Intellectual Disabilities

As many as 6 million Americans have some degree of intellectual disability. While some of these citizens require traditional institutional care, the vast majority can be well served in community settings. The home- and community-based service delivery model is associated with higher reported consumer and family satisfaction, at approximately 25% of the cost of institutional care. Medicaid waiver programs provide the mechanism for many consumers to access these home- and community-based services.

State and local government agencies responsible for services for persons with intellectual disabilities are faced with daunting business problems, including access to highly rationed and sought-after Medicaid waiver services. Too many agencies have experienced tragedies in which a person died awaiting services, leading to negative media attention and lawsuits. Another major business problem is that a growing number of persons with intellectual disabilities are competing for a limited number of Medicaid waiver slots in an environment of stagnant or shrinking budgets.

Automated Waitlist Management and Waivers Processing

Harmony for Intellectual Disabilities™ is an integrated health and human services management solution that provides automated case management, waitlist tracking, and claims adjudication/remittance to facilitate the efficient management of Medicaid waiver programs.

With Harmony for Intellectual Disabilities, you can:

Maximize the use of limited funds by closely managing budgets, reimbursements, and complex state/federal match requirements
Reduce risk of catastrophe and lawsuits through fair, automated waitlist management
Ensure compliance with the Home and Community Based Services (HCBS) Quality Framework
Reduce administrative overhead and fraud through highly efficient eligibility, services authorization, and claims adjudication processes
Automatically determine and update Medicaid eligibility for each consumer
Improve Medicaid approval rates and accelerate remittance via automated preadjudication of claims prior to submission
Increase provider satisfaction through quick identification and resolution of problem claims through an easy resubmit, void, or void-and-replace claims process
Improve consumer satisfaction through efficient management of incidents, grievances, and referrals