Every APL, memo, and final rule. Read, broken down, and routed to the right team.
Clearpol Insights Pro monitors CMS, DHCS, DMHC, and HPMS, turns each new regulation into a requirement-by-requirement action plan, and lets your team ask questions in plain English. Stop tracking dozens of agency pages by hand and stop pasting hundred-page final rules into general chatbots that quietly miss things.
Trusted with regulated health plan data
The rules never stop coming, and reading them is still a manual job.
A California health plan answers to CMS, DHCS, and DMHC at once. All Plan Letters, HPMS memos, and final rules arrive on their own schedules, and each one has to be read, interpreted, and turned into work for the right departments. The volume is the problem, and so is the length.
Manual tracking across agencies
Teams spend hours each week checking agency pages for new APLs and memos, and a missed update can mean a missed deliverable or a finding.
Final rules are too long to trust to a chatbot
A single final rule can run hundreds of pages. Paste it into a general AI tool and it silently drops sections, so you never know what it missed.
Mapping requirements to owners takes days
Turning a rule into who-does-what across business units is slow, and the analysis lives in a spreadsheet that nobody can search later.
From a new regulation to assigned work, in four steps.
The same workflow runs whether the source is a one-page APL or a several-hundred-page CMS final rule.
Continuous monitoring
Clearpol watches CMS, DHCS, DMHC, and HPMS and pulls in every new APL, memo, and rule as it publishes, into one inventory.
Smart filtering
Guidance that does not apply to your state or lines of business is filtered out, so the team only sees what affects the plan.
Requirement-level analysis
Each document is broken into individual requirements, with impact, owning business unit, and the action each one calls for.
Routed delivery and alerts
Requirements reach the right teams with summaries and change tracking, and anyone can ask the chat about them later.
One searchable inventory for every source that governs your plan.
DHCS All Plan Letters, DMHC All Plan Letters, HPMS memos, CMS final rules, the CFR, and provider manuals all live in a single library. Full-text search spans every document, so the answer to "what does our guidance say about this" is one query away instead of a scavenger hunt across agency websites.
- Organized by source: DHCS APLs, DMHC APLs, HPMS memos, final rules, CFR, and provider manuals
- Full-text search across the entire inventory, with revision dates tracked per document
- Every entry links straight to its requirement breakdown and its source text
| Document | Source | Requirements |
|---|---|---|
| APL 25-012 Continuity of Care | DHCS APL | 18 |
| CMS-0057-F Prior Auth & Interoperability | Final Rule | 73 |
| HPMS Memo Network Adequacy | HPMS Memo | 9 |
| APL 25-009 Grievance & Appeals | DHCS APL | 24 |
| DMHC APL Behavioral Health Access | DMHC APL | 15 |
Req 4.2: Honor existing provider relationships for up to 12 months for new members in active treatment.
DeliverablePlan must process continuity-of-care requests within required timeframes and document determinations for each member.
Req 7.1: Update member-facing materials to describe continuity-of-care rights.
ImplementationRevise the Member Handbook and notices; submit updated language for regulatory review before distribution.
Req 9.4: Maintain reporting on continuity-of-care request volumes and outcomes.
InformationalNo new deliverable; confirm existing reporting captures the required fields for audit readiness.
Every regulation, broken down to the requirement and mapped to an owner.
The DRA is where a dense document becomes a work plan. Clearpol splits each regulation into its individual requirements and, for each one, lays out the regulatory summary, the impact, the impacted stakeholders, the owning business unit and its SMEs, the roles and responsibilities, and whether the requirement is a deliverable, an implementation task, or informational.
What used to take days in a spreadsheet is produced for you, with every line traceable back to its source text and exportable for your committees.
Ask in plain English. Get answers with the citation attached.
Anyone on the team can ask a question and get an answer drawn from your own inventory, with the source document and section cited so it can be verified. The chat is grounded in the library, so when an APL or memo updates, the answers do too. No more digging through PDFs to settle a question during implementation.
- Answers cite the exact document and section they came from
- Grounded in your inventory, not the open internet, so it stays on-policy
- Share conversations across the team and keep a history of what was asked
Under APL 25-012, the plan must complete a continuity-of-care determination within the required timeframe after a complete request, and allow eligible members to continue with an out-of-network provider for up to 12 months while in active treatment.
Determinations and member notifications must be documented for each request.
See what changed, find anything, and make sure the right people know.
A live dashboard shows incoming guidance by source and by the kind of action it requires. Search reaches every document, and alert subscriptions push the right updates to the right departments.
By source
- DHCS All Plan Letters42
- DMHC All Plan Letters17
- HPMS Memos28
- CMS Final Rules6
By action required
- Deliverable31
- Implementation46
- Informational88
- Not Applicable12
Recent alerts
- New DHCS APL routed to Utilization Mgmt
- Revision to network adequacy memo, change summary ready
- 3 new requirements assigned to Member Services
Hundred-page final rules, analyzed in full.
General chatbots have a hard limit on how much text they can hold, so a long CMS final rule gets truncated and sections silently disappear. Clearpol takes a different approach: it splits the document into pieces, analyzes each one, then reconciles the results back into a single requirement set. Rules around the size of CMS-0057-F on prior authorization and interoperability are handled end to end, not skimmed.
You still apply your own judgment and your plan-specific lens. Clearpol just makes sure the starting point is complete.
Roughly a thousand-plus pages analyzed without dropping content, far beyond what a single chatbot prompt can hold.
Designed around how health plan compliance teams actually work.
Requirement breakdown
Every regulation split into specific requirements with business-unit-level impact.
Change intelligence
Side-by-side revision comparisons and summaries show exactly what is new.
Custom alerts and workflows
The right teams are notified about the guidance that affects their departments.
Searchable knowledge base
Find any regulation or requirement instantly with search and grounded chat.
Security and compliance you can trust
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HIPAA compliant
Our systems are fully compliant with HIPAA, so any protected information stays secure.
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SOC 2 Type II and SOC 3
We maintain SOC 2 Type II and SOC 3 controls for security, availability, and confidentiality.
Book a demo or send us a note
See your own APLs and final rules broken down.
Bring a recent regulation and we will walk your team through the library, the requirement breakdown, and the chat in a 30-minute demo.
Book a demo