New: 2026 Medicare Integration Ready

Unleash Your CHW Workforce

Focus on Care, Not Codes

We make it radically easier for healthcare organizations to deploy community-based workers profitably.

Trusted by FQHCs & Networks
Medicaid MCOsMedicare AdvantageValue-Based CareFQHCsCommunity Orgs
Community health worker assisting elderly patient

50 States. 50 Sets of Rules.
One Massive Administrative Headache.

Manual compliance is costing you millions.

The Old Way
The Groundwork Way
Credentialing Time
120+ days
Credentialing Time
48 hours
Revenue Capture
33% lost
Revenue Capture
99% captured
Compliance Tracking
Spreadsheets & guesswork
Compliance Tracking
Real-time policy engine
Policy Updates
Find out after a denial
Policy Updates
Automatic NASHP sync

The Complete Infrastructure for Paraprofessional Workforce Programs

  • Auto-Sync with NASHP

    We monitor policy trackers 24/7 so you don't have to.

  • Declarative Rulesets

    State-specific logic is isolated and version-controlled.

  • Instant Validation

    Claims are pre-validated against the exact active policy.

Dashboard
Compliance
Claims
Revenue Captured
$2.4M
+12.5%
Claims Approved
98.7%
Active States
12
Policy Compliance Engine
Live Monitoring
Active Policy Set:
CA CalAIM
NY SPA 1115
Provider Credentialing Verification
Verified against NY Dept of Health Database
Pass
SDoH G-Code Mapping (G0019)
Mapped to Z-Codes for reimbursement
Pass
Real-time Update
NASHP Tracker Sync

From Roster to Revenue in 3 Steps

We connect directly to your EHR and payer portals. No complex integration required.

01

Connect Data

Sync your CHW roster and patient encounters via secure API or flat-file upload.

02

Validate & Scrub

Our engine checks every encounter against state-specific rules and payer policies in real-time.

03

Submit & Paid

Clean claims are submitted automatically. Denials are flagged instantly for correction.

Integrates with your existing stack
EpicCernerathenahealtheClinicalWorksNextGenAvaility
Select Jurisdiction Logic:
policy_engine_v2.4.ts
const nyspaRuleSet = {
  state_code: "NY",
  program: "1115 Waiver Amendment",
  billing_codes: ["G0019", "G0022"],
  requires_supervision: false,
  referral_required: true,
};
// Last updated: 45 mins ago via NASHP sync
Logic Active
Version 2026.1.0-rc

Instant Credentialing

Get CHWs billing in 48 hours, not 120 days. Automated verification against state registries means your workforce generates revenue from day one.

First-Pass Success

99% of claims approved on first submission. Non-compliant encounters are caught and corrected before they ever reach a payer.

Audit-Ready Logs

Every supervision document, every encounter log, every compliance record—generated automatically. Be audit-ready without lifting a finger.

Real-Time Monitoring

Get alerts before credentials lapse and revenue stops. Continuous monitoring means zero surprises and zero interruptions to your billing cycle.

Today's Compliance Engine.
Tomorrow's Care Infrastructure.

We're building the end-to-end operating system for community-based care delivery.

Care Delivery Orchestration

Intelligent dispatch, real-time documentation, and outcomes tracking for every encounter.

SDOH Fulfillment

Connect patients to food, transportation, and housing resources—automatically coordinated through your care plans.

Multi-Market Expansion

Deploy CHW programs in new states without rebuilding compliance infrastructure from scratch.

Outcomes Intelligence

Prove ROI, support risk-based contracts, and drive continuous program improvement with real data.

Workforce Development

End-to-end training, certification tracking, and deployment pipelines for paraprofessional workers.

Built for Every State. Ready for Every Rule Change.

Whether it's the 2026 Medicare integration, state-level Medicaid SPA changes, or new worker-type certifications—Groundwork adapts automatically. No manual updates. No compliance gaps.

Today

Medicaid CHW reimbursement rules vary by state.

2026

Medicare Integration

Unified G-code logic for FQHCs nationwide.

Future Proof

Our engine adapts to all upcoming CPT revisions.

Auto-mapping CPT 98960-98962
Support for G0019 & G0022 Logic
Supervision Doc. Generation
Payer-Specific Rule Routing
Real-Time NASHP Monitoring
Multi-Worker-Type Certification

Our Manifesto

Community health workers are the most cost-effective force in American healthcare. But too many programs stall—not because the model doesn't work, but because the business infrastructure doesn't exist.

We built Groundwork to change that. One platform. Every state. Every rule. Every dollar captured.

Certified Peer Recovery Specialists holding their certifications
HIPAA CompliantEnterprise-grade security
SOC2 Type IIAudit-ready infrastructure
FQHCsTrust Groundwork Health
"We increased our billable CHW units by 210% in the first quarter. Groundwork found revenue we didn't even know we were missing."

Ready to Capture Every Dollar Your CHWs Earn?

We'll analyze your last 6 months of claims and show you exactly how much revenue you're leaving on the table.

Free analysis. No implementation fee. Results in 48 hours.