People. Process. Technology.
AccessMeCare™ is the rare trifecta that makes care coordination actually work — the right team, built on proven methodology, powered by purpose-built technology that connects people in need to the care they deserve.
From contract to care in 90 days.
Our structured implementation methodology gets your team fully operational — without the 12-month enterprise software nightmare.
Discovery
We map your community's needs, workflows, existing partnerships, and data infrastructure — before configuring anything.
Configuration
Platform configured to your populations, workflows, service categories, and partner network — not a generic out-of-box setup.
Training
Full team training including care coordinators, CHWs, administrators, and leadership — role-appropriate and hands-on.
Launch
Supervised go-live with Heudia implementation team on-site or on-call — resolving issues in real time before they affect care delivery.
Optimize
30/60/90-day performance reviews, workflow refinements, and continuous improvement cycles driven by your outcome data.
Engaging the right people make the best care possible.
Clinical expertise · Community trust · Human connection
Technology can map a path to care. But it takes people — trained, trusted, community-embedded people — to walk that path alongside someone navigating crisis, poverty, recovery, or system failure. AccessMeCare™ is built around the humans who do that work.
- →Community Health Workers embedded in the populations we serve — not parachuted in
- →Leadership with deep domain expertise across the continuum of care.
- →Implementation specialists who configure care workflows to your community's actual needs
- →Ongoing customer success support — not a ticket queue, a dedicated partner
- →Training infrastructure that builds CHW capacity within your own workforce
Per 100,000 residents proactively guided to health and social wellness checkpoints
Higher population utilization and 12x higher monthly engagement intensity when compared to validated benchmark data
Community Health Workers
Trained navigators who screen, engage, and follow individuals through care journeys — building trust where the system has failed
Clinical Care Coordinators
Licensed professionals who manage complex cases across behavioral health, SUD, and justice-involved populations
Implementation & Success Team
Dedicated specialists who configure, train, and continuously optimize your AccessMeCare™ deployment
Clinical Leadership
Healthcare operations leaders with navigating complex care systems
Screen & Identify
Multi-domain screening across health conditions, socio-economic factors, and care barriers — in a single workflow
Navigate & Match
HICE AI surfaces the most appropriate resources in real time based on need, eligibility, and availability
Plan & Coordinate
Structured care plans assign tasks, timelines, and accountabilities across the full care team
Refer & Track
Closed-loop referrals with confirmation, status updates, and outcome capture across partner network
Measure & Improve
Continuous outcome reporting feeds quality improvement cycles and proves value for VBC contracts
Health Conditions
Social Domains
Care Barriers
A proven system of care built to eliminate complexity.
Evidence-based · Scalable · Community-rooted
Most care coordination fails not because of bad intentions — but because of bad process. AccessMeCare™ is grounded in a structured, evidence-informed system of care that was designed from the ground up to address 20+ health conditions, 16 social needs, and 11 distinct care barriers simultaneously.
- →Comprehensive screening protocols that surface need across clinical and social domains
- →Structured care planning workflows aligned to customer workflows and value-based care programs
- →Omnidirectional referral management with status tracking across all network partners
- →Standardized care transition protocols for justice-involved and post-discharge populations
- →Continuous quality improvement loops driven by real-time outcome data
- →CBPR-informed community engagement methodology for culturally competent care
Purpose-built AI for whole-person care.
HICE · HL7/FHIR · Real-time · Secure
Most health tech was built for billing, not care. AccessMeCare™ was built from the ground up for the complexity of vulnerable populations — with AI that navigates real-world constraints, integrations that respect privacy law, and analytics that prove the value of every care dollar spent.
- →HICE dynamically matches individuals to the most appropriate care in real time
- →HL7/FHIR-native integration with major EHR platforms and health information exchanges
- →42 CFR Part 2 compliant behavioral health data handling — built in, not bolted on
- →Role-based access controls and full audit logging for HIPAA and GDPR compliance
- →AccessMeCare Insights™ — real-time dashboards for care teams, administrators, and executives
- →Mobile-first design for CHWs operating in the field, not just behind a desk
HICE Engine
Real-time care matching across eligibility, availability, location, and clinical need
AMC Insights™
Live dashboards for outcomes, utilization, care gaps, and program performance
EHR Integration not Required
HL7/FHIR-native connectivity with major systems available — no custom middleware required
Mobile CHW App
Field-ready tools for screening, task management, and client communication
Compliance Infrastructure
HIPAA, GDPR, 42 CFR Part 2 — with role-based access and full audit trail
Collaboration Assured
Curated, verified community driven collaboration across all organizations
"We didn't build AccessMeCare™ on top of an existing platform. We built it from scratch for the populations that every other platform left behind."
A complete care ecosystem in a single platform.
AccessMeCare™ spans every domain of health and social need — connecting the clinical, behavioral, and community systems that rarely talk to one another.
