Virginia Medicaid Waiver Agencies
Fill out the DMAS-98R, 97A/B, and 99 on a phone or tablet in a dead zone. Required fields are enforced, signatures are captured on screen, and submission-ready PDFs are one tap away.
Forms covered
DMAS-98R · DMAS-97A/B · DMAS-99
Works without internet
Yes, data saves to the device and syncs when signal returns
App install required
No, opens in any browser on any device
HIPAA
AES-256 encryption at rest and in transit. BAA available.
Built specifically for Virginia DMAS compliance.
All three DMAS forms, one intake flow
DMAS-98R, 97A/B, and 99 auto-populate from a single walkthrough. No re-keying the same client details across separate forms.
Works without a signal
Caregivers complete visits fully offline. Everything saves to the device and syncs automatically when signal returns. Unsynced records are flagged on screen.
Signatures captured on the device
Client and RN sign directly on the phone or tablet. Signatures are encrypted and embedded into the final PDF, no printing, no scanning.
Audit-ready from the start
Every action is logged with a timestamp and user ID. Required fields are enforced before submission so reviewers see complete, signed records.
HIPAA safeguards built in
Records encrypted at rest and in transit. PDFs stored in a private, access-controlled bucket, not in a staff download folder. BAA available.
No app install, any device
Opens in any browser on phones, tablets, and laptops. Your staff can be up and running in minutes with no IT overhead.
No app install. No paper. No re-keying data across three forms.
Caregiver opens the visit
Any device, any browser. Works immediately even with no signal.
Complete the assessment
Conditional fields walk through all three forms. Required fields can't be skipped.
Capture signatures on screen
Client and RN sign on the device. Encrypted and embedded into the PDF.
Admin approves and downloads
One click produces a submission-ready PDF. Audit trail complete.
One setup fee, simple per-nurse pricing that scales with your team.
One-time setup
$3,600
Split into two milestone payments
Monthly
$400/mo
Includes up to 10 field nurses
Additional nurses
$40/nurse/mo
30-nurse agency? That's $1,200/mo. Pricing scales fairly with your team size.
We operate the infrastructure. Your agency owns every form, signature, and audit log — encrypted before it leaves the device.
Zero-knowledge operator
PHI is AES-256 encrypted client-side. The decryption key is derived from your staff’s credentials. We do not hold it.
No AI training. Ever.
Your patient data will never be used to train, fine-tune, or evaluate any AI model — by us or any vendor we work with.
Isolated per agency
Every agency gets its own Cognito User Pool, S3 bucket, and DynamoDB tables. There is no shared database.
No deck. No sales pitch. Just the product running live with your agency's forms. If it doesn't solve your problem, we'll tell you that too.