WellSky Solutions for Human and Social Services

WellSky meets the challenges of Medicaid waiver management with a comprehensive case management system. Alerts and workflows enforce compliance with less staff oversight. Claims are submitted and adjudicated against state Medicaid rules in real-time, ensuring fast remittance and higher provider satisfaction. Configurable waitlist technology protects your state with a clearly defined, objective selection system.

WellSky facilitates communication among your state unit on aging (SUA), local area agencies on aging (AAAs), and providers. Tools in the system simplify the creation of area plans and ensure budget compliance throughout the year. WellSky automates care planning, service authorization, and delivery of long-term services and supports. Data from each AAA rolls up seamlessly to generate required federal and state reports including the National Aging Program Information Systems (NAPIS), State Health Insurance Assistance Program (SHIP), and more.

WellSky helps you manage cases efficiently, detect problems quickly, and deliver the data decision makers need. When an investigation is opened, the system automatically schedules critical milestones to comply with state requirements based on the nature of the complaint. By standardizing data collection, you streamline compliance with state requirements and the federal National Adult Maltreatment Reporting System (NAMRS).

WellSky can consolidate critical incident reporting across all your state programs with a single system to report, investigate, and mitigate abuse and neglect of state beneficiaries. This helps you meet mandatory response timelines, support standardized investigations, and monitor provider compliance. WellSky Human Services for Incident Management aligns with CMS guidance on the key functions of a state system.

Meet the new federal RSA-911 data collection and reporting requirements and manage state and federal matching funds confidently with WellSky. Providers can accept referrals, receive authorizations, enter case data, and submit claims through an easy-to-use provider portal. A participant portal lets consumers download/upload forms, communicate with providers, view care plans, track progress, and complete satisfaction surveys.

WellSky helps you monitor public guardian compliance and respond quickly to complaints and grievances. You gain full visibility into all aspects of your public guardianship office (PGO) program and can easily respond to legislative requests for information via powerful reporting tools. The system fosters a collaborative, transparent relationship between your state and its guardians by conducting all work in a single system.