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Get Medicaid approved for every pending resident.

Eligible Labs takes over your Medicaid-pending list: eligibility screening, family documents, filing, state follow-up and renewals. You see every case and every dollar at risk.

Demo environment with sample data

The problem in numbers

per month of care at risk per pending resident
$9k to $12k
of nursing home residents rely on Medicaid
60%+
renewals required to keep payment flowing
Annual
average nursing home margin
0.4%

What you get

One list. Every case. No guessing.

See every dollar waiting on the state

Every pending resident sits in one table with days pending, stage, missing items and dollars at risk. Sort by what's costing you the most and know where to look on Monday morning.

  • Dollars at risk, calculated per resident
  • Stage and missing items at a glance
  • Next action and deadline on every case

Find the problem before you file

A few fields tell you where a resident stands in your state. Over income, too many assets, a transfer three years ago: you hear about it at intake, not in a denial letter.

  • Income, asset and 60-month look-back checks
  • Miller trust and spend-down flags
  • State rules kept current as data

Get documents without chasing families

Families get a text and an email with a checklist for their state. They upload from a phone, with no account to create. Reminders keep going until the list is done, so your business office can stop making those calls.

  • Secure link, no login
  • Checklist updates as files arrive
  • Reminders on a schedule until complete

Never miss an RFI or a renewal

Every request for information has a due date. Every call and letter goes on the timeline. Approved residents get a renewal date, and document collection starts well before it.

  • Overdue items surface on the dashboard
  • Log of every state contact
  • Renewals due in 90, 60 and 30 days

How it works

From pending list to paid claim

  1. 01

    Intake

    Send a few fields per resident, or upload the whole list at once.

  2. 02

    Eligibility screen

    We check each resident by state and program, and flag asset, look-back and income problems.

  3. 03

    Family documents

    Families get a link and a text, and upload what's needed from their phone.

  4. 04

    Application filing

    The application gets filed, as authorized representative where allowed.

  5. 05

    State follow-up

    Deadlines, requests for information and escalation are tracked until there's a decision.

  6. 06

    Renewal monitoring

    Every approved resident gets a renewal date, so payment doesn't stop.

Who it's for

Built for the people who run the building

Eligible Labs is for independent nursing homes and regional chains of 5 to 30 buildings, where one business office manager carries the whole pending list.

Also working on Medicaid-pending delays?

Hospital discharge teams with patients waiting on long-term care Medicaid, and home care agencies with clients stuck in the same queue, can talk to us too.

Get in touch

Security

Built with security in mind

Resident records and family documents deserve care.

  • Data is encrypted in transit and at rest.
  • Each facility's records are walled off at the database level.
  • Family links are signed, expire and only reach one case.

Pay for approvals, or cover the whole building

Start with the list you already have. Move to full coverage when it makes sense.

Pending list takeover

Fee per approved application

Hand over the residents waiting on Medicaid today.

  • No setup fee
  • No EHR integration
  • Eligibility screening for every resident
  • Family document collection
  • State follow-up until a decision
  • Dashboard with every case and dollar at risk

Full coverage

Monthly fee per occupied bed

Every Medicaid case in the building, from admission on.

  • Everything in Pending list takeover
  • Every new admission, screened on arrival
  • Annual renewals for approved residents
  • Renewal calendar with lapse alerts

Questions

What do you need from us to start?

A list of your Medicaid-pending residents. Name, admit date, state and monthly rate are enough. A spreadsheet is fine, and you can add details as you go.

Do we need to integrate with our EHR?

No. Pending list takeover needs no integration and no setup fee. You send the list and we start.

How do families use it?

They get a secure link by text and email, see a checklist for their state, and upload photos or PDFs from a phone. There's no account or password to manage.

What happens after a resident is approved?

They get a renewal date. Document collection starts ahead of time, and you see what's due in 90, 60 and 30 days.

Which states do you cover?

Eligibility rules are set up for Ohio, Illinois, Michigan, Texas and Florida. Tell us where your buildings are and we'll talk through your state.

Can I see it before I send anything?

Yes. The demo shows a sample facility with sample residents, and you don't need to sign up to open it.

Send us your pending list

A spreadsheet is enough. We'll show you what each case needs and what it's costing you.