CareBridge API
CareBridge is software used by Medicaid home- and community-based service (HCBS) providers, caregiver agencies, and health plans to verify in‑home visits, manage authorizations, and support reimbursement. An unofficial API lets you sync rosters from your EHR, create and verify EVV
What is CareBridge?
CareBridge provides EVV and care management solutions widely used for Medicaid long-term services and supports (LTSS) and HCBS populations. Providers and fiscal intermediaries use CareBridge to ensure services are delivered and documented in compliance with the 21st Century Cures Act and payer requirements. The platform spans mobile EVV, scheduling and timesheets, visit verification and exceptions, authorization tracking, and connections to MCO/state reimbursement channels. In several programs across states including Tennessee, Iowa, and Wyoming, CareBridge is a core system for EVV capture and verification that feeds billing.
Core product areas include:
- Electronic Visit Verification (mobile app and web portal)
- Scheduling, timesheets, and visit management
- Member/client and caregiver/provider rosters
- Payer authorizations and service codes
- Exception handling and compliance reporting
- Export and billing support for Medicaid/MCO claims
Common data entities:
- Members/Clients (patients)
- Caregivers/Workers (aides, attendants, nurses)
- Visits (EVV events, service codes, tasks, verification)
- Authorizations (payer, service code, units, validity dates)
- Schedules and assignments
- Exceptions (missing events, GPS mismatch, overlapping visits, invalid authorization)
- Timesheets (visit groupings and approvals)
- Claims (837P/I lines referencing verified visits)
- Remittances (835 summaries for reconciliation)
The CareBridge Integration Challenge
Organizations rely on CareBridge daily, but turning portal-centered workflows into automated pipelines is hard:
- State- and payer-specific rules: IA, TN, and WY programs/MCOs enforce distinct EVV validation logic, service codes/modifiers, and submission timing
- Strong enterprise security: SSO/MFA and IP controls complicate headless automation
- Portal-first delivery: Key EVV, exceptions, and exports live in web apps or batch files, not a single public API
- File interfaces and timing windows: SFTP/EDI feeds, batching constraints, and daily submission windows must be orchestrated
- Compliance nuances: Visit edits require compliant reason codes and complete audit trails; retention rules vary by jurisdiction
How Supergood Creates CareBridge APIs
Supergood reverse-engineers authenticated browser flows, batch interfaces, and network interactions to deliver a resilient API endpoint layer.
- Handles username/password, SSO/OAuth, and MFA (SMS, email, TOTP) securely
- Maintains session continuity with automated refresh and change detection
- Normalizes EVV, authorization, and claim objects so you can integrate once across states/MCOs
- Aligns with customer entitlements and licensing constraints to ensure compliant access
- Bridges batch exports and SFTP/EDI flows where applicable with signed URL retrieval and delivery
Getting Started
- Schedule Integration Assessment
Book a 30-minute session to confirm your CareBridge product mix, licensing, and authentication model.
- Supergood Builds and Validates Your API
We deliver a hardened CareBridge adapter tailored to your workflows and entitlements.
- Deploy with Monitoring
Go live with continuous monitoring and automatic adjustments as CareBridge evolves.
Use Cases
EHR-to-EVV Synchronization
- Push member and caregiver rosters from your EHR into CareBridge - Create visits automatically from your scheduling system with the correct service codes and modifiers - Maintain a single source of truth for demographics, eligibility, and authorizations
Authorization-Aware Scheduling and Eligibility
- Validate authorizations before scheduling or visit creation - Track remaining authorized units and prevent over-utilization - Surface program-specific rules for IA, TN, and WY to care coordinators in real time
EVV Exception Resolution
- Pull exception queues and route issues (e.g., missing clock-out, GPS mismatch, invalid authorization) to staff for resolution - Apply compliant reason codes on visit edits with audit trails - Escalate unresolved exceptions prior to claim submission
Claims Generation and Reimbursement Automation
- Bundle verified visits into 837P/I claims with payer-specific formatting - Submit via the configured channel (state portal, MCO gateway, or clearinghouse) - Track claim statuses and reconcile remittances alongside EVV evidence
Audit and Compliance
- Export complete visit packets with timestamps, locations, signatures, and reason codes - Maintain machine-readable audit trails aligned to state/MCO requirements - Prove EVV coverage and claim provenance during reviews
Technical Specifications
Authentication
Username/password with MFA (SMS, email, TOTP) and SSO/OAuth where enabled; supports service accounts or customer-managed credentials
Response format
JSON with consistent resource schemas and pagination
Rate limits
Tuned for enterprise throughput while honoring licensing and usage controls
Session management
Automatic reauth and cookie/session rotation with health checks
Data freshness
Near real-time retrieval of visits, authorizations, and claim artifacts
Security
Encrypted transport, scoped tokens, and audit logging; respects CareBridge entitlements and compliance requirements
Webhooks
Optional asynchronous delivery for exceptions, claim generation, and remittance updates
Latency
Sub-second responses for list/detail queries under normal load
Throughput
Designed for high-volume EVV and batch claims pipelines
Reliability
Retry logic, backoff, and idempotency keys minimize duplicate actions
Adaptation
Continuous monitoring for UI/API changes with rapid adapter updates
Frequently asked questions
Supergood supports workflows across commonly used CareBridge EVV portals and agency-facing tools, subject to your licensing and entitlements. We scope coverage (e.g., mobile EVV, authorizations, visit exports, claim assembly) during integration assessment for IA, TN, and WY programs.
We support username/password + MFA (SMS, email, TOTP) and can operate behind SSO/OAuth when enabled. For batch flows, we manage SFTP/EDI timing windows, generate 837 files, and retrieve signed URLs or delivery confirmations programmatically.
Yes. You can assemble 837P/I from verified visits with payer-specific formatting. We can route submissions via your configured channel (state/MCO portals or clearinghouse) and return statuses and artifacts for reconciliation.