Determine eligibility
- Capture the right information once for all forms
- Apply program rules consistently
- Document decisions
The infrastructure that gets people enrolled and keeps them covered
ITO helps health and social care organizations configure and operate the workflows behind eligibility decisions, enrollment, and ongoing coordination — so teams spend less time reconciling systems and more time supporting people.
In active operation across:
HealthcareGovernmentEmployers
Operational Clarity
Replace fragmented workflows
Most organizations manage eligibility, enrollment, and care coordination across disconnected tools. ITO consolidates these workflows into a single system to improve completion rates, reduce cycle time, and keep experiences consistent across programs.
| Before | ITO Health System Model |
|---|---|
| Eligibility rules in documents and spreadsheets | Configured eligibility and decision workflows |
| Enrollment tracked across email, case notes, and multiple systems | Enrollment and recertification workflows in one place |
| Care coordination happening in disconnected tools | Shared coordination workflows for teams and partners |
| Updates require manual workarounds or vendor tickets | Policy and program changes reflected through configuration |
| Reporting assembled after the fact | Operational reporting built into the system |
One System
What connects everything
ITO provides a shared system teams can use to determine eligibility, manage enrollment, and coordinate ongoing support that adapts as programs change.
Manage enrollment
- Track status, renewals, and follow-ups
- Coordinate steps across teams
- Reduce manual handoffs
Coordinate care and services
- Shared plans and workflows
- Partner collaboration
- Visibility into progress
Coordinated Care
One platform, configured for your industry
HealthBase and HealthWorks are the core ITO offerings, sibling configurations of the same platform for different operational needs.
Core Platform
HealthBase
Primary users: Care coordinators, intake teams, frontline staff
A workflow system teams use at the point of care to screen, capture information, and coordinate next steps.
- Frontline workflows
- Intake and screening
- Coordinated handoffs
Core Platform
HealthWorks
Primary users: Program leadership, operations managers
The same platform foundation configured for employers. Tools for managing operations and workflows across a care workforce and partner network.
- Program operations
- Team coordination
- Staff augmentation
Add applications as needs grow
Organizations can start small or extend capability without re-architecting. Applications run standalone or integrate into your existing systems.
Application
MediKey
Medicaid enrollment and recertification, simplified.
Streamlined enrollment and ongoing compliance with proactive outreach—helping people stay enrolled and covered over time.
- Enrollment + ongoing compliance
- Text-based reminders
- Standalone or integrated
Application
HealthEligible
Eligibility and benefits determination, made more consistent.
AI-assisted decision support that helps staff reduce errors and make more defensible determinations—even when information is incomplete.
- Federal and state benefits eligibility
- Supports partial and evolving information
- Standalone or integrated
Currently powering eligibility and enrollment for 75+ federal and local programs like:
MedicaidSNAPTANFChildcareLIHEAPWICLTSS
Example Configurations
Many ways to deploy
Choose the platform alone or bundled with our eligibility and medicaid support applications configure for organizations needs and how you want to operate. Integrate with your existing system or let ITO manage off-site to increase the care capacity of your team.
State agency configuration
PlatformHealthBase
ApplicationsHealthEligible, MediKey
Delivery
Self-managed
Your organization licenses the platform and operates workflows internally with your own teams.
- Licensed SaaS
- Customer-run teams
- ITO onboarding and support
Employer configuration
PlatformHealthWorks
ApplicationsHealthEligible
Delivery
ITO-managed
ITO operates the platform on your behalf, providing trained staff and professional services.
- ITO CHWs and staff
- Professional services engagement
- Ideal for capacity-constrained teams
How the Platform Works
From eligibility to enrollment to care coordination
Policy rules flow through a single configuration layer into the tools frontline workers use every day so when regulations change, your systems adapt without re-engineering or downtime.
1
Configurable infrastructure
Eligibility, coverage, and process rules structured and version-controlled
Eligibility rulesIncome, age, residency
Coverage rulesBenefits, limits, exceptions
Process rulesWorkflows, approvals
2
ITO software ecosystem
HealthBase/HealthWorks, HealthEligible, and MediKey power screening, enrollment, and care coordination
HealthEligible
Eligibility Check7 programs matched
Medicaid - Eligible
SNAP Benefits - Eligible
Housing Assistance - More info needed
3
Deliver care & services
Clients connect to medical care, social programs, and community support
Medical care24hr avg. enrollment time
Social programs12 programs in one session
Community supportWarm handoffs to local orgs
ITO Infrastructure
Health + social care, connected
ITO provides the operational platform that runs eligibility, enrollment, and care delivery configurable to policy, populations, and workforce realities. All on a shared foundation for a robust tool maintainable over time.
Shared policy and rules logic
Configurable workflows
Common data foundation
Designed to adapt over time
Drift reduction
Program consistency
Change cost reduction
Find the right solution for your organization
Whether you’re a government agency, health system, or payer, we’re here to help you build a more connected system of care.