BTBCare: the plan, the team, and the claim — finally on one record
BTBCare connects individualized care plans, interdisciplinary assessments, eMAR, attendance, transportation, and EDI billing on a single shared record — built for the way adult day, PACE, ECM, assisted living, and home health actually run. So your team spends its day with the people in its care, not chasing signatures and reworking denied claims.
HIPAA-aligned safeguards, role-based access, and two-factor authentication — with a full audit trail behind every record.
Margaret R.
MR-10428 · DOB 1948
Plan of care · DHCS 0020
Period 03 · ongoingMobility — walk 150 ft w/ stand-by assist
Nutrition — maintain weight, diabetic diet
Signatures
Built for California’s care continuum — across five settings
One plan of care, built by the whole team
Nursing, social work, PT, OT, dietary, and activities all contribute to the same DHCS-0020 plan — and e-sign it in one place. No re-keying, no chasing a binder from desk to desk.
- Goals, interventions, and discipline ownership in one shared plan
- Multi-role e-signatures (RN, SW, OT, PT, RD, AC) routed for you
- A reusable goal-and-intervention library, so no one rewrites the plan
Plan of care · contributors
Attendance → paid claim
Attendance captured
12 participants · Tuesday
Units validated
half-day & absence rules applied
837 EDI submitted
CBAS coding attached
Paid
ERA posted & reconciled
From the sign-in sheet to the paid claim
Attendance is the foundation of day-program billing, so every kiosk check-in becomes an accurate, billable record. Problems are caught before the 837 goes out — not discovered at month-end.
- Kiosk attendance flows straight into accurate, billable days
- Pre-validation flags coding problems before submission
- Denials and appeals tracked, so revenue stops leaking
Bring families into the day — not just the chart
Give participants and their families a clear window into care: who’s on the team, what the plan looks like, and how today actually went. It’s grounded in the same record your clinicians use, so what families see is the real plan of care — never a stale copy. Better-informed families mean fewer anxious calls and more trust in your program.
See how engagement worksMargaret’s day
Shared with family · 4:15 PM
Margaret joined music therapy this morning and walked 150 ft with stand-by assist — a new best. She enjoyed lunch and a visit from the activities team.
One platform, configured for the way your setting actually runs
The same connected record — tailored to the vocabulary, workflow, and regulations of each care setting.
Adult Day Care (ADHC / CBAS)
A care-management platform built for California CBAS and Adult Day Health Care centers — DHCS 0020 plans of care, IDT/MDT reassessments, attendance, transportation, and Medi-Cal billing in one place.
Explore Adult Day Care (ADHC / CBAS)Home Health
A care-management platform for skilled home health agencies that keeps point-of-care documentation, scheduling, authorizations, and EDI billing connected from start of care to paid claim.
Explore Home HealthEnhanced Care Management (ECM)
A complete platform for CalAIM Enhanced Care Management, from outreach and engagement through individualized care plans, care coordination, and managed care plan reporting.
Explore Enhanced Care Management (ECM)Assisted Living (RCFE)
One platform for RCFEs that connects service plans, eMAR, ADL charting, incident reporting, and census — survey-ready and built for the daily med pass.
Explore Assisted Living (RCFE)PACE (Program of All-Inclusive Care for the Elderly)
One shared record for the full PACE interdisciplinary team — care plans, IDT assessments, eMAR, attendance, transportation, and claims — built for 42 CFR Part 460 audit readiness.
Explore PACE (Program of All-Inclusive Care for the Elderly)Everything a care program runs on — connected
From the plan of care to the paid claim, the modules share one participant record. Turn on what you need; the rest is ready when you grow.
Individualized Care Plans
One living plan of care every discipline builds from and signs off on.
Interdisciplinary Assessments (IDT / MDT)
Bring every discipline to the same table on time, without the paper chase.
eMAR & Medication Management
The right medication, the right participant, recorded the moment it happens.
Attendance & Kiosk Check-In
Know who's in the building the instant they arrive, and bill it cleanly.
Billing, Claims & EDI
From attendance to paid claim, with the denials caught before they happen.
Treatment Authorizations
Never deliver care you can't bill, or lose track of what's left.
Transportation Dispatch
Get every participant to the door, with the route built around the day's census.
Family & Participant Engagement
Keep families in the loop without keeping staff on the phone.
Admissions & Intake
Move referrals to enrolled with nothing falling between the cracks.
Compliance & Audit Trail
Walk into survey knowing every action is already documented.
Reporting & Analytics
See the program clearly: census, compliance, and dollars in one view.
Role-Based Access & Security
The right people see the right records, protected the way PHI demands.
Survey-ready by design — not by scramble
Documentation, signatures, and timing are captured as your team works, behind a tamper-evident audit trail. When a surveyor asks for proof, the record is already in order.
How compliance worksHIPAA-aligned safeguards
PHI is protected with role-based access, two-factor authentication, encryption of sensitive identifiers at rest, and a full audit trail behind every record — so the right people see the right information and every action is logged.
California Title 22 / CBAS & RCFE
Built around the California DHCS-0020 Individualized Plan of Care, the CBAS / Title 22 multidisciplinary model with its six-month MDT reassessment and quarterly review cadence, and the RCFE service-plan timeline (a written plan within 14 days of move-in, reviewed at least annually or on a significant change in condition) — so an unannounced Community Care Licensing visit is routine, not a fire drill.
