Security · Sample dossier

What your auditor reads. Six months before they ask.

This is the shape of the 80/20-readiness dossier HCBS.AI generates for every operator. The data below is illustrative; on July 9, 2028 yours is real, tamper-evident, and signed. Print this page to see the PDF an auditor receives.

Print or save as PDF How the audit trail works

How to use this page

Two clicks gets you the dossier as a PDF.

Open your browser's print dialog (Cmd+P on Mac, Ctrl+P on Windows).
Pick "Save as PDF" as the destination.
Print. The site chrome falls away; only the dossier section below is included.

Want a stamped PDF generated server-side, with your agency name, your real numbers, and the cryptographic seal in the footer? It is one click in the operator dashboard once you sign up. This page is the preview.

Illustrative sample. All agency names, individual names, and dollar figures on this page are fabricated for format demonstration. The real dossier for your agency populates with your data once you sign up.

HCBS.AI

80/20 Rule Readiness Dossier

Prepared for

Example Caregiver Agency LLC

Medicaid Provider ID: UT-HCBS-XXXXX

Reporting period: November 1, 2027 to April 30, 2028

Generated: May 17, 2028 06:00 UTC

Page 2 of 4

Pay-through summary

Direct caregiver compensation as a share of Medicaid payments received, by month and over the full reporting period.

Period Medicaid revenue

$832,745

Direct caregiver compensation

$693,037

Pay-through ratio

83.2%

Federal 80/20 Rule threshold: 80.0%. This agency exceeds the threshold in every month of the reporting period.

Monthly pay-through by reporting month
Reporting month	Medicaid revenue	Direct caregiver pay	Pay-through %
April 2028	$142,350	$119,574	84.0%
March 2028	$138,900	$115,287	83.0%
February 2028	$131,220	$108,907	83.0%
January 2028	$144,100	$121,044	84.0%
December 2027	$139,775	$115,013	82.0%
November 2027	$136,400	$113,212	83.0%

Page 3 of 4

Audit-trail evidence chain

Every figure above traces back to a sealed record on the tamper-evident audit chain. The auditor can verify any line independently using the HCBS.AI public key.

Pay-through ledger

SHA3-256: a82e 4d11 ... 9f73

Sealed: 2028-04-30 23:59 UTC. Records: 1,842. Chain links: intact.
Direct-care compensation log

SHA3-256: b119 7c83 ... 6a02

Sealed at every shift end. Records: 4,917. Chain links: intact.
SOP refresh log

SHA3-256: 5d20 e89c ... 1c41

SOPs regenerated against current state regulations on every regulatory update event. Records: 312. Chain links: intact.
Audit-defense citation index

SHA3-256: 0f7b 92a4 ... 8e55

Every regulatory line in this dossier ties to a state-published source citation. Records: 89. Chain links: intact.

Verification procedure: load any sealed record into a standard post-quantum signature library, fetch the HCBS.AI public key from the pinned URL, and verify. Output is binary: valid or tampered. Full procedure at hcbs.ai/security/audit-trail.

Page 4 of 4

Attestation and signatures

Example Caregiver Agency LLC attests that the figures above accurately reflect Medicaid payments received and direct caregiver compensation paid during the reporting period. The underlying records are sealed on the HCBS.AI tamper-evident audit chain and are available for independent verification on request.

Agency representative

______________________________

Name and title
Date

HCBS.AI cryptographic seal

Ed25519: 9c1f e2a4 b783 ... 4d62
ML-DSA-65: 7b2e 39d7 4c0a ... 1f88
Issued: 2028-05-17 06:00 UTC

Public key at hcbs.ai/.well-known/audit-trail-key

The contract

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

Tell us about your agency. Nine short questions, four minutes. You walk away with your agency snapshot, your income projection, your state-specific regulatory primer, and tomorrow's brief at 6 AM.

See what changes Talk to a human

Direct: hello@hcbs.ai wecare@hcbs.ai