For long-term care operators

The AI-native Medicaid platform for long-term care

Celestial gets your residents' Medicaid applications approved faster, so your facility stops floating months of unpaid care and stops writing off cases that should have been covered.

The problem

Low margins make every Medicaid case high-stakes

Problem 1

Facilities float the cost of care for months

Medicaid applications drag on while the resident is already in a bed, so the facility covers staff and care with no payment coming in.

6+ months

for most MassHealth long-term care applications, start to decision

Problem 2

Some of that money never comes back

When an application is denied or a family stops responding, the unpaid months are written off as bad debt.

1.4% of revenue

lost to bad debt: two-thirds of a typical 2.1% margin

Sources: MassHealth report to the Legislature (Aug 2026); Gross Mendelsohn Maryland SNF benchmark (2022 data); MedPAC (2024 data).

The platform

One platform handles every step, automatically

AI agents run collections and filings with minimal human review, so your business office isn't chasing families and paperwork on top of everything else.

Bank screening

Obtains and screens resident finances for disqualifying transactions before they derail an application.

Medicaid filings & appeals

Prepares applications and automatically handles the appeal process when a case is denied.

Live case visibility

A dashboard for tracking every resident's application status across your buildings.

How we work with you

Start free. Pay only when Medicaid approves.

  1. 1

    Free case review

    We review your open pending cases and show you where money is stuck.

  2. 2

    Pilot in one building

    A no-cost pilot on one or two cases, then a flat fee only when Medicaid approves.

  3. 3

    Roll out across your operator

    The same workflow across every building you run.

Built for multi-building nursing home operators, starting in Massachusetts and expanding nationally.

Contact

See where your Medicaid revenue is stuck

Tell us a little about your facilities and we'll set up a free review of your pending cases.

Prefer email? hello@getcelestial.health