MIDLIFE CAREGIVING

The law caught up with menopause.
Elder care never had that luxury.

Illinois, Louisiana, Oregon, Washington, and New Jersey now mandate menopause coverage. Louisiana bans prior authorization for hormone therapy outright. Nineteen more states have bills pending. Medicaid long-term care eligibility runs on a completely separate patchwork, varying by state and by county, with no comparable wave of new protection coming. Two different sets of rules, moving on two different clocks, and nothing built to track either one in real time.

Inspired by Clara Driscoll's opalescent glass designs at Tiffany Studios.

Inspired by Maria Merian

Natrualist and Illustrator, 1699

PLACEHOLDER

In plain terms

Uplevyl is an API that plugs into the tools your platform already uses.

Feed it a state, an insurance type, and a care-need category, never a patient identity. It returns the coverage mandate, the documentation standard, or the eligibility rule that applies, in under a second.

See exactly how it works

THE BEGINNING

TWO TRACKS, ONE ENGINE

TWO PATCHWORKS, ONE ENGINE

Built for whoever owns the denial, the delay, or the case.

Track A — Menopause telehealth platforms

For the Head of Revenue Cycle or Payer Strategy. Before your team submits a single prior authorization, know whether the patient's state has already banned that exact requirement.

Track B — Caregiving benefit platforms

For whoever leads your Care Coaches. Medicaid eligibility, POA execution, and facility licensing all vary by state and county. Right now your team is researching each one manually, case by case.

Both teams end up doing the same kind of manual work, coordinating with an agency, an insurer, an attorney, and a patient or family who just wants an answer.

THE BEGINNING

TWO PATCHWORKS, ONE ENGINE

Different rules. Same answer, in under a second.

Menopause coverage

5 states mandate coverage today

19+ states have bills pending

Louisiana bans prior auth outright

Coverage differs for private insurance vs. Medicaid, even within the same state

Elder care & caregiving

Medicaid LTC eligibility varies by state and by county

Spend-down thresholds differ across all 50 states

POA execution requirements are state-specific

Facility licensing standards vary by state

Inspired by Maria Merian

Natrualist and Illustrator, 1699

Inspired by Maria Merian

Natrualist and Illustrator, 1699

THE BEGINNING

Nobody stays in the middle.

The same eight calls still happen. They just don't all run through her.

Case facts come in

State, insurance type, care-need category. Never a patient identity, never anything that touches the clinical record.

The coverage mandate or eligibility rule is surfaced

Whichever track applies, an HRT prior-auth ban, a Medicaid spend-down threshold, returned exact to that state, not a generic answer.

The documentation standard is identified

The
documentation standard is identified

What this state actually requires to support the claim or the placement, before the form gets submitted, not after it's denied.

Referral or next step flagged, logged automatically

Routed to the right specialist when it crosses into licensed territory, recorded as it happens, so the patient or family isn't the one holding the thread.

THE BEGINNING

For your compliance and engineering teams, before they ask

Stateless, no PII, no HIPAA exposure

No patient identity required to return a jurisdiction-exact answer

Enacted law and current mandates only, re-verified on the same cycle legislatures change them

Inspired by Maria Merian

Natrualist and Illustrator, 1699

Inspired by Maria Merian

Natrualist and Illustrator, 1699

THE BEGINNING

Is it worth it

What resolving this is actually worth

24%

year-over-year increase in legal and estate-related requests fielded by caregiving Care Coaches — Cariloop

For the Head of Revenue Cycle: the patient who starts hormone therapy instead of abandoning it after a denial her team could have flagged as illegal on day one. A majority of physicians report that prior-authorization friction causes patients to abandon recommended treatment entirely, according to the American Medical Association.

For the caregiving platform: Medicaid and Medicare navigation is already the second most common request Care Coaches field, according to Cariloop's own published data, manual, case by case, exactly the work this engine replaces.

The pattern shows up elsewhere too

Ms. Magazine

five states now mandate menopause coverage, more expected in 2026

News From The States

hormone therapy can cost $500–$1,000 a month without coverage

Women's Rights Data Initiative

Medicaid covers nearly 1 in 5 women aged 50–64

THE BEGINNING

EARLY ACCESS

Fast follow. Being built now, not sold yet.

We're being upfront: this isn't a live pilot the way Wealth and Workplace Rights are. Louisiana and New Jersey's prior-auth bans are real, current law, not a projection. Cariloop's request-volume data is published, not our own guess about the market. What we're not claiming is a finished, sequenced decision engine, that work is starting now.

We're being upfront: this isn't a live pilot the way Wealth and Workplace Rights are. Louisiana and New Jersey's prior-auth bans are real, current law, not a projection. Cariloop's
request-volume data is published, not our own guess about the market. What we're not claiming is a finished, sequenced decision engine, that work is starting now.