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Foothold Technology API

Foothold Technology's AWARDS EHR is the system of record for 1,000+ human services agencies — but its only public API is the compliance-mandated FHIR endpoint for clinical reads, leaving billing, case management, and census data without programmatic access. Supergood creates and maintains a managed Foothold Technology API covering the operational data FHIR doesn't.

By Alex Klarfeld•July 7, 2026
Foothold Technology API

What is Foothold Technology?

Foothold Technology makes AWARDS, a long-standing EHR and care-management platform for human services agencies — behavioral health, intellectual/developmental disabilities (I/DD), homeless services, supportive housing, and home and community-based services. The platform spans service and treatment plans, e-prescribing and E-MAR, billing, scheduling, reporting and analytics, outcomes tracking, and HMIS workflows. Foothold is part of the Radicle Health family and serves more than 1,000 human services agencies across the U.S., with a concentration in New York and New Jersey.

For nonprofit and public agencies, AWARDS is the system of record for case management, clinical documentation, program enrollment and census, and Medicaid billing — the operational core of their county and state contracts.

Common data entities:

  • Client demographics and case management records
  • Service and treatment plans
  • Program enrollment and census data
  • Clinical documentation and medication records (E-MAR)
  • Medicaid billing and claims data

The Foothold Technology Integration Challenge

  • The only public API surface is the ONC (g)(10)-mandated FHIR API — a compliance endpoint focused on read-oriented USCDI clinical data, not a general operational API.
  • FHIR app access requires OAuth2 application registration through Foothold itself — there is no self-serve developer signup.
  • Operational data — billing, scheduling, case management, program enrollment, census — has no public API at all.
  • No SDKs, no documented webhooks, and no integration marketplace — interoperability is limited to vendor-managed connections to labs, pharmacies, and collaboratives.
  • Agencies answering county and state reporting requirements are left with manual exports from a decades-old system of record.

How Supergood Creates Foothold Technology APIs

Supergood builds and maintains an unofficial, managed API for AWARDS by automating the platform's authenticated web application on your behalf. Where the compliance FHIR endpoint stops — billing, case management, enrollment, census — Supergood's normalized REST API picks up, covering the operational data your agency actually runs on.

  • Managed authentication — credentials, MFA, and session lifecycle handled automatically
  • Normalized JSON entities for clients, service plans, enrollments, census, and claims — beyond what USCDI/FHIR exposes
  • Change-detection webhooks for enrollments, documentation, and billing events
  • Continuous adaptation — when AWARDS ships UI or workflow changes, Supergood keeps your API stable

Use Foothold Technology with AI agents: Foothold Technology MCP Server →

Getting Started

  1. Schedule Integration Assessment
    Book a 30-minute call to walk through the AWARDS data and workflows you need. We'll confirm feasibility and scope your endpoints.
  2. Supergood Generates and Validates Your API
    We build and validate a production-ready API against your AWARDS environment, with normalized schemas and managed authentication.
  3. Deploy with Monitoring
    Go live with 24/7 monitoring and continuous adaptation — when AWARDS changes, your integration keeps working.

FOOTHOLD TECHNOLOGY ON THE API REPORT CARD
Foothold TechnologyFABA Billing ServicesCAllevaDArtemis ABAD

Potential API Endpoints

Authentication

POST/authenticate

Establish an authenticated session with AWARDS, including MFA handling and automatic session refresh.

Client Operations

GET/clients

Retrieve client demographics and case management records across programs.

Care Management

GET/service_plans

Fetch service and treatment plans with goals, objectives, and review dates.

Program Operations

GET/program_enrollments

List program enrollments, admissions, and discharges for census and utilization tracking.

Program Operations

GET/census

Retrieve current census and occupancy data across residential and day programs.

Billing

POST/submit_claim

Submit Medicaid claims into AWARDS billing workflows and track submission status.

Use Cases

County and state reporting automation

- Pull enrollment, census, and service data for contract reporting - Replace manual AWARDS exports with scheduled programmatic syncs - Keep funders' reporting portals in sync with the system of record

Medicaid billing oversight

- Extract claims and billing data into finance and BI tools - Monitor denials and reimbursement timelines by program - Reconcile AWARDS billing against state remittances

Case management coordination

- Sync client records and service plans with care coordination platforms - Trigger workflows when enrollments, discharges, or plan reviews occur - Give supervisors a live view of caseloads across programs

Beyond-FHIR data access

- Access operational data the compliance FHIR endpoint doesn't expose - Combine clinical, enrollment, and billing data in one API - Feed data warehouses without vendor-managed interface projects

Technical Requirements

Authentication

Managed credential-based login with MFA support; Supergood handles the full session lifecycle

Connectivity

REST API over HTTPS

Response format

Normalized JSON schemas across case management, clinical, and billing entities

Rate limits

Tuned per tenant to stay within safe platform thresholds

Session management

Automatic session refresh and re-authentication on expiry

Data freshness

On-demand fetches with optional scheduled syncs; near real-time

Security

Encryption in transit and at rest; HIPAA-eligible data handling

Webhooks

Supergood-managed change-detection webhooks for enrollment, documentation, and billing events

Latency

Typical reads return in seconds

Throughput

Scales with concurrent managed sessions per agency

Reliability

24/7 monitoring with automated failure detection and recovery

Adaptation

Continuous updates as AWARDS ships UI and workflow changes

Frequently asked questions

Only partially. Foothold publishes an ONC (g)(10)-mandated FHIR API for read-oriented USCDI clinical data, with OAuth2 app registration handled through Foothold. There is no public API for operational data — billing, scheduling, case management, enrollment, or census. Supergood provides a managed, unofficial API covering that operational surface.

The FHIR endpoint exists for regulatory compliance and focuses on clinical reads in USCDI format. Supergood's managed API covers the data agencies actually operate on — case management records, service plans, program enrollments, census, and Medicaid billing — normalized into consistent JSON schemas.

Clients and case management records, service and treatment plans, program enrollments and census, clinical documentation and medication records, and Medicaid billing and claims data.

Supergood operates with HIPAA-eligible controls, encrypts data in transit and at rest, and only accesses data under your agency's own credentials and authorization. You control which entities and workflows are exposed.

Supergood monitors the integration continuously and adapts it when Foothold changes the AWARDS UI or workflows, so your API contract stays stable without engineering work on your side.

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