Clinical documentation
Assessments, treatment plans, and progress notes that enforce completeness and link every note to a plan goal.
- DA / FA
- ITP
- Progress notes
- 72-hour SLA
Written against the standards Minnesota audits you on
§256B.0623ARMHS statute
Chapter 245IMental health standards
245DLicensing standards
MN DHS EVVVisit verification
X12 837PProfessional claim
X12 835Remittance advice
MN–ITSState submission
HIPAAPrivacy & security
Who it's for
Everyone in the agency works in the same record.
Know every chart is complete before anyone asks.
Document windows, note SLAs, co-signatures, and supervision tracked per client.
Each role sees its own work on the same record. Sample data.
Every program you run
ARMHS is our deepest module. It's far from the only one.
Most agencies run more than one program and end up with more than one system. Trustora runs all of them on the same spine, each tuned to its own DHS rules, codes, and forms.
Adult Rehabilitative Mental Health Services
Our deepest module. The full ARMHS clinical chain, assessment to billing, built around MN Statute §256B.0623 and Chapter 245I.
- Diagnostic + Functional Assessment (14 domains, LOCUS scoring)
- Individual Treatment Plan with FA-driven goals (180-day tracking)
- Five-section progress notes linked to ITP goals
- 72-hour note SLA + 10-day co-signature enforcement
H2017H0038§256B.0623Ch. 245I
Learn moreFunctional Assessment14 domains
Health & wellness78
Daily living62
Social networks54
ITP goals generated from FAH2017
Assessment → ITP → note → claim, every step audit-checked.
The platform
Six products. One platform.
Clinical documentation, the caregiver visit app, the full claims lifecycle, scheduling and supervision, and DHS audit-readiness. One system across every program you run.
Caregiver EVV app
GPS clock-in and clock-out, visit capture, electronic timesheets, and client signature codes on any phone.
- EVV
- GPS
- Timesheets
- Signatures
Billing & claims
Generate, validate, submit, track, reconcile, and post — the whole claim lifecycle inside the platform, against your own payer connections.
- 837P
- 835 ERA
- MN–ITS
- Denials
Compliance engine
Every staff, client, and agency record scored against program-specific rules on a schedule, and alerted on the moment something drifts.
- Compliance score
- Gap-day alerts
- Document expiry
Scheduling & payroll
Shift creation, conflict detection, caregiver matching, authorization checks, and a direct bridge from the confirmed visit into billing and payroll.
- Conflict detection
- Auth check
- Payroll bridge
Audit binder & documents
Audit binders, appeal packets, and forms rendered as finished PDFs on your letterhead, with a sealed SHA-256 evidence file behind every claim.
- Audit binder
- Appeal packet
- SHA-256
What people tell us
The findings that shaped Trustora.
Before we built Trustora, we interviewed practitioners, licensed professionals, direct-contact staff, program managers, and rehabilitation workers. This is what they said, and what we did about it.
Onboarding
Staff onboarding wasn't standardized or tied to Chapter 245I requirements.
What we built: Credentials and supervision are tracked per staff member, with expiry alerts before an auditor asks.
Heard in Minnesota agency interviews
Intake
Intake had no compliance workflow, so documentation gaps surfaced at audit time.
What we built: The compliance engine scores every client record against program rules and flags gaps before a claim goes out.
Heard in Minnesota agency interviews
Supervision
Agencies took audit findings for missing supervision plans and contemporaneous supervision notes.
What we built: Supervisors see a supervisee's whole caseload and document each session on one screen, tracked against 245I.
Heard in Minnesota agency interviews
Training
Staff got thin training on payer rules and DHS expectations before contracts started.
What we built: Staff training is part of onboarding, and every workflow is built around the DHS rules for the programs you run.
Heard in Minnesota agency interviews
Billing setup
Billing systems couldn't be configured to each agency's service definitions and payer rules.
What we built: Each program runs on its own DHS rules, codes, and forms, against your own payer connections.
Heard in Minnesota agency interviews
How it works
One unbroken line, from clock-in to a paid, sealed claim.
Most agencies stitch this together across a scheduler, a notes tool, a spreadsheet, and a separate biller — and the gaps between them are exactly what DHS audits find. In Trustora it's one line, and every program you run rides the same one.
- 01
Clock-in
Caregiver checks in on the EVV app; GPS and time captured.
- 02
Document
Progress note or visit log, linked to the ITP goal.
- 03
Compliance check
Gap days, service auth, and credentials checked against DHS rules.
- 04
Claim
Clean 837P built and submitted to the clearinghouse.
- 05
Paid
835 remittance auto-reconciled. Denials routed to appeals.
- 06
Sealed
Tamper-evident SHA-256 evidence file, organised to defend each claim.
Zero claims leave your agency until they can stand up to a DHS audit.
Trustora's release gate holds any claim missing a service authorization, a signed note, EVV, or a current credential — so the only claims you submit are the ones you can defend. Document windows (DA 365, FA 365, ITP 180 days) and the 72-hour note SLA are tracked for you.
