Build your Medicare Advantage network. Know your adequacy score every week.
Blueprint CRM and Analytics are configured for CMS MA adequacy standards out of the box — time-distance thresholds, HSD specialty categories, and county-level gap tracking for every service area.
The Challenge
Why Medicare Advantage builds are different
CMS time-distance rules change yearly
Thresholds shift with each benefit year, making manual tracking error-prone and time-consuming.
22 specialty types, gaps hide in the details
MA adequacy requires all 22 HSD specialty categories — a single gap in a single county can fail submission.
HPMS submission requires precise HSD documentation
Teams scramble to produce HSD-formatted tables at deadline when no system auto-generates them.
The Solution
How Blueprint handles Medicare Advantage
Pre-loaded CMS MA rules
All 22 HSD specialties, time-distance thresholds by county class, auto-updated for each benefit year.
Real-time HSD output
Blueprint generates submission-ready HSD tables and exception documentation — no scramble at deadline.
Weekly adequacy snapshots
See your score trend across the entire 16-week build without running reports manually.
Purpose-built
Features built for Medicare Advantage
- NPI-validated provider import
- HSD specialty auto-classification
- County urban/suburban/rural classification
- Time-distance calculation engine
- Annual benefit year rule update
Live adequacy score
Updated in real time as providers are added
Regulatory context
CMS MA Adequacy Standards — pre-loaded in Blueprint
CMS MA adequacy standards require plans to meet time-and-distance thresholds across 22 specialty categories for each county. Urban counties have tighter thresholds than suburban or rural. Blueprint pre-loads all HSD Reference File thresholds for the current benefit year and automatically scores your network against them as you add providers.
See how Blueprint handles your LOBIllustrative scenario
“Instead of finding out at submission whether you'll pass, Blueprint gives a real-time view of the adequacy gap — so you know who to recruit before the window closes, not after.”
Illustrative scenario based on a common network-build situation — not an actual customer. Blueprint is a new product.
FAQ
Common questions
Ready to build?
See Blueprint on your Medicare Advantage build.
Schedule a 30-minute demo and we'll walk through Blueprint on a real network build for your state and line of business.