Provider Cues: Agency™ • Autonomous Residential Operating System

Eliminate Software Friction. Focus 100% on Residential Care.

Engineered specifically for Ohio Department of Developmental Disabilities (DODD) and HCBS waiver providers. Replace clunky 2004-era desktop forms with real-time census, Category 1–3 eMAR, Sandata GPS EVV, 14-form hiring automation, and 1-click Medicaid billing.

Ohio DODD OAC 5123 Aligned
Sandata-Compliant GPS EVV
Cat 1, 2, 3 eMAR Delegated
HIPAA AES-256 Statutory Vault
Executive Visibility

The Executive Command Center & Live Census

Instant operational oversight across all agency group homes, DSP staffing ratios, medication pass windows, and daily Medicaid revenue.

Live Residential Status DODD Active

Multi-Home Real-Time Radar

All Facilities 100% Compliant
Bed Occupancy
28 / 30
93.3% Capacity (2 Vacancies)
Caregiver Supervision
1:2 Ratio
Fully Staffed (14 Active DSPs)
Med Pass Completion
100%
0 Overdue • 84/84 Executed
Daily Billable HPC
$8,960
448 Verified Units (T2016)
12:00 PM Mid-Day Medication Window

Passed across Maple Heights, Euclid, and Cleveland Hts homes

0 Overdue • 100% Verified
OAC 5123 Statutory Incident Radar

Automated 4-hour verbal & 24-hour written MUI countdown timers

0 Incidents Pending Filing
Sandata GPS EVV Geofence Radar

500-foot perimeter verified for 14 active caregivers on duty

Zero Geofence Discrepancies
Exhaustive System Architecture

Nine Purpose-Built Agency Engines

Every facet of residential Medicaid waiver operations—engineered into one cohesive, automated operating system.

Module 01

Executive Command Center

Real-time bird's-eye view of all agency facilities. Monitor live bed occupancy, staffing ratios, active shift counts, critical alert tickers, and real-time gross margin percentages.

  • Bed occupancy & room vacancy alerts
  • Real-time DSP-to-resident ratio locks
  • Daily Medicaid billable units calculation
Module 02

Residents & Census Management

Full resident profile vault with 5-tier care acuity classification (Levels 1–5). Tracks County Board caseworker contacts, legal guardianship, DNR orders, and Single Ohio ISP goals.

  • Single Ohio ISP outcome & milestone tracking
  • Dietary texture matrix (Pureed, Nectar Thick)
  • Encrypted Medicaid PMI & advance directives
Module 03

Category 1, 2, 3 eMAR Engine

Strict medication administration conforming to nurse delegation rules: Cat 1 (Oral/Topical), Cat 2 (G-Tube/Vitals), Cat 3 (Insulin/Injectable) with 60-minute pass windows.

  • Visual pill verification & countdown timers
  • Mandatory PRN clinical rationale & 30m review
  • Schedule II–V controlled dual-witness counts
Module 04

Workforce & Sandata EVV

GPS geofenced mobile clock-in/out requiring staff to be within 500 feet of the home. Visual drag-and-drop scheduling with automated 40-hour overtime conflict prevention.

  • Sandata EVV aggregator coordinate sync
  • 1-click open shift broadcast with 1-tap claim
  • Digital shift handover notes between staff
Module 05

Facilities & Safety Compliance

Automated logging for state environmental audits: monthly fire & tornado drills, hot water temperature compliance (105°–120°F), and medication refrigerator logs (36°–46°F).

  • Mandatory monthly drill schedule & alerts
  • Water & fridge temperature variance alerts
  • Multi-facility maintenance & inspection logs
Module 06

0–100 Client Matching Algorithm

Scientific pairing of individuals served with residential homes and DSP caregivers based on behavioral acuity, wheelchair accessibility, delegation certs, and peer dynamics.

  • Acuity & Behavioral Compatibility (30 pts)
  • Physical Accessibility & Certifications (45 pts)
  • Peer Dynamics & Geographic Proximity (25 pts)
Module 07

Billing & EVV Compliance Engine

Automated conversion of shift hours into 15-minute Homemaker Personal Care (HPC T2016/T2017) units. Generates pre-validated Ohio DODD eMBS 837P files and Patriot Payroll CSVs.

  • Automated 15-minute HPC unit conversion
  • Non-Medical Transportation (NMT) mileage billing
  • Patriot Payroll CSV with 1.5x overtime calc
Module 08

Financial Intelligence & Margins

Track real-time gross margin per individual served (Medicaid reimbursement minus loaded caregiver labor costs). Proactive overtime hazard radar prevents payroll budget bleed.

  • Gross margin per resident calculation
  • Waiver annual budget burn-down tracking
  • Overtime risk alerts before 40 hours
Module 09

Pluggable 14-Form Hiring Hub

90-second mobile DSP screener, candidate portal, automated 7-registry background verification, BCI/FBI RAPBACK tracking, Board/CFO pay gate, and 1-click WeasyPrint state packet compile.

  • Automated 7-registry background queries
  • Board & CFO compensation approval gate
  • Pre-service training lock before scheduling
The Architectural Comparison

Why Ohio Agencies Replace Brittco

Brittco was built for desktop computers two decades ago. Provider Cues: Agency was engineered for modern mobile caregiving, automated compliance, and real-time oversight.

Legacy Architecture

Brittco™

2004 Desktop Era
  • Severe Software Friction: Frontline DSPs fight with 14-click desktop forms, clunky logins, and forgotten passwords while managing complex residents.
  • Manual Double Data Entry: Agencies pay monthly software fees while office administrators still manually re-enter hours into Patriot Payroll and Ohio DODD eMBS.
  • MUI Audit Citation Vulnerability: Lacks automated statutory 4-hour verbal and 24-hour written County Board countdown clocks, leaving leadership exposed.
  • Fragmented Communications: Emergency shift call-offs and resident medical updates get lost across personal text threads and unrecorded phone calls.
Modern Architecture

Provider Cues: Agency

Built for 2026
  • Zero-Dashboard Mobile Layer: Frontline caregivers document shifts via plain-text SMS or email cues with zero apps to install and zero passwords to reset.
  • 1-Click Billing & Payroll: Direct generation of Ohio DODD eMBS 837P flat-files and automated Patriot Payroll CSV exports with accurate 1.5x overtime.
  • Statutory Countdown Clocks: Automated OAC 5123 4-hour verbal and 24-hour written incident timers ensure complete audit defense.
  • 14-Day Turnkey Onboarding: Complete white-glove digitization of all bespoke agency forms, vault configuration, and live staff walkthroughs included.

Locked in an active multi-year Brittco contract? Start with Provider Cues: Relay ($2,500/yr) as an agile mobile layer running atop Brittco today.

Economic Impact Analysis

Calculate Your Agency's Annual Savings

See how eliminating double data entry, manual payroll keying, and legacy software fees pays for Provider Cues: Agency in month one.

4 Homes
20 DSPs
Recaptures ~12 administrative hours/week in double data entry
Prevents applicant drop-off ($3,500 replacement cost per lost DSP)
Shields against unverified Medicaid claim clawbacks
Estimated Annual Recaptured Value
$24,960

Combined software savings, billing clawback prevention, and administrative payroll hours.

The 14-Day Turnkey Guarantee

We do not build speculative prototypes. When your agency executes an annual agreement ($5,900/year), our concierge team digitizes all your bespoke forms, configures your private encrypted vault, and trains your team live.

100% Turnkey Guarantee: Live and processing real agency operations within 14 business days—or you receive a 100% immediate refund.
Book Your Agency Walkthrough