Behavioral Health & SUD
CCBHC-aligned workflows for mental health, substance use disorder, MOUD/OUD, and co-occurring conditions — with 42 CFR Part 2 compliant data handling throughout.
Justice-Involved Care
Reentry navigation, pre-trial diversion, and post-release coordination across correctional, community health, and social service systems based on SAMSHA SIM model.
Aging Adults
Screening, referral, and closed-loop tracking across 16 social care domains — housing, food, transportation, dementia care, benefits, and more.
Care Transitions
Evidence-based transition protocols for hospital discharge, ED diversion, and post-acute navigation — reducing preventable readmissions and care gaps.
Chronic Disease Management
Longitudinal care planning and community-based monitoring for 20+ chronic health conditions, including diabetes, hypertension, and heart disease.
Population Health & VBC
Real-time analytics, HEDIS measure support, and outcome reporting designed for value-based care contracts and managed care accountability.
Not our first time navigating complexity.
The team behind AccessMeCare™ has spent decades building, operating, and improving complex care coordination systems — before writing a single line of code for this platform.
Clinical Operations
Our leadership team has designed and operated CCBHC programs, MOUD treatment services, and community-based care networks in high-need urban and rural markets.
Health Information Technology
AccessMeCare™ has been deployed across 13 distinct community health environments — each one informing AccessMeCare's™ current capabilities, workflows, and reliability.
Community Engagement
Community-Based Participatory Research principles are embedded in how we design workflows, train CHWs, and engage the populations our partners serve — not applied after the fact.
Regulatory & Compliance
From 42 CFR Part 2 and HIPAA to SAMHSA reporting and rural opioid program accountability for HRSA — our team has navigated these frameworks from both the provider and technology sides.
Value-Based Care
We understand how to build the documentation, reporting, and outcome measurement infrastructure that MCOs, state agencies, and payers need to justify and renew contracts.
Individuals served across deployments
Successful community installations
Community partner organizations in network
Classify AccessMeCare™ as a "must-have" tool
"We've been in the rooms where care coordination breaks down. We built AccessMeCare™ to fix what we kept seeing fail."
Frequently asked questions about AccessMeCare™
What is AccessMeCare™?
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AccessMeCare™ is a care coordination platform built by Heudia Health. It combines digital screening, intelligent matching, and Digital Care Navigators to connect people in need with the right primary care, behavioral health, substance-use treatment, post-discharge follow-up, and social-service resources — and tracks every referral to closure in real time.
How is AccessMeCare™ different from an EHR or a basic referral platform?
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AccessMeCare™ is not an EHR. It sits alongside your existing EHR and community resource directories to coordinate care across organizations. Unlike one-way referral platforms, AccessMeCare™ closes the loop — it tracks whether the patient was reached, scheduled, and seen, and surfaces who needs outreach before they fall through the gaps.
Is AccessMeCare™ HIPAA, 42 CFR Part 2, and GDPR compliant?
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Yes. AccessMeCare™ is designed to securely manage sensitive patient data and is compliant with HIPAA, 42 CFR Part 2 (substance use disorder records), and GDPR. The platform also supports HL7/FHIR interoperability, Direct Trust messaging, and HIE integrations.
What is a Digital Care Navigator?
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A Digital Care Navigator is an automated workflow inside AccessMeCare™ that handles referral routing, scheduling, intake reminders, and post-referral follow-up. It augments human care navigators by handling repetitive coordination tasks so clinical and case management staff can focus on patients who need direct attention.
Does AccessMeCare™ integrate with our existing EHR?
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Yes. AccessMeCare™ supports HL7 and FHIR-based integrations with major EHR systems and HIEs. Implementation includes scoping the integration patterns that fit your environment — bidirectional, read-only, or event-driven.
Who uses AccessMeCare™?
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AccessMeCare™ is used by clinics (including FQHCs and behavioral-health providers), hospitals (including rural and critical-access hospitals), health systems, ACOs and value-based care networks, Medicaid and Medicare Advantage payors, and county, state, and community agencies addressing the opioid crisis, SDOH, and care fragmentation.
How long does implementation take?
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Implementation timelines depend on scope. Single-site SaaS deployments can launch in weeks. Enterprise and community-wide deployments — with custom integrations and multi-organization workflows — typically run a few months. Heudia's implementation team scopes timing during the demo and discovery process.
How does the closed-loop referral process work?
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When a referral is made, AccessMeCare™ tracks the patient through scheduling, intake, attendance, and post-visit follow-up. Each step updates a shared status across the sending and receiving organizations. If the patient hasn't been reached or scheduled within configurable thresholds, the system surfaces them for outreach so they don't fall through the cracks.
Built for every budget & scale.
Whether you're a single clinic launching a new CCBHC program or a health system deploying enterprise-wide care coordination — AccessMeCare™ has a model designed for your situation.
See the trifecta working for you.
Schedule a personalized demo and we'll show you exactly how AccessMeCare™ maps to your organization's population, workflows, and goals — people, process, and technology included.