DecisionPoint for Long-Term Services & Supports

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DecisionPoint for
Long-Term Services & Supports

Innovative approaches for managing the growth
and quality of long-term care programs

Existing long-term services & supports programs are ill-equipped to handle the significant growth projected for the elderly population, which is expected to grow 80 percent by 2030, the increase in persons with disabilities, and the complex management of citizens who are eligible for both Medicaid and Medicare (Dual eligible). As a result of this changing landscape, the current delivery systems for long-term care programs are insufficient and antiquated – many  with a focus on costly and less desirable institutional care.

DecisionPointTM for Long-Term Services & Supports (LTSS) provides advanced methodologies for LTSS programs that combine new technology, enhanced customer service and pioneering workforce strategies to reduce costs and improve outcomes. It provides design, development and operational support for state programs, including pre- and post-enrollment services for beneficiaries. With a focus on shifting care from institutions to home and community-based settings, DecisionPoint for LTSS is designed around a patient-centered model.

DecisionPoint for LTSS delivers these key components:

Pre-Enrollment Services
  • Outreach & Education
  • Single Entry Point / No Wrong Door – Intake and Screening
  • Nursing Home Intake and Transitions
  • Functional Assessments (