ClearPath™
Self-directed care programs work because participants have the freedom to hire, train, and manage their own support workers. But that same flexibility creates real exposure to fraud, waste, and abuse.
ClearPath is PPL’s detection and compliance platform, purpose-built for the self-direction model. ClearPath equips fiscal intermediaries, state agencies, MCOs, and oversight bodies with the systems, analytics, and compliance infrastructure needed to detect and prevent fraud, waste, and abuse (FWA), without compromising the participant experience.
Learn more about ClearPath here!
Identity verification at enrollment
GPS-enabled EVV cross-validations
Automated anomaly and duplicate-claim flagging
OIG and SAM.gov exclusion screening
Audit-ready documentation trails
SOC 2 certified data security
- Configurable FWA risk dashboards
Automated CMS and SUR reporting support
Predictive modeling for systemic risk
Why program integrity demands a specialized solution
Scale of risk – Self-directed programs represent billions in Medicaid spend annually. FWA in consumer-directed settings has grown more sophisticated, exploiting the trusted worker-participant relationship.
Unique Vulnerabilities – Self-direction’s relationship-based model differs fundamentally from provider-agency structures that traditional audit tools were built for — leaving gaps only purpose-built systems can close.
Regulatory pressure – CMS, OIG, and state Medicaid agencies face growing pressure to demonstrate proactive FWA controls, rather than simply responding to incidents after they occur.
Record keeping – we keep accurate and up-to-date records of all payments we make for you, so we can give your plan all the reports they need.