For state Medicaid programs & MCO partners
B2B · State Medicaid

Continuous overnight monitoring of your Medicaid cohort. Measurable escalations before the dark hour.

Embertide is the always-on triage layer that sits alongside your member-services stack. It gives your procurement team a concrete way to discuss CMS quality measures, behavioral-health parity, value-based care, and 1115/1915 waiver scope: continuous overnight monitoring of the cohort, measurable escalations to in-network counselors, and audit-ready routing logs your CMS reviewer can read from a single page. The watch extends the panel you already run — never a replacement.

See how it deploys across your panelOpen /contact for procurement
CMS quality measures + behavioral-health parityValue-based care + 1115/1915 waiver scopeAudit-ready routing logs — CMS-reportable on request
How Embertide deploys across your Medicaid panel

Continuous overnight monitoring. Measurable escalations. Audit-ready routing logs.

Three capabilities a state agency or MCO signs off on, and a CMS reviewer reads from a single page. Embertide extends the member-services stack you already run — member services, 24/7 nurse lines, case managers, and peer-support staff keep their seats in the cascade; the watch underneath is what Embertide is for. Pilot first, MSA second, scale when the audit trail your agency measures against lines up.

  1. 01
    Continuous overnight monitoringEvery Medicaid member, every day

    Continuous overnight monitoring of every Medicaid member in the cohort, every day.

    A daily check-in lands in the member envelope. The peer-chat tone and missed-touch pattern fuse into one rising-risk surface per member, and the 2 a.m. cascade reads availability before it pages anyone. Member services, MCO case managers, and peer-support staff read from the same aggregate — the night-and-weekend gap that drives 988 volume is closed without growing the on-call roster your agency funds.

  2. 02
    Measurable escalationsEnd-to-end on the watch

    Measurable escalations — measured end-to-end on the watch, not self-reported.

    When a member rises, Embertide cascades to the licensed counselor already on the MCO panel, not to your call-center queue and not to 988. Median time from rising-risk signal to in-network counselor contact is measured end-to-end on the watch — it is the same number your contracting officer reads on the audit-trail export, and the same number a CMS reviewer can audit against. No responder-chain estimate, no self-reported aggregate.

  3. 03
    Audit-ready routing logsCMS-reportable on request

    Audit-ready routing logs — every read and write logged with actor and recipient.

    Every rising-risk signal, every escalation attempt, every responder ack, every 988 safety-net fire is logged with actor and recipient, surfaced through a routing_actions-style aggregate your reviewer can read on day one. CMS-reportable on request, exportable on demand, and reconstructible from the ledger without exposing a member’s private check-in answers. The watch is the audit trail — there is no second story to reconcile.

The continuous-monitor loop, the routing_actions ledger, and the cascade tiers — peer sponsor → sponsor group → counselor → 988 safety net — are laid out in plain language on Read the full /how-it-works explainer →

For the procurement view of the three-tier overnight handoff, read the Medicaid overnight escalation coverage guide →

What a program office and a CMS reviewer actually see

The same audit trail, read from the program office and the reviewer's desk.

Aggregate only. Counts, ack times, tier reached — what a state program office director, a contract officer, and a CMS reviewer all read on day one, without ever crossing into a member's private check-in answers.

Representative program office voice

“Before Embertide, the dark-hour stretch between 11pm and our Tuesday MCO case-manager handoff was the part of the week we lost members to 988. The continuous overnight monitor now keeps running across the whole panel, the escalation metrics go straight onto the routing_actions surface our CMS reviewer reads on day one, and the audit trail is the same story the program office and the contracting officer read — no second reconciliation, no self-reported aggregate.”

M
State Medicaid program directorMid-sized state behavioral-health program office · MCO panel partner

routing_actions · representative overnight flow

Aggregate · static preview

Peer sponsor → licensed counselor → crisis line / 988

  1. 01Representative: 2–5 min

    Peer sponsor

    First human handoff · awaiting acknowledgment

  2. 02Representative: 5–15 min

    Licensed counselor

    Next tier if the sponsor window closes

  3. 03Window close

    Crisis line / 988

    Safety-net escalation · status recorded

Aggregate routing statusaudit trail on request

Representative timing and status copy for illustration only. This is static, aggregate data — not a live performance claim or a guarantee of response time.

Common state-program-purchaser concerns

The questions a state program office actually asks before they procure anything.

We have heard these in enough state-agency procurement rooms to answer them straight. Every answer below is a feature, not a workaround — designed so installing Embertide extends your member-services stack rather than displacing any of the panels you already fund.

Still have one we missed? Send the question.

Procurement scoping

See how Embertide deploys across your Medicaid panel.

Send your member-cohort size, the current 988-handoff volume per month, your CMS reviewer and reporting cadence, and the 90-day success metric the agency will measure against — we'll come back with a 90-day deployment scope and the audit-trail surface your contracting officer will read.

Open /contactMedicaid procurement brief

Running this for a treatment-center network instead? See treatment-center program →

What to send

  • · Member-cohort size and clinical profile
  • · Current 988-handoff volume per month
  • · CMS reviewer + reporting cadence
  • · 90-day success metric the agency will measure against
Talk to our team

Tell us about your Medicaid panel and your CMS reviewer.

We'll read your message within two business days and come back with a 90-day pilot scope — including the routing_actions aggregate your CMS reviewer will read on day one, and the audit-trail surface your contracting officer signs off against. Submissions land directly in our state-Medicaid triage queue.

Prefer email? Reach us at embertide-2@polsia.app.

Want the philosophy behind why we built Embertide this way? Read why we built Embertide →

Looking for the clinical-operator side instead? See treatment-center program →