CalAIM Enhanced Care Management
Organized around the CalAIM ECM Policy Guide and the seven core ECM services, including the outreach standard of at least five methods over 30 days with one in-person attempt, and documentation that aligns with managed care plan and DHCS quarterly monitoring expectations.
Medicare Conditions of Participation & PACE (42 CFR)
Supports the Medicare home health Conditions of Participation (42 CFR Part 484), OASIS-driven plans of care, PDGM 30-day periods and timely Notices of Admission, and the PACE interdisciplinary-team model under 42 CFR Part 460 — including the 3-calendar-day service-determination clock and grievance/appeal timelines.
Medi-Cal & Medicare billing with EDI
Claims go out by EDI (837) with setting-specific coding, tied back to the attendance and services they bill, with denial and appeal tracking — supporting Medi-Cal CBAS, ECM encounter reconciliation, and Medicare/Medi-Cal home health revenue cycles.
~6 hrs/week
of charting and signature-chasing handed back to clinical staff
-30%
fewer denials with pre-submission validation
1 record
one shared participant record across the whole interdisciplinary team
100% audit-ready
assessments, signatures, and attendance assembled on demand
Figures shown are illustrative placeholders for layout — replace with your own measured, substantiated metrics before publishing.
Built with the people who run care every day
Sample stories shown for layout — we publish real, permissioned quotes only.
“Our six-month reassessments used to live on a wall calendar and a prayer. Now the cadence is tracked by discipline, the IPC gets signed by everyone before it goes to the health plan, and our last health-plan audit was a matter of pulling the record instead of rebuilding binders.”
Program Director, [Center name]
“Tying every visit to an active authorization and tracking the NOA from start of care changed our cash flow. Clinicians chart in the home, billers send clean EDI claims, and we see denial patterns before month-end instead of after.”
Director of Clinical Operations, [Agency name]
“Having the whole IDT on one participant record — assessments, the care plan, meds, attendance, and transportation — is the difference between coordinating care and chasing it through email.”
Director of Quality & Compliance, [PACE organization]
Software your team will actually use
Clinician-credible, role-aware, and honest about what it does. No gloss — just the work, made lighter.
Speaks your setting's language
The DHCS-0020, the IDT/MDT conference, units of service, the 837 — named the way your team already names them.
Everyone sees their own work
Role-based access means a med tech, a biller, and an administrator each see exactly what their job requires — nothing more.
Onboard in stages
Start with the module that hurts most — care plans, attendance, or billing — and grow into the rest at your own pace.
Questions, answered plainly
What exactly is BTBCare?
BTBCare is a care-management software platform (SaaS) for organizations that deliver community and home-based care. It connects the plan of care, the interdisciplinary team, assessments, eMAR, attendance, transportation, treatment authorizations, and EDI billing on one shared participant record, so the work your team already does becomes documentation that holds up to survey and revenue that comes in clean.
Which care settings is it built for?
Five, with a tailored solution page for each: adult day (CBAS/ADHC), PACE, CalAIM Enhanced Care Management (ECM), assisted living (RCFE), and home health. Each setting uses the same core platform but is configured around that setting's real workflow, vocabulary, and regulations — the DHCS-0020 IPC, the IDT/MDT conference, units of service, the 5-day NOA window, the ECM outreach standard, and so on.
Is BTBCare an EHR?
We describe BTBCare honestly as a care-management platform rather than an all-in-one EHR. It connects the plan of care, the team, assessments, medications, attendance, and billing — the operational and care-coordination backbone of a program — without overclaiming to be a complete clinical record system. If you have an existing EHR or clinical system, BTBCare is designed to complement how your program actually runs.
How does BTBCare protect patient and member data?
Access is role-based across a layered model (organization role, discipline role, granular permissions), sensitive identifiers like SSN and Medicaid/Medicare numbers are encrypted at rest, and Google Authenticator two-factor authentication plus optional time-of-day login windows protect the accounts that touch PHI. Every meaningful action is captured in a tamper-evident audit trail.
How does billing and claims work?
Documented care flows into clean claims: service records, billing cycles, electronic claim generation and EDI (837) submission, ERA posting, payment reconciliation, aging, and denial analytics with appeal tracking. Pre-validation flags problems before submission, and payer-specific rules are handled for you, so finance teams can see what's billed, what's paid, and what's stuck — and stop revenue from leaking through avoidable denials.
Can we keep our current data and move at our own pace?
Yes. BTBCare is built to onboard a program in stages — start with the modules that hurt most (often care plans, attendance, or billing) and expand from there. Talk to us about data migration and implementation; we'll scope it to your setting and timeline.
How is BTBCare priced?
Pricing is tailored to your setting, census, and the modules you need, so the simplest path is to request a demo and a quote. See the pricing section for how our tiers are structured.
Does BTBCare use AI?
Where the platform assists — for example, drafting or deriving content from existing records — we tell you plainly and keep a human in control of what's signed and submitted. We don't badge features as 'AI-powered' for marketing's sake.
See BTBCare on your own participants
A 30-minute walkthrough, mapped to your care setting. No pressure — just a look at the plan, the team, and the claim on one record.