The product
Built for the back office and the field.
The same record flows from a caregiver's phone to your biller's screen. No double entry, no exports between tools, no gaps for an audit to find.
Good afternoon, James
Sunday, June 28, 2026
⚠7 items need attention
Current status
Not clocked in
Start a visit by selecting a client and service.
Start visit
Quick start
Select client
Choose the client you are visiting
Select service
Choose the service you will provide
DashboardGTSHoursMore
Adult Day Care
Attendance, not EVV. We handle that too.
Day programs do not fit a clock-in model, so Trustora tracks daily participation and transportation and turns a day on the roster into a bundled, billable line.
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Carlos R.✓·✓✓✓4
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Trustora EVV · iOS & Android
Your care day. In your pocket.
Take Trustora with you. The caregiver app brings your visits, electronic visit verification, documentation, and timesheets together, wherever your day takes you.
Sign in with the caregiver account provided by your participating agency.
Your visits, at a glance
View upcoming and completed visits in one place.
Clock in with confidence
Clock in and out with location verification and track your visit time.
Finish the visit in the app
Document services, review hours, and complete your timesheets.
Written against the rules you are audited on
Each workflow is built around the DHS rules for the programs you actually run, not a national template with Minnesota bolted on.
Compliance first
Every feature is built to reduce the risk of audit failures, because nothing else matters if a preventable error costs an agency its contract.
One flat price
Flat-rate pricing that scales with your agency, not against it. No per-seat fees, no percentage of collections.
The Minnesota context · external figures
245+
active ARMHS agencies in Minnesota
120+
Minnesota agencies terminated by DHS in recent enforcement — the outcome Trustora is built to prevent
§256B.0623
the statute the ARMHS module is written around
Agency and termination counts reflect publicly reported Minnesota DHS and news sources and vary by period. Industry context, not Trustora performance data.
Trust & security
Security your agency can stand behind.
Compliance
HIPAA-aligned
Built on HIPAA-eligible AWS services, with a BAA available before any PHI is uploaded.
Encryption
Encrypted end to end
AES-256 at rest, TLS 1.3 in transit, private databases, and OTP required on every login.
Accountability
Append-only audit log
Every action recorded in a SHA-256-chained log with 7-year retention and access alerts.
Ownership
Your data stays yours
Multi-tenant isolation, field-level access control, and bulk export whenever you want it.
Switching
Switching is simple. And included.
Onboarding, data migration, and staff training are part of the flat fee.
Data migration
We migrate your existing client data out of your current system.
Staff training
We train your staff on the platform before go-live.
Program and compliance setup
Your programs, codes, forms, and compliance settings configured to the DHS rules you are audited on.
Support from a real team
Month-to-month, no setup fee, and a real person behind support@trustora.com after you go live.
Typical onboarding takes one to two weeks.
Guides
The Minnesota rules, explained by people who work under them.
Documentation checklists, billing codes, EVV thresholds, licensing steps, and audit preparation for every program you run, checked against DHS sources and Minnesota Statutes.
ARMHS changes in 2027: hour limits, prior authorization, 245I licensure
ARMHS changes in 2027 and 2028 under Laws 2026 ch. 121: 4 hours per week, 18 hours per month, prior authorization above 200 hours, and 245I licensure.
Updated September 13, 2026
The most common 245D licensing citations and how to avoid them
245D licensing citations: the record, training, incident, medication, and rights findings DHS licensors cite, the statute behind each, and how to fix them.
Updated September 11, 2026
CFSS support worker requirements: training, background studies, competency
CFSS support worker requirements in Minnesota under § 256B.85: background study, DHS training and test, enrollment, and 30-day and 90-day competency checks.
Updated September 12, 2026
EVV compliance checklist: how Minnesota agencies reach 80% and stay there
EVV compliance checklist for Minnesota home care agencies: measure your rate, fix the causes of manual visits, set edit policies, and answer a DHS notice.
Updated September 1, 2026
The EIDBI CMDE: who performs it, what it contains, when it is updated
The EIDBI CMDE in Minnesota: § 256B.0949 subd. 5 content, who can perform it, 97151 billing with UB, how it feeds the ITP and authorization, and update timing.
Updated September 13, 2026
How to start a home care agency in Minnesota (2026 rules)
How to start a home care agency in Minnesota under 2026 rules: frozen service lines, the MDH home care license, MHCP enrollment, background studies, and EVV.
Updated September 11, 2026
FAQ
Frequently asked questions
ARMHS, 245D waivered services, PCA/CFSS, EIDBI, and Adult Day Care, all in one system.
Still have a question? Write to support@trustora.com.
Claims & revenue management
Trustora helps you prepare, validate, and transmit the claims you approve to your clearinghouse. Trustora does not process, accept, or settle any patient or insurance payments, and you remain responsible for the accuracy of your claims and for billing compliance.