A secure, offline-capable digital intake system for generating DMAS-97A/B, 98R, and 99 forms — built specifically for home health agencies serving Virginia Medicaid waiver clients.
3
DMAS Forms Covered
< 1s
PDF Generation
100%
Offline Capable
256-bit
AES Encryption
Platform Features
Digital DMAS Forms
Auto-fill DMAS-97A/B, 98R, and 99 from a single intake flow. No more paper, no more re-keying data across three forms.
Offline-First
Built for rural dead zones. All data lives in IndexedDB on the device. RNs complete visits without a signal and sync when back online.
AES-256 Encryption
Every record encrypted at rest with AES-256-GCM. Keys derived per-user via PBKDF2. PHI never touches disk unencrypted.
PDF Generation
One click produces a pixel-perfect, submission-ready PDF with signatures embedded. Archived to private cloud storage automatically.
HIPAA-Ready
Invite-only auth, role-based access, full audit trail, private storage buckets, and BAA-eligible Supabase infrastructure.
Admin Dashboard
Review, approve, reject, and generate PDFs from a single queue. Full audit export per client. Role-gated admin controls.
Workflow
RN Opens Intake
Starts a new visit from any device — phone, tablet, or laptop. No app install required.
Complete Assessment
Multi-step form captures participant, provider, clinical, and support system data with smart conditional fields.
Capture Signatures
Client and RN sign directly on-screen. Signatures are encrypted and embedded into the final PDF.
Generate & Submit
Admin reviews, approves, and downloads submission-ready DMAS-97A/B, 98R, and 99 PDFs in one click.
White Label Ready
One config file. Swap the agency name, NPI, address, and colors — the entire portal re-brands instantly. License it to any Virginia Medicaid waiver agency and collect recurring SaaS revenue.
Get StartedReady to modernize?
Request a live demo. We'll walk you through the full intake-to-PDF workflow with your agency's branding applied.