Your solution for HRSN Medicaid waivers
From screening to payment, Findhelp’s HRSN waiver solutions are transforming Medicaid-funded social care delivery.
Configurable waiver solutions
Section 1115 Medicaid waivers authorize State Medicaid programs to reimburse CBOs and healthcare providers for HRSN screening and services. Findhelp is ready to support your implementation every step of the way. Whether your state is seeking a statewide closed-loop referral platform or procuring regional CBO networks, implementation is simpler with our configurable solutions for screening, referral, claims, payment, and reporting.
HRSN service delivery solutions for a flexible (and fast!) rollout
Every step required in an HRSN waiver can be completed with the Findhelp platform. Here is an example workflow that Findhelp users experience:
Screening partners and navigators
Determine eligibility
We get insurance and service eligibility directly from states or payers and display it right inside the Findhelp platform.
Conduct HRSN screening
Identify social needs using the required screening tool, or make self-screening available, and record results in an individual’s profile.
Review recommended services
Review an automatically generated list of services based on the HRSNs identified in the screening and your contracted network.
Send closed-loop referrals
Send tracked referrals to contracted partners and receive service information that helps ensure services were provided while monitoring partner performance.
Strategic Partnerships
Receive referrals
Tracked referrals arrive with the information needed to follow-up with patients and provide the requested service.
Track outcomes
Upon service delivery, complete a simple outcomes tracking form that automatically includes the standardized HRSN codes that are required for payment, reporting, and data exchange.
Generate claims
No billers needed. Outcomes tracking forms automatically generate the 837 files that payers need to record and pay claims.
Receive payment
Our system tracks payments so you can be sure that reimbursement for service delivery takes place.
CBO network leads or hubs
Monitor progress
Understand the activity taking place in real-time throughout your network using our reporting dashboards, and make strategic (and timely) decisions.
Complete required reporting
Submit reports to your State Medicaid program, demonstrating your progress and successes.
Seamlessly share HRSN screening and service data with your health information exchange
States and waiver participants can count on us to flow HRSN data seamlessly and securely using the most up-to-date data standards in our HIPAA-compliant platform. We partner with HIEs across the country to share social care data. We use FHIR standards to ensure timely data transmission, and the United States Core Data for Interoperability social care data elements to ensure standardization. This allows Medicaid agency staff to focus on meeting CMS requirements and supporting waiver participants, and waiver participants can focus on high quality social care delivery.
Trusted by government customers across the nation
Findhelp is trusted by government, health plan, and health system customers to implement their waiver programs. Together we are modernizing the social care system for Medicaid beneficiaries.
A better way to care for communities
Interested in learning more about how our customers are engaging in cross-sector collaboration to improve public health? Schedule a demo with one of our expert team members!