Everything a CLHF needs, in one system
Clinical documentation, HCBA Waiver billing, and CDPH compliance — designed around California's Congregate Living Health Facility rules, on web and mobile.
Documentation that meets the Title 22 standard
CLHFs must conform to Title 22 skilled-nursing regulations. CLHF Engine gives you that rigor without enterprise-SNF bloat.
Resident charting
A complete resident record — demographics, diagnoses, history, and progress notes — organized for the small-facility reality of a CLHF.
Electronic MAR
Medication administration records with scheduled and PRN tracking, so every dose is documented and nothing slips through a paper binder.
Care plans
Individualized care plans with goals and interventions, tied to the resident's diagnoses and reviewed on schedule.
Physician orders & e-signatures
Order entry and tracking with PIN-verified electronic signatures and a strike-through revision trail on signed documents.
Assessments & vitals
Structured assessments and vital-sign tracking, with the higher-acuity items Type A (including ventilator-dependent) residents require.
Document management
Store and retrieve physician reports, consents, and licensing documents against the resident record — searchable, not in a filing cabinet.
From nursing note to paid TAR
Most CLHF revenue flows through the Medi-Cal Home & Community-Based Alternatives (HCBA) Waiver, and it lives or dies on documentation. CLHF Engine connects the chart to the claim.
TAR-ready nursing notes
The waiver requires daily nursing notes, documented at least weekly and submitted with every Treatment Authorization Request. CLHF Engine captures them as part of care and packages them for the TAR automatically.
U3 per-diem CNSS billing
Congregate Living Nursing Support Services bill at the U3 level of care — a per-diem equivalent to at least four hours of residential care per day. The right code and modifier, every time.
Reauthorization tracking
Adjudicators and DHCS nurse evaluators re-review each TAR. Track authorization windows and get ahead of renewals so coverage — and revenue — never lapses.
Room & board billing
Medicaid doesn't pay room and board, so DHCS requires you to collect it from residents. Track and invoice it separately from waiver nursing reimbursement.
Multi-payer ready
Medi-Cal and managed-care plans, regional centers (DDS), private pay, and more — track each resident's payers and obligations in one place.
Full-service billing option
Prefer to hand it off? Our team runs the HCBA Waiver revenue cycle from inside the application. Get a quote →
Ready for CDPH, every day
CLHFs are licensed and surveyed by the California Department of Public Health. CLHF Engine keeps the record a surveyor would ask for already in order.
Staffing compliance
Nurse coverage scales with your beds under H&S Code §1267.13 — RN visits for 6-bed homes, awake RN/LVN coverage above six beds, and per-shift CNA tiers. Log and prove it.
Incident & unusual-occurrence reporting
Capture incidents and unusual occurrences with the detail CDPH expects, and keep a defensible, time-stamped record.
Title 22 conformance
Documentation structured to the SNF regulations CLHFs must follow — care plans, orders, MARs, and assessments aligned to the standard you're surveyed against.
Audit trail & access control
Role-based access and a complete change log — who documented or changed what, and when — for HIPAA and for survey defense.
Mobile & bedside
Document at the bedside on a mobile device, including offline, so charting happens in real time instead of at the end of a shift.
Licensing document hub
Keep HS 200 licensing paperwork, fire clearances, and policies organized and retrievable when the surveyor — or a new application — calls for them.
See it on your own facility
We'll walk you from a resident's chart through a TAR with notes attached to a survey-ready record.
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