Manage Client Activities in Social Service Programs
 A key objective of social services programs is to ensure that clients
receive the appropriate services as they move around a network of internal
casemanagers and external service providers. The challenge prior to
ProviderGateway™ centers on the fact that, in a paper-based world, it is
cumbersome and nearly impossible to aggregate and coordinate data that
provides meaningful information in the shortest timeframe. ProviderGateway™
fulfills this requirement for many social services programs by
ensuring:
Up to the minute consolidated view of client
information from multiple sources
- Client activity is compliant with eligibility
and other regulatory guidelines
- Provider services remain within budget and
other contractual guidelines
- Service expenditures are reconciled to fund
accounts on a timely basis
- State billings (e.g., Medicaid) are complete
and timely
- Ability to create State or local performance reports on a timely
basis.
A basic requirement is to synchronize programmatic, fiscal and
management information on a real time basis without the hassle and worry
of complicated, incompatible systems. From a browser-based interface, all
professionals who interact with a client are connected in a user-friendly
manner. All referrals, responses, service updates and billings can be done
on-line automatically. This approach removes any waiting time from the
process of gathering the picture of services provided for the
client.
- Case Managers are able to track the individual
client requirements in the most cost-effective manner, and record
program specific information. They are able to record and track
eligibility and other programmatic controls and provide caseload
performance reporting.
- Fund managers are able to manage service and
dollar forecasts, actual fund balances, contracts and encumbrances,
expenses and invoiced and approved payment amounts in real time. They
have data and on-line tools to report performance information about key
fiscal performance indicators in real time.
- Program administrators are able to make
strategic decisions based on hard data; for example they can determine
the appropriate mix of provider services that match the interests and
needs of the client base much easier.
- Providers are pleased with an interface that allows them to receive
confirmed referrals and service authorizations, and also present their
billings and invoices on-line in real time, and on-time
ProviderGateway™ has been configured to support multiple programs
including Welfare to Work, Workforce Investment Act (WIA), Childcare,
Prevention Retention and Contingency (PRC), and Title XX (Elder Care)…..
and it applies to many more programs.
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