Complete the billing task
After HCRS50 founding purchases Enrollment closes August 20
Home Care Revenue Specialist · HCRS
Go beyond billing.
Become HCRS-certified.
Build full-cycle command of Medicaid home care revenue—then earn a verifiable professional credential that documents the education, applied reasoning and judgment you passed under the HCRI standard.
Interested, but not ready to enroll?Request HCRS information
HCRS program information
Get the program overview and Founding Cohort updates.
Tell us which path and state matter to you. We will send the relevant program details, launch updates and enrollment reminders.
August 24National Core access1 stateQualification included~30 daysGuided completion path
Home Care Revenue Institute
Home Care Revenue SpecialistYOUR NAME, HCRSIssued upon successful certification
Verifiable credentialBuilt to be displayed.Certificate · digital badge · registry
HCRSPut the credential after your name
Open-resourceApplied certification exams
Enroll now · Begin August 24
Your founding experience starts the day you enroll.
The instructional program opens August 24, and every founding learner can begin the National Core that day. Your state path is configured during onboarding; if your invitation is for a non-launch state, HCRI will add it within seven calendar days after receiving your completed state-selection form.
- Confirm your enrollmentSecure one of 50 founding purchase opportunities before August 20.
- Select your stateChoose one of seven launch states, or submit the form for a non-launch state named in your invitation.
- Get ready to moveReceive the roadmap, readiness checklist, roster instructions and eight-session calendar.
- Start the National Core August 24You do not wait for a non-launch state qualification to begin learning.
The professional shift
You already carry responsibility your agency cannot afford to get wrong.
When a claim fails, people come to you. When EVV does not match, you are expected to untangle it. When revenue is delayed, leadership wants an answer.
HCRS turns that responsibility into a defined specialty—and gives you a credential you can earn, carry and verify.
“I submit the claims” becomes “I understand the revenue system.”
Correct the denial
After HCRSFind and prevent the root cause
Depend on tribal knowledge
After HCRSUse a repeatable operating method
Have experience others cannot see
After HCRSHold a credential employers can verify
What ordinary billing training misses
Submitting a claim is one step.
Revenue is the entire chain.
HCRS teaches you to know the exact status, the controlling requirement, the failure point and the next action.
01Authorized→
02Delivered→
03Documented→
04Billable→
05Transmitted→
06Accepted→
07Adjudicated→
08Paid→
09Reconciled
Transmitted is not accepted.Accepted is not paid.Paid is not reconciled.
Teaches the buttons.
Useful mechanics inside one platform, without the complete payer and revenue context.
Teaches isolated rules.
Important guidance, often disconnected from daily operating dependencies and ownership.
Teaches the system.
Authority, operations, exceptions, controls and judgment from authorization through reconciliation.
What you will be able to do
Become the person who can see what is happening—and explain what happens next.
Trace the full cycle
Follow every authorized unit of care from coverage and delivery through payment and final reconciliation.
Prevent avoidable breakdowns
Recognize authorization, documentation and EVV risk before it becomes a billing problem.
Control claim status
Distinguish transmitted, accepted, adjudicated, paid and reconciled—and know the next action at each stage.
Diagnose denials
Separate the symptom from the root cause and choose the right correction, resubmission, appeal or escalation path.
Reconcile the outcome
Connect expected revenue, remittance, deposits and open balances until the cycle is actually complete.
Build repeatable controls
Replace workarounds and tribal knowledge with a revenue operating method the agency can teach and trust.
See the difference
HCRS changes the answer.
The value is not using more sophisticated words. It is knowing exactly what the current status does—and does not—tell you.
Agency owner
“Have those claims been paid?”
Task-only answer
“The batch was submitted yesterday.”
HCRS answer
“The claims were transmitted, but payer acceptance and adjudication are not yet confirmed. Here is the current status, the next control point and when I will escalate.”
Rigor without unnecessary intimidation
Serious enough to matter. Structured so working billers can earn it.
You do not need to understand the entire revenue cycle before you begin—that is why the program exists. HCRS starts with the architecture, teaches each dependency in sequence and builds toward advanced application.
Learn together.Certify individually.
Taught before tested
Focused instruction, a practical case in every lesson and frequent knowledge checks.
Open-resource exams
Use approved HCRI materials and official sources while applying independent judgment.
A remediation path
Three attempts per section, then targeted remediation and a reset with different items.
