Levels of Care & Treatment Modalities

Home and Community Based Services (HCBS)

In the 1999 Supreme Court decision Olmstead v. L.C., the Supreme Court upheld that under the Americans with Disabilities Act people with disabilities have a qualified right to receive state funded supports and services in the community rather than in institutions. 

HCBS providers understand the importance of managing freedom of choice, enrollment documentation, completing comprehensive care plans with a budget, tracking progress, authorization for services, and staying in compliance with regulatory mandates. TenEleven shares this understanding and believes that for each episode of care that you should have a care plan, authorizations, a budget, and service delivery notes at your fingertips.

As an HCBS approved vendor by the New York State Behavioral Health IT project, we are hosting an online demonstration for HCBS providers looking for a new electronic solution.

HCBS Functionality

Our easy to use chart structure will facilitate all stages of your community based service delivery documentation.

  • Enrollment/Assessment
  • Care plans and service delivery notes
  • Automated service plan budget
    • Complex payment rules are set up ahead of time to allow for quick, automatic, client-centric service plan budgets 
  • Scheduling of service delivery
  • Utilization Management tracking service delivery units according to the plan of care
  • Disenrollment
  • Tablet solutions for mobile service providers

Throughout your service delivery process, you can easily view your service recipients’ missed visits, all service delivery notes, and all services provided to help guide your care plan.

Golden Thread

TenEleven believes in the Golden Thread concept, where basic service recipient information is entered once and populates all forms, notes, and plans throughout the episode of care. You can use eCR’s extensive form library, or develop your own forms to create that golden thread that ties your service recipients’ information together from the moment they first walk in until their last appointment.


With eCR™ the creation of a progress note generates the creation of a billable charge based on CMS billing rules applicable to your specific HCBS waiver program.

Reporting & Dashboards

eCR™ has the reports and dashboard views HCBS programs need to ensure your agency is always compliant and producing successful outcomes. 

  • Compliance to Business Rules Report helps keep track of regulatory requirements around assessments, care plans, and care plan reviews
  • Appointment to Progress Note Reconciliation Report ensures you are maximizing your revenue cycle by tying billable appointments to progress notes and reporting on any gaps
  • Outcomes Measurement Reports show the progress of your clients according to the assessments you use (i.e. CANS MH Assessments)

eCR™ maintains over 200 active reports, and continues to build new reports to meet the changing needs of our customers.

See eCR™ Manage Your Agency's Service Types

Your demonstration will be tailored to show how eCR™ will specifically address the needs of your programs and service types