Start free. Add software, one function, the whole back office, or enterprise scale.

Not as a full HR department. We provide Employee Compliance & Performance: HR support for your operational team, including credential and training tracking, onboarding checklists, policy acknowledgments, and performance review systems. Hiring decisions, benefits administration, employee relations, and legal employment matters stay with your agency's leadership.

No. Our model is built around keeping your people. Intrinsic takes on the workload that is stretching them thin, gives them systems and backup, and reduces the need for additional administrative hires as you grow. Your existing staff can spend more time on participants, supervision, and quality.

We are Idaho HCBS operators, not a generic outsourcing firm. Onboarding starts with learning your programs, participants, and workflows, and you work with a named Intrinsic contact who knows your agency.

No. Your agency stays the licensed provider and makes every hiring, care, and spending decision. You approve payments, policies, and submissions; we do the work and keep you informed with regular reporting.

Both, clearly divided. For functions in your package, Intrinsic performs the work and is accountable for doing it accurately and on time. Advisory items, like policy guidance and leadership meetings, are labeled as advice. Your agreement lists which is which for every function.

Billing & claims is quoted after a short analysis with your agency, because claim volume, payer mix, service lines, and denial history vary widely. Payroll also carries a separate fee from our payroll processor, and Affectiv licensing is billed at a steep partner discount rather than included free.

Core Ops fits agencies that need one heavy function or two light functions covered at starter volume. Once your selections need more than 4 scope credits, Full Back Office is usually the better value. Enterprise fits multi-site or multi-program organizations that also need embedded leadership.

Because the work is not equal. Payroll oversight for 20 employees is light; full billing and denial management across several programs, or payee work with daily transactions and monthly reconciliations, is far heavier. Scope credits keep pricing fair: you pay for the workload you actually hand us, and we only commit to volume we can staff well.

Each package is scoped to your agency size at the time of your quote — a set range of monthly claims and active employees written into your agreement. If you grow past that range, we review the scope with you before any price change. We do not bill per claim or per employee inside your agreed range, but payroll processor fees are separate.

QA uses a sampling approach, not a review of every chart. Core Ops includes a quarterly compliance and audit-readiness check. Full Back Office includes a monthly sample review of participant documentation, with findings and corrective steps sent to your team. Complete chart audits are available as a project add-on.

When billing is in scope, we identify, correct, and resubmit denials caused by billing or coding errors, and we track denial trends. Denials caused by missing or insufficient clinical documentation, expired authorizations, or eligibility issues are returned to your agency to fix the source record; we then resubmit. Formal appeals and fair hearings are not included unless quoted separately.

In Full Back Office and Enterprise, yes: transaction categorization, AP entry and scheduling, AR tracking, monthly bank and credit-card reconciliations, and a monthly close with standard financial statements. Your agency approves and releases all payments. Tax preparation, audits, and CPA-level attestation are not included and stay with your CPA.

Full Back Office includes one scheduled leadership meeting per month (up to 2 hours) plus email access between meetings. Enterprise includes one scheduled meeting per week. Additional strategic projects, board presentations, or on-site time are scoped and quoted separately.

Yes. Our systems, tools, and experience make us efficient, so each package is built around a typical monthly service-hour range: Full Back Office is designed for about 50–65 combined team hours per month, and Enterprise for about 75–100. We track time internally and share it in your monthly review. If your agency consistently runs above that range for two months in a row, we will show you where the time is going and agree together on a fix — process changes on your side, a volume-band adjustment, or a scoped add-on. We never bill extra hours without your written approval.

Packages include advice, review, and redlines on existing policies, plus support during incident reviews. Full policy and procedure rewrites are a flat-quoted project add-on. Your agency adopts and owns all final policies.

We respond to routine requests within 2 business days. Time-sensitive items such as payroll issues, survey notices, or claim holds are acknowledged within 1 business day. Enterprise clients receive priority response. Support hours are Monday–Friday, 9am–5pm Mountain Time, excluding holidays. Intrinsic is not an emergency or after-hours line.

Your agency remains the licensed Medicaid provider and keeps final responsibility for participant care, clinical documentation, hiring, and compliance decisions. Intrinsic is responsible for performing the tasks in your agreement accurately and on time. When something goes wrong, we document the cause, fix errors that are ours, and work with your named contact on anything that needs an agency decision.

Yes, both are separate from your monthly fee. Every package begins with a paid onboarding assessment, then a one-time implementation fee for setup and access. Any backlog we find — unbilled or aged claims, unreconciled books, chart deficiencies, missing staff credentials, or open corrective actions — is quoted as a separate cleanup project before monthly service begins.

Because catching up on months of history is different work than running a normal month, and it varies widely between agencies. Bundling it into a flat monthly price would mean either overcharging agencies in good shape or under-serving the ones that need the most help. A separate, up-front quote keeps it fair and transparent for both of us.

If volume or complexity runs well above your agreed scope for more than a month — for example high staff turnover, a new program, or a survey response — we will show you the numbers and agree on a band change or temporary workload adjustment in writing before anything is billed.

Yes. Agencies with roughly 10–20 employees can request a custom Starter plan covering one function at starter volume, priced below Core Ops after a short review. The onboarding assessment and any cleanup still apply.

Core Ops, Full Back Office, and Enterprise run on a 12-month initial term, followed by month-to-month or annual renewal, with 60 days written notice to end. The Free plan and Toolkit Pro have no term. Pricing may adjust at renewal as outlined in your agreement.

The Free plan lets you try our approach: the public LON sandbox, basic Quick Mode readiness assessments for up to 5 saved participants, on-screen projections, the Savings Estimator, and introductory training. The full software suite (unlimited participants, Full Mode, the crosswalk, playbooks, benchmarks, branded PDFs, share links, Financial Modeling, weekly digests, and certificates) is Toolkit Pro, available on its own for $199–$499 per month by agency size, and included with every service package. That reflects years of methodology and the support behind it.

Toolkit Pro turns on automatically for everyone at an agency with an active Intrinsic service package (Starter, Core Ops, Full Back Office, or Enterprise). Agencies that only want the software can request Toolkit Pro on its own, month-to-month, priced by agency size.

Nothing is deleted. You can still open and review everything you have saved. The Free plan simply stops new saves once you reach 5 participants, and Pro features such as Full Mode, PDFs, share links, and digests unlock when you move to Toolkit Pro.