ARFA
CCM Operations Engine
Audit-ready chronic care management, end to end ·
ARFA CCM Operations Engine · full e2e pipeline on synthetic data · FHIR read (free) + DocumentReference/Task write (contracted) + Maya voice + Tool Policy Gateway + deterministic billing gate. Rails from CMS MLN 909188 / Noridian MAC, OIG A-07-19-05122, DOJ Bluestone. Operational lens only: never a clinical decision, never auto-submitted, AI runtime never counts toward billable time. Not a finished eCW integration; production read/write gated behind BAAs + a paid eCW contract.