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Add a payer line without building a billing department.

Private-pay census has a ceiling: the number of families in your area who can write the cheque. VA and Medicaid don't have that ceiling - they have paperwork. We take the paperwork.

Book a Demo (754) 755-4805

The real reason agencies stay private-pay only

It's rarely a strategic decision. It's that the first attempt at a third-party payer line went badly and nobody wanted a second one.

  • Hiring a biller who has never seen a SEOC or a waiver authorization
  • An AMS billing module that was designed for invoices, not claims
  • Margin that looks thin on paper because the denial rate is doing the damage
  • No idea which programs in your county are actually funded
Average annual provider growth
3x Average annual provider growth
Weekly hours added by HomeWell OKC from a standing start
400+ Weekly hours added by HomeWell OKC from a standing start

What happens, in order

  1. We model the opportunity in your county

    Week 1

    Which programs fund home care where you operate, what they reimburse, whether panels are open, and what census is realistic. Before you commit anything.

  2. We get you enrolled

    Weeks 2–8

    VA contracting or state Medicaid and MCO credentialing, configured from day one to match how you will bill.

  3. We show you where the referrals come from

    Weeks 4–12

    VAMC case manager relationships, community outreach, discharge planners - the referral sources that actually produce a veteran or waiver client.

  4. We run the billing from the first claim

    Ongoing

    You never build the internal capability, because you never need it. Weekly submission, denials worked, payments posted.

The questions people ask at this stage

Including the ones we would rather you asked before signing, not after.

Ask us yours Or browse every question we get asked

They are lower per hour than private pay and far more predictable in volume. The agencies where the maths fails are almost always the ones absorbing a double-digit denial rate - that is a billing problem, not a payer problem.

Many of our agencies do. The two have completely different rules, systems and timelines, which is exactly why running both in-house is hard and outsourcing both is straightforward.

Enrollment is typically 4–8 weeks for the VA and 4 weeks to several months for Medicaid. Referral volume then depends on outreach in your market.

Billing is pay-for-performance - we're paid a percentage of claims that actually get paid. No setup fees and no monthly minimums, so a new payer line can't cost you money before it makes you money.

Not quite your situation?

Let's model your county before you commit.

We'll show you which programs fund home care in your market, what they pay, and whether the panels are open.

Book a Demo (754) 755-4805