Systems and methods are described which permit the state, the individual, the individual's case manager, and the individual's circle of support to have real time access to utilization data to monitor services and progress toward outcomes as part of a plan for achieving the individual's goals and maintain the individual's health and wellbeing, as well as to forecast future needs. Systems and methods for sharing billing information across at least two organizations in an integrated manner are also described. A physical node may receive a request for authorization for a user in an organization to access an individual's information in another organization. The request may be logged. The physical node may determine whether the user is authorized to access the individual's information and, if it is, provide appropriate access.