Providing ECM/CS services can be an arduous task as it involves fulfilling numerous obligations such as obtaining authorizations, conducting eligibility checks, engaging in outreach activities, developing care plans, coordinating services, generating invoices/claims, sharing data, and many other responsibilities expected by MCPs. As a result, the majority of ECM/CS providers find themselves spending more than 50% of their time on administrative tasks to facilitate reporting and billing requirements.
Sprite Health offers a highly comprehensive digital platform that enables the efficient management of all ECM and CS requirements in a single place. Our solution is purposefully designed to cater to the specific needs of the CalAIM ECM/CS initiative – including whole-person care management for all PoFs and 14 community supports, revenue cycle automation, QHIO integration and more.
The best part? Besides CalAIM platform, the solution includes full-service support for administrative tasks such as authorizations, claims and reporting (MIF, RTF, OTF), ensuring you get paid on-time and stay compliant with MCPs requirements.
Even better. There is no cost to get started.

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  • Out-of-the-box RTF, OTF reporting for HealthNet, Anthem, CenCal, Partnership Health, Kern, HPSJ, CalOptima, IEHP and more
  • Automated claims and billing with over 10 MCPs.
  • Streamline ECM and CS authorizations
  • Comprehensive outreach, assessment and care management capabilities
  • Integration with QHIOs to meet DxF requirements
  • Earn QIP bonus by meeting MCPs quality metrics
  • Meet audit requirements with smart checklists