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Eligibility Watchdog

Practice OwnerExecutive AdministratorSupport Staff·8 min read·Updated May 2026
Capture MoneyRecover revenue already earned

Eligibility Watchdog is CareIncite's core Capture Money feature. It continuously monitors the insurance eligibility status of every active client in your practice and surfaces coverage issues before you deliver services that may not be reimbursed. For Medicaid-heavy practices, this is the single highest-impact feature in CareIncite.

Why eligibility lapses cost you money

In behavioral health, Medicaid coverage can lapse silently. A client's coverage may end due to missed recertification, a change in household income, enrollment in a different MCO, or administrative errors at the state level. When this happens, the practice typically finds out only after submitting a claim — sometimes 30 to 60 days after the session was delivered.

By that point, multiple sessions may have been delivered to an ineligible client. The revenue is unrecoverable. Eligibility Watchdog prevents this by checking coverage status proactively, on a schedule you configure, so you know about lapses before the next session — not after the next claim denial.

Automatic coverage expiration

CareIncite runs a daily automated job that checks every client's policy end date. When a client's coverage end date has passed, the system automatically marks their coverage status as Inactive. This eliminates the common problem of clients showing “Active Coverage” long after their authorization has expired, ensuring your KPIs and reports always reflect reality.

How it works

Eligibility Watchdog runs eligibility verification checks against your active client list on a recurring schedule. When a client's coverage status changes, CareIncite flags the client and surfaces them in the Eligibility module with the specific issue identified.

1. Client list sync
CareIncite pulls your active client list from Notenetic (or from manually imported data). Each client's insurance information — MCO, member ID, and coverage dates — is stored and tracked.
2. Automated eligibility checks + daily expiration sweep
On the schedule you configure, CareIncite verifies each client's coverage status. The system checks for active coverage, coverage end dates, MCO assignment changes, and recertification deadlines. A daily cron job automatically marks clients as Inactive when their policy end date has passed.
3. Smart prioritization
Not all coverage issues are equally urgent. CareIncite prioritizes clients who are actively being served (seen in the last 90 days) and whose coverage has expired or is expiring within 90 days. These appear in the Needs Re-Auth view so your team works the highest-impact cases first.
4. Inline resolution workflow
Your team reviews flagged clients, contacts them or their MCO to resolve the issue, and updates the coverage status, end date, and last check date directly in the client list table. Changes propagate instantly to all KPIs, filters, and reports.

KPI dashboard (5 cards)

The Eligibility overview page shows five KPI cards. Each card is clickable and drills into the filtered client list.

CardShowsFilter logic
Needs Re-AuthPriority action listSeen in 90 days + coverage expired or expiring within 90 days
Covered & ActiveHealthy clientsActive coverage + seen in last 90 days
Covered & InactiveUntapped revenueActive coverage + not seen in 91+ days
Stale VerificationsOverdue re-checksLast eligibility check was 30+ days ago
Expiring in 30 DaysUpcoming deadlinesActive coverage + policy end date within 30 days

Inline editing

Three fields can be edited directly in the client list by clicking the cell. Changes save immediately and propagate to all KPIs, filters, and reports across the platform.

Coverage Status — Dropdown: Active Coverage, Inactive, Lapsed, Pending Verification
Coverage End — Date picker. Set to the new authorization end date after renewal.
Last Elig Check — Date picker. Set to today's date after verifying coverage with the MCO.

Re-authorization workflow

The recommended daily workflow for your authorization team:

1. Open the Needs Re-Auth list
Click the red Needs Re-Auth KPI card. This shows only clients being actively served whose coverage needs immediate attention.
2. Verify coverage with the MCO or state portal
For each client, check their current coverage status through the MCO's provider portal or the state Medicaid verification system.
3. Update the record inline
Click Coverage Status to set it to Active Coverage (or Lapsed if coverage truly ended). Click Coverage End to enter the new authorization end date. Click Last Elig Check and set it to today.
4. Refresh and repeat
Click the Refresh button to see updated counts. Work through the list until the Needs Re-Auth count is zero.

Who can access Eligibility

The Eligibility module is accessible to users with the ceo, admin, or support_staff account roles. All three roles have read/write access, including inline editing. Specialists and providers do not have access to the Eligibility module. Supervisors with company-level roles can also access eligibility data for their assigned team.

Revenue Impact
Practices using Eligibility Watchdog typically recover 5–12% of revenue that would otherwise be lost to silent eligibility lapses. For a practice with 200 active Medicaid clients, this can represent $5,000–$15,000 per month in protected revenue. The Covered & Inactive view also surfaces clients with valid coverage who aren't being scheduled — potential revenue being left on the table.
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