Free Network Build Assessment
Take it freeState-specific Medicaid adequacy rules, built in
Illustrative scenario based on a common network-build situation — not an actual customer. Blueprint is a new product.
Executive Summary
Consider a Medicaid plan that has struggled to clear Texas adequacy review with tools that don't understand state-specific rules, and whose provider data is scattered across three systems. Blueprint's Medicaid-specific adequacy engine applies Texas HHSC requirements out of the box, consolidates provider data in a single import, and surfaces specialty gaps in rural counties with enough runway to fill them.
The Challenge
Generic tools lack Medicaid-specific adequacy rule logic for Texas HHSC requirements, making submissions hard to clear.
Provider data scattered across three separate systems with no unified view creates reconciliation delays at every scoring cycle.
State-specific adequacy rules poorly understood internally lead to repeated surprises late in the submission timeline.
The Solution
Blueprint's Medicaid-specific adequacy engine applies Texas HHSC rules out of the box — no rule configuration required by the team.
All three provider data sources unify in a single import, giving the team one accurate, real-time view of their network within days.
Real-time scoring shows exactly which specialties are missing in which rural counties, turning guesswork into a prioritized action list.
Key Results
Built in
Texas HHSC adequacy rules
1 import
Consolidates scattered systems
Days
To one real-time network view
“A Medicaid build in Texas has rules many tools never learned. Blueprint models them out of the box — so the team isn't reverse-engineering requirements late in the timeline.”
Build Timeline
Consolidate 3 data sources — providers imported into Blueprint
Texas Medicaid adequacy rules applied; first full scoring run completed
Specialty gaps identified in rural counties across service areas
Targeted outreach launched to FQHCs for rural primary care coverage
Full adequacy reached; submit to HHSC ahead of the review window
Ready to see results?
Schedule a 30-minute demo and we'll walk through Blueprint on a real network build for your state and LOB.