A defined pace
Designed around a 30-day completion path, with progress built in stages.
Recommended paceYour 30-day path
Week 1Architecture & authority
Week 2Authorization, service & EVV
Week 3Claims, denials & recovery
Week 4Reconciliation, state & exams
The HCRS learning path
One connected program.
From foundation to revenue leadership.
Three short orientations prepare you for a 15-module, 75-lesson national core, applied work, an integrated practicum and one state qualification.
Architecture & authority
Understand how Medicaid HCBS/LTSS is structured, where requirements come from and how the revenue cycle fits together.
Coverage & authorization control
Connect eligibility, program identity, payer requirements, dates, units and service authorization.
Service, documentation & EVV
Determine whether delivered care is supported, validated and ready to become a billable claim.
Claims & adjudication
Build cleaner claims, interpret responses and manage status beyond the word “submitted.”
Denials, corrections & recovery
Diagnose root causes and select the correct correction, resubmission, dispute, appeal or escalation path.
Reconciliation & revenue leadership
Close the loop from expected revenue to paid and reconciled cash, controls, reporting and accountability.
Your selected qualification
Apply the national operating method inside one available state Medicaid program and its managed-care environment.
3 start-here orientations15 national modules75 applied lessonsModule gates at 80%Integrated practicum1 state qualification
State qualification included
National command.
State-specific execution.
Every HCRS enrollment includes the National Core and one primary-state qualification. Each state path teaches the program, payer, authorization, EVV, claim and payment lane that controls real work there—not a generic summary of state Medicaid.
Michigan
Home Help · MI Choice · managed-care lanesDistinguish program, provider and payer pathways; control EVV readiness across HHAeXchange and approved alternate systems; connect authorization, visit validation and claim release.
Illinois
HSP · HCBS waivers · HealthChoice IllinoisNavigate program-specific billing lanes, EVV populations and exceptions; separate state-plan, waiver and managed-care requirements before services move to claim.
Florida
SMMC · waiver and fee-for-service pathwaysMap the correct plan and service lane; manage authorization, EVV validation, claim submission and reconciliation across Florida's managed-care environment.
Virginia
CCC Plus · agency- and consumer-directed careApply DMAS and MCO requirements to personal care, respite and companion services; control authorization, EVV exemptions, modifiers and payer routing.
Texas
STAR+PLUS · CFC · fee-for-service programsIdentify the payer and program first; connect service authorization, accepted EVV transactions, TMHP aggregation and claims matching before reimbursement.
Ohio
Ohio HCBS · managed care · MyCare pathwaysSeparate waiver and managed-care responsibilities; verify participant, authorization, EVV, service documentation and claim routing before release.
Pennsylvania
Community HealthChoices · OLTL · PROMISeNavigate CHC MCO and fee-for-service lanes; control HHAeXchange or alternate-EVV flow, authorization, personal-assistance claims, denials and payment reconciliation.
Invited for a state not listed?
Enroll in HCRS and submit your completed state-selection form during onboarding. Begin the National Core when course access opens August 24; HCRI will add the invited state qualification to your learning account within seven calendar days after receiving the form. You must complete and pass both to earn HCRS. If HCRI misses the seven-day commitment, you may select a launch state or request a full enrollment refund. Agency additional-state add-ons remain $297 and follow separate 14-day terms.
Earn the right to useYOUR NAME, HCRSActive credentials are publicly verifiable.A credential earned—not merely purchased
Finish the learning. Pass the standard. Carry the credential.
- Complete the programAll lesson activities, applied cases, module gates and the integrated practicum.
- Pass four national sections25 questions per section; at least 22 correct on every section.
- Earn one state qualificationComplete the state path and score at least 22 of 25 on its examination.
- Sign the professional attestationEthics, accuracy, scope and independent examination integrity.
- Maintain active statusAnnual updates, shorter scenario-based recertification and renewed attestation.
For agency leaders
Train five people to see the same revenue system.
The Agency 5-Seat Package gives five professionals a shared operating language while preserving the integrity of five separately earned credentials.
Five individual learner accountsOne shared state qualificationWeekly sponsor progress report90-Day Seat Replacement Protection
Agency 5-Seat Package$1,497Learn together. Certify individually. One agency package counts as one of the 50 founding purchases.
National core, one shared state and the complete certification path for five learners. Credentials stay with the professionals who earn them.
See the complete agency offerInterested, but not ready to enroll?Request HCRS information
HCRS program information
Get the program overview and Founding Cohort updates.
Tell us which path and state matter to you. We will send the relevant program details, launch updates and enrollment reminders.
50 purchases Founding cohort
Choose your enrollment path
The main page makes the case.
Your offer page gives you every detail.
Enrollment opens August 10, closes August 20 or when the founding allocation fills, and National Core access begins August 24. Pay in full by card or, if eligible, choose Klarna or Afterpay at Kajabi checkout.
Individual enrollment Career path
Earn HCRS for yourself.
One learner. One state qualification. One portable credential earned under the complete HCRI standard.
$497founding tuition
- Complete National Core and one state
- Eight live founding working sessions
- Certificate, badge and registry after certification
- All Founding Edition improvements included
Agency 5-Seat Package
Develop five professionals.
Five learner accounts, one shared state and one protected agency purchase—without turning HCRS into an agency credential.
$1,497founding tuition
- Five complete HCRS pathways
- One shared state qualification
- Weekly sponsor progress reporting
- One 90-day replacement enrollment
Interested, but not ready to enroll?Request HCRS information
HCRS program information
Get the program overview and Founding Cohort updates.
Tell us which path and state matter to you. We will send the relevant program details, launch updates and enrollment reminders.
One individual purchase or one agency package counts as one founding enrollment. No credential is issued by purchase alone.
Questions before you enroll
The credential should be demanding.
The decision should be clear.
HCRS is built to develop capable professionals—not to surprise candidates with hidden requirements.
Is HCRS too advanced if I am still developing as a biller?
No. The program starts at the foundation and builds toward full-cycle operational judgment. You are taught before you are tested through sequenced instruction, realistic cases, knowledge checks and module gates. HCRS is rigorous, but it does not assume you already know the entire revenue cycle.
Can I realistically finish in 30 days?
HCRS is designed around a 30-day completion path for a learner working consistently. Your actual pace may vary based on experience, available study time and the amount of review you need.
Can coworkers study together?
Yes. Teams may discuss course concepts and learn together where the activity permits it. Certification examinations and the ethics, accuracy and scope attestation are individual. No other person, shared-answer source or AI assistance may be used during an examination.
Are the certification examinations open-resource?
Yes. Candidates may use approved HCRI materials and job aids plus official Medicaid and payer sources. The examinations assess whether you can find, interpret and apply the right authority—not whether you can memorize every rule.
What happens if I do not pass an examination section?
Candidates receive up to three attempts per failed section. After a third unsuccessful attempt, assigned remediation is completed before an immediate manual reset using materially different items.
Is this for home care or Medicare home health?
HCRS is built for agency-based Medicaid HCBS/LTSS revenue operations, including personal care and related waiver services. It is not a Medicare home-health or hospital-billing credential.
Which state does my enrollment include?
Every HCRS enrollment includes the National Core and one primary-state qualification. Michigan, Illinois, Florida, Virginia, Texas, Ohio and Pennsylvania are ready when course access opens August 24. If your Founding Cohort invitation is for another state, you may begin the National Core on August 24 while HCRI adds that state qualification within seven calendar days after receiving your completed state-selection form. You must complete and pass both the National Core and one state qualification to earn HCRS.
What if my state is not part of the current Founding Cohort offer?
Contact HCRI before enrolling. The seven-day delivery commitment applies only to a non-launch state expressly included in HCRI's current Founding Cohort outreach. HCRI will confirm future availability for other states before purchase.
Is HCRS tied to one software platform?
No. HCRS teaches the operating discipline behind Medicaid revenue and is intentionally software-independent.
Does HCRS certify my agency?
No. HCRS is issued only to an individual who completes the requirements. An agency may say that it employs HCRS-certified professionals, but the agency itself is not HCRS-certified.
Does the credential expire?
The credential term is one year. Renewal requires current update education, a shorter scenario-based recertification examination and a renewed attestation.
Enroll August 10–20 · Begin August 24
Go beyond submitting claims.
Build the expertise—and earn the credential.
Your agency already depends on this work. HCRS gives you the structured path to make it your profession.
Interested, but not ready to enroll?Request HCRS information
HCRS program information
Get the program overview and Founding Cohort updates.
Tell us which path and state matter to you. We will send the relevant program details, launch updates and enrollment reminders.