HCBS.AI is the AI-first operating system for IDD caregiver agencies in Medicaid Home and Community-Based Services. You answer nine short questions; Lora (the AI companion inside HCBS.AI) generates your agency snapshot, income projection, regulatory primer, and Daily Brief. As you continue, Lora generates SOPs, audit-defense citations, compliance dossiers, training plans, and your per-agency website. The product brand is HCBS.AI; the operating company is Residential Habilitation Experts.

Lora is the AI companion inside HCBS.AI. She delivers the Daily Brief at 6 AM each morning, drafts SOPs when state rules change, generates audit-defense citations when auditors schedule visits, and tracks your network ranking. She speaks in first person because operators experience her as a colleague who handled the rest overnight, not as 'the system.' Every action she takes lands on a tamper-proof audit record.

Caregiver agency operators serving the IDD (intellectual and developmental disabilities) Medicaid waiver population. Three audiences: people starting their first agency, existing operators looking to migrate from Therap or paper, and multi-state operators ready to expand. The questions adapt to which one you are.

Is it really free to start?

Yes. Free through your agency snapshot and Lora's first Daily Brief. The paid tier starts at 750 dollars per month and unlocks the full configuration phase: SOPs, audit-defense, training, per-agency website. No email required until question nine.

What is the operating record behind HCBS.AI?

Seven years. 25 caregiver agencies launched in Utah by Residential Habilitation Experts. 30 million dollars of Medicaid waiver funding reaching the people on the ground. 20 percent net operating income against an industry average of 6 to 8 percent. Zero compliance failures. Less than 2 percent of partner agencies leave each year.

What is the 80/20 Rule and how does HCBS.AI help?

The federal 80/20 Rule requires HCBS agencies to direct at least 80 percent of Medicaid payments to direct caregiver pay. State reporting starts July 9, 2028; full enforcement July 9, 2030. HCBS.AI ships tamper-proof audit-trail infrastructure so your agency is audit-ready years before the deadline.

Which states does HCBS.AI support today?

Utah today, with the deepest operating record. Nevada and Idaho in active expansion. Other states activate as the multi-state regulatory feed extends. Question two tells you whether your state is in scope.

Since 2018 · Residential Habilitation Experts

You take care of the people. We take care of the rest.

Home and Community-Based Services for the IDD Medicaid waiver population, run by people who care. HCBS.AI is the AI-first operating system, distilled from seven years of operating record into a product run by Lora: the AI companion who handles the rest while you stay with the people.

See what changes Get the Daily Brief

0% compliance failure rate, versus 30% industry average
14 mo longer caregiver tenure than industry baseline
20% net operating income, versus 6 to 8% industry baseline

25 agencies launched. 20% NOI. $30M waiver flow. Seven years.

Four ways in

Choose the doorway that fits.

HCBS.AI adapts to who you are. Aspiring operator. Existing agency. Family searching for care. State office evaluating providers. Same product, four entry points.

Become a provider

Start a caregiver agency.

On a path that's already worked twenty-five times. Half from outside HCBS entirely.

Open the launcher

Migrate your agency

Move from Therap. Or paper.

Five business days. Your data comes with you. Tomorrow's brief arrives at 6 AM.

Migrate it for me

Find care

Find an agency that earned its place.

Every agency in our network was launched and proven by RHE.

Search by state

Strategic Brief

A 25-agency operating record, formatted for your office.

State Medicaid offices, federal program officers, RHTP evaluators.

Request a sample

The path

Four minutes from now, a different agency.

No demo to schedule. No salesperson to call. No credit card to enter. You answer the same questions the operator-in-the-mirror is asking you.

Four minutes.

Tell us about your agency.

Nine short questions. State, services, scale, current stack, top pain. No email until question nine. Watch Lora understand your agency in real time.
One minute.

See your gap.

Lora puts together your agency snapshot, your income projection against the 20% network median, and your gap analysis with specific dollar amounts. Backed by citations. Saved to your audit-ready record.
Six AM tomorrow.

Get tomorrow's brief.

Lora delivers a personalized regulatory brief in your inbox. State-specific updates, today's three priorities, one peer story, one question worth asking. Ninety seconds on your phone over coffee.

See what changes

Step one starts the moment you click. We mean it about no email until step nine.

Read the full story of what Lora absorbs →

Your AI companion

Meet Lora, your HCBS companion.

She's already awake. Lora is the AI colleague inside HCBS.AI who walks every HCBS operator through the work that is not direct care: compliance, regulatory updates, audit defense, training, the morning brief. She speaks in first person because that is how operators experience her: not as the system, but as the partner who handled the rest overnight while you slept.

By the time your coffee finishes brewing, Lora has

Ingested overnight regulatory updates for your state
Refreshed your audit-defense citations from the state rulebook
Updated any SOPs affected by rule changes
Locked every operational event from the prior day to your audit trail
Drafted your morning brief, tuned to your service mix and stage

Then at 6:00 AM, she delivers it. Read it on your phone over coffee. Your day is already lighter.

The humans behind Lora

Lora has backup. So do you.

Lora is the AI. Residential Habilitation Experts is the seven-year human team that launched 25 caregiver agencies, wrote the playbook Lora runs on, and answers the phone when the AI is not enough.

When Lora taps a human, RHE shows up

When an auditor wants to talk to a person. Citations and dossiers are powerful. So is the right human in the room. RHE has sat through more state audits than any counterpart you will ever meet.
When a regulator has an edge-case question. Lora knows the rulebook. RHE knows the regulators. Both matter.
When you are hiring or firing key staff. Personnel decisions in a regulated, person-centered field are not template work. The RHE team picks up the phone.
When you are entering a new state. Multi-state expansion takes regulatory translation. The team has decades of multi-state HCBS regulatory experience doing exactly that.
When your week has been hard. Lora keeps the operation running. RHE keeps the operator running. Different jobs. Both load-bearing.
When you just need to think out loud. Seven years, 25 agencies, $30M of waiver flow. Most operators have walked your specific question before. RHE has seen it.

The contract is simple. Lora handles the rest overnight. When the rest needs a human, the team has been doing this since 2018.

Talk to a human

Lora's morning rhythm

Six AM, your inbox.

Every morning, Lora delivers an editorial brief tuned to your state, your service mix, and your operational stage. Regulatory updates absorbed overnight. Today's three priorities. One question worth asking. One peer story from the network.

Ninety seconds on your phone over coffee, and your day is lighter.

See tomorrow's brief

Lora's AM Brief

Friday, May 17 · 6:00 AM

Overnight, Lora did this for you

Ingested 3 Utah DSPD regulatory updates
Refreshed your audit-defense citations
Updated your personal-care SOP

Today's three priorities

DSPD response due Thursday. The state needs your Section 4.b confirmation.
New SOP ready for review. Personal-care SOP updated for the 5/15 rule change.
Origin module: Audit Prep. Continue your training plan.

One question worth asking

Your respite hours track 18% lower than last month. Worth a look?

Peer story

An agency in your network just launched their respite service. Lora drafted the SOP overnight; they approved it in 22 minutes.

Voices from the network

The operators who built this with us.

Twenty-five agencies. Seven years. The voices below are agency operators from the RHE network. We did not script these. They wrote them on the open RHE reviews page.

I've been very happy working with RHE. They assist me with growing my company, compliance, payroll, and billing.

Chad , Agency owner

RHE is so knowledgeable in the disability care space. Any question I have I know I can turn to them.

Russell , Agency operator

I've been super happy with RHE. They always seem to be thinking a step ahead and keep me in line.

Jeremy , Agency operator

The best overall completed package a disability care agency could ask for. RHE has provided me systems.

Caroline , Agency owner

The 80/20 Rule

Your first state submission is the dossier you start today.

The federal 80/20 Rule requires HCBS agencies to direct at least 80 percent of Medicaid payments to direct caregiver compensation. State reporting begins July 9, 2028. Full enforcement lands July 9, 2030.

Your agency's first state-reporting submission is due July 9, 2028. The agencies that show up that day with two years of tamper-proof audit-trail, pay-through documentation, and continuous compliance posture become the operators the consolidation strengthens. The dossier you start building today is the one your auditor reads then.

Today You start preparing. Your tamper-proof audit trail begins today.

July 9, 2028 State reporting begins. You arrive with two years of audit-trail dossier in hand.

July 9, 2030 Full enforcement. You're already operating on the new standard. Calmly.

See what changes How the audit trail works

Common questions

The five questions every operator asks.

Is it really free to start? What's the catch?

No catch. You answer nine short questions, see your agency snapshot, and get Lora's first Daily Brief. You enter your email at question nine, not earlier. The paid tier (750 dollars a month) unlocks the full Origin tier training, SOPs, audit-defense, and your per-agency website. We do not require a card to start.
How is this different from Therap or BlueStep?

Therap and BlueStep are documentation tools built before AI was practical. HCBS.AI is an AI-first operating system. Lora drafts your SOPs when state rules change. She generates audit-defense citations on demand. She delivers a personalized brief at 6 AM. The documentation Therap produces still has to be written by humans. The documentation Lora produces is already written when you wake up.
What if Lora gets something wrong?

Every artifact Lora generates lands on a tamper-proof record and is reviewable before it goes anywhere external. You approve everything that leaves the platform. When the AI is not enough, the Residential Habilitation Experts team picks up the phone. Lora is the AI; RHE is the seven-year human team behind her.
I'm in [state X]. Do you support my state?

Utah today, with the deepest operating record. Nevada and Idaho in active expansion. Other states activate as we extend the regulatory feed. Question two of the nine tells you whether your state is in scope, and if not, you can subscribe to a state-only Daily Brief while we get there.
Will my data be safe? What about HIPAA?

HIPAA-aligned by design, not retrofitted. PHI is encrypted at rest and in transit, logged on a tamper-proof audit trail on every read, and segregated from marketing systems. We never train AI models on your operational data. You can export everything in CSV, JSON, or PDF any time. Full security posture at hcbs.ai/security.

Not seeing your question? Send a note to hello@hcbs.ai . A real person writes back.

The contract