demographics, and case records
  • Assessments, care plans, service plans, and authorizations
  • Scheduling, visit tracking, attendance, and workflow alerts
  • Visit notes, daily notes, signatures, and compliance documentation
  • HIPAA-compliant document storage for participants and staff
  • Reports, exports, and AI assistance to reduce staff busywork
Built for agencies that need a real operating system, not a lightweight note app.

Module 2

Billing Module

$1.50
per submitted claim

Use Billing alongside Care Management or as a standalone billing operation for agencies that need tighter claim control, cleaner submissions, and better visibility into reimbursement.

  • Claim generation from verified services
  • Pre-submission claim scrubbing and validation
  • Submission tracking and claim status visibility
  • ERA and 835 posting
  • Denial work queues and A/R follow-up
  • Reporting on paid claims, denials, and collections
Flat-rate billing: a fixed fee per submitted claim, not a percentage of what you collect.

Standalone product

New

835 ERA Dashboard

Keep 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 Medicaid ERA reconciliation — no platform switch required.

  • Upload raw 835 / ERA remittance files
  • Track paid, denied, and underpaid claims
  • CARC/RARC denial code visibility
  • Audit-ready reconciliation exports

"Per claim reviewed" means each claim contained in the remittance files you upload and review in the dashboard — for example, a team reviewing 2,000 remit claims per month would pay $199 + $200 = $399/mo.

$199/month

+ $0.10 per claim or remit claim reviewed

See the ERA Dashboard

Pay as you go, month to month, with no long-term contract. Sold standalone or alongside the platform.

Affordable pricing for a complete Medicaid 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.

Included: full chart and note workflow

Assessments, service plans, visit notes, attendance, signatures, and ongoing documentation live in one record.

Included: HIPAA-compliant storage

Participant files, staff records, and supporting documents stay organized and available for audits and daily operations.

Included: scheduling and field workflows

Staff scheduling, visit tracking, authorizations, and documentation requirements stay connected instead of being managed in spreadsheets.

Included: AI that supports staff work

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

A full platform without enterprise-software pricing

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.

Without a connected platform

Separate charting, document storage, schedules, spreadsheets, and billing follow-up.

With One Care Portal

One system for daily work, compliance oversight, reporting, and claim readiness.

Operational benefit

Less duplicate entry, fewer missing documents, cleaner handoff to billing, and faster supervisor review.

Credibility benefit

A more defensible record when auditors, payers, or state reviewers want to see the full story behind a claim.

Estimate your monthly cost

Turn on the modules you need and see the estimated monthly total instantly.

Select modules

Used for Care Management pricing
0 500
Used for Billing pricing

Estimated monthly total

$449.25

Combined estimate based on the modules selected below.

Care Management

75 active participants x $5.99

$449.25

Billing

$1.50 × 500 submitted claims

$0.00

What is included in the estimate

  • Unlimited staff users and role-based access
  • HIPAA-compliant document storage and audit-ready reporting
  • Onboarding and support from a team that knows Medicaid program operations

Want to sanity-check this estimate?

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.

Ask a pricing question

Example pricing by agency type

Representative examples based on the way agencies usually combine the platform.

Waiver care management agency

45 active participants

Care Management$224.55/mo
Billing on 300 submitted claims$450.00/mo
Estimated total$674.55/mo

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

90 active participants

Care Management$449.10/mo
Billing on 600 submitted claims$900.00/mo
Estimated total$1,349.10/mo

Useful when attendance, transportation, daily notes, document storage, and billing all need to stay aligned for the same participant record.

Billing-focused provider group

Billing module only

Care Management$0.00/mo
Billing on 1,000 submitted claims$1,500.00/mo
Estimated total$1,500.00/mo

For agencies that already have their own documentation workflow but need stronger claim control, posting, and denial visibility.

Before you book

Pricing questions we can answer in the demo

The calculator gives a starting estimate. The demo helps confirm the right scope for your actual workflow.

Should we start with care management, billing, or both?

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.

Can billing be used by itself?

Yes. If your documentation workflow already works, the demo can focus on claim generation, submission tracking, ERA posting, denials, and billing visibility.

Can we buy just the ERA Dashboard?

Yes. The 835 ERA Dashboard is sold standalone at $199/month plus $0.10 per claim reviewed — you keep your current clearinghouse or billing platform and use it for remittance review and reconciliation.

What does onboarding include?

We can discuss user setup, roles, imports, training, and what needs to be configured first for ADHC, HCBS, case management, housing, or billing workflows.

What should we bring to the call?

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.

Use your calculator estimate as the starting point

A short walkthrough can turn the estimate into a practical rollout conversation for your agency.

A more defensible buying decision

Software built with working Medicaid programs

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.

See how the pricing fits your program

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.

Talk to Sales