# Clever Care Health Plan

**Canonical:** https://apis.io/providers/clevercarehealthplan/  
**Website:** https://clevercarehealthplan.com  
**APIs profiled:** 1

Clever Care Health Plan is a California Medicare Advantage (HMO and HMO C-SNP) insurer that blends Eastern and Western medicine for seniors. For developers it publishes an HL7 FHIR R4 (4.0.1) API implementing the CMS Interoperability and Patient Access final rule (CMS-9115-F): a secured Patient Access API (Patient, Coverage, and CARIN Blue Button ExplanationOfBenefit) protected with SMART-on-FHIR OAuth 2.0 / OpenID Connect, plus public, rate-limited Provider Directory and Drug Formulary APIs. The FHIR server runs on WSO2 Open Healthcare with a developer portal for app registration and API subscription.

## Kin Score — 40.4 / 100 (developing)

Scored 2026-08-30 under rubric 0.17.2. Trend: flat (-0.6 from 41.0).

| Facet | Score |
|---|---|
| Discoverability | 75.9 |
| Contract Quality | 49.4 |
| Governance | 18.2 |
| Contract Governance | 18.2 |
| Operational Transparency | 0.0 |
| Developer Ergonomics | 39.9 |
| Commercial Clarity | 13.2 |
| Access Clarity | 13.2 |

Regulatory layer — **Health**: 70.0 (matched via tags).

## Agent readiness — 30.2 (agent-ready)

| Dimension | Value |
|---|---|
| Spec Presence | yes |
| Agentic Access | derived |
| Reversibility Documented | na |
| MCP Server | no |
| Auth Clarity | negotiable |
| Idempotency | na |
| Error Semantics | documented |
| OpenAPI Examples | no |
| Rate Limit Signal | no |
| Event Surface Described | no |
| Agent Skills | derived |
| Well Known Catalog | no |
| Consent Identity | no |
| Agent Card | no |
| Dry Run Mode | na |
| Delegated Identity | documented |
| Protected Resource Metadata | no |
| Dynamic Client Registration | no |
| Agentic Commerce | no |

## Access

Self-serve signup — onboarding: self-serve, pricing: unknown, trial: no (confidence: medium).

## APIs (3)

- **Clever Care Health Plan Drug Formulary API** — Public (rate limited) drug formulary resources
- **Clever Care Health Plan Patient Access API** — Secured (OpenID Connect / OAuth 2.0) member data resources
- **Clever Care Health Plan Provider Directory API** — Public (rate limited) provider directory resources

## MCP servers (1)

- **Clever Care Health Plan MCP Server**

## Agentic access (1)

- **Clevercarehealthplan Agentic Access** — 27 operations

## Security (2)

- **Clevercarehealthplan Authentication** — oauth2 · 1 scheme
- **Clevercarehealthplan Domain Security** — TLSv1.3 · HSTS · DMARC

## Tags

Company, Healthcare, Health Insurance, Medicare Advantage, FHIR, Interoperability, Patient Access, Provider Directory, Drug Formulary

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Profiled by [API Evangelist](https://apievangelist.com) and published on [APIs.io](https://apis.io/providers/clevercarehealthplan/). Scores are computed from the provider's own public artifacts under a published rubric.