"I found out about the compliance gap at the survey — not before it."

Most agencies stay compliant reactively — pulling documentation when surveys are scheduled, checking credentials when renewals send alerts, and investigating EVV exceptions after a claim is denied. CareBravo maintains compliance continuously: EVV verified at every visit, credentials monitored against scheduling eligibility, supervisory visit documentation completed during the encounter. The audit file is current at all times.

A failed survey results in a corrective action plan at minimum. In serious cases it can mean billing suspension or license review. Most deficiencies in Medicaid HCBS agencies trace to documentation gaps — notes not completed on time, credentials lapsed without detection, supervisory visits missed or recorded incorrectly. CareBravo catches these gaps in real time, before a surveyor does.

EVV runs on the same operational record as scheduling and payroll. Clock-in, clock-out, GPS, and payer-specific EVV rules are applied at the moment of the visit. Exceptions are flagged and resolved before billing runs. The EVV record at billing is the same record at a compliance audit — there is no gap between the two.

No. Credential currency is enforced at scheduling. A caregiver whose required certifications — CPR, first aid, state-required training hours — are expired or approaching expiry is flagged. The expiry alert fires six weeks before the deadline. A caregiver who does not renew cannot be scheduled for the shift types that require that credential. The gap is caught at scheduling, not at a survey.

A continuous, complete compliance record is one of the seven conditions buyers look for when valuing a Medicaid HCBS agency. Agencies with reactive compliance — documentation assembled before surveys, gaps in EVV records, lapsed credentials in personnel files — carry a due-diligence risk that depresses valuations. Agencies with continuous compliance records built as a byproduct of operations remove that risk entirely.