Authorization utilization tracking for Pennsylvania home care agencies
Authorized hours, tracked weekly.
We compare each client's authorized, scheduled and delivered hours every week, track authorization end dates and flag discrepancies for your team: potential overages before billing, and authorized hours that have not been staffed.
Who it is for.
For agencies managing many authorizations at once, each with its own hours and end date. One weekly view shows what is close to running out, running over or going unstaffed.
Agencies with many CHC clients
Dozens of authorizations, each with its own hours and end date, tracked in one weekly view.
Agencies worried about repayment
Potential overages are flagged before billing, not after.
Agencies with unstaffed hours
Authorized hours that are not being delivered are flagged while there is still time to staff them.
04 · Hours & Authorization Utilization
What we cover.
- Authorized vs. scheduled vs. delivered hours, client by client
- Flags before an authorization expires, so your team can follow up in time
- Potential overages flagged before billing
- Authorized hours that remain unstaffed, flagged while there is still time
How it works.
- 01
Load the authorizations
Each client's authorized hours and dates, taken from your system.
- 02
Compare every week
Authorized, scheduled and delivered hours, client by client.
- 03
Flag upcoming expirations
Authorizations close to their end date are flagged so your team can follow up in time.
- 04
Identify overages and unstaffed hours
Potential overages before billing; unstaffed hours while they can still be scheduled.
What your agency receives.
Everything we do is written down and handed to your team, so you always know what happened and what is still open.
Request a consultationA weekly report by client
Authorizations approaching their end date
Potential authorization overages
Authorized hours that remain unstaffed
Why it matters
Visits outside an active authorization may be held or denied, and a payer may seek repayment when your agency cannot substantiate a payment. Authorization limits and EVV verification are separate checks. Authorized hours that are never staffed are care your clients did not receive.
Where our role ends
We don't request or change authorizations with the plan on your behalf unless you ask us to and give us that access.
Questions agencies ask us.
Straight answers about how this works in Pennsylvania.
Visits outside an active authorization may be held or denied, and a payer may seek repayment when your agency cannot substantiate a payment. Authorization limits and EVV verification are separate checks; review both before billing.
Check the authorization period and your payer's rules. Unused authorized hours do not represent services delivered and should not be billed as though they do. If a client's needs change, contact the service coordinator or payer about the service plan.
Only if your agency asks us to and gives us that access. By default we prepare the information for your team.
From the systems your agency already uses, such as HHAeXchange, under accounts your agency controls.
Weekly, with a flag as soon as an authorization is close to its end date or its limit.
Related guides.
Community HealthChoicesCommunity HealthChoices for Home Care ProvidersHow Community HealthChoices works for Pennsylvania home care providers: service plans, 7-business-day starts, authorization limits, EVV and repayment.Read the guide 
EVVPennsylvania's 85% EVV Standard: What the 2026 Alerts MeanAgencies whose EVV manual edits pass 15% now get alerts. What the 85% standard measures, what follows two quarters over, and how to stay under it.Read the guide Other services
After-Hours & On-Call CoverageAfter-hours calls, call-outs and escalation.SchedulingAvailability, schedule changes and open shifts.EVV MonitoringDaily exception review before billing.
DCW Candidate ScreeningFirst-round screening, organized notes.
Supervisory Visit MonitoringDue dates, completed visits and follow-up.
Authorized hours, tracked every week.
Tell us how your agency compares authorized, scheduled and delivered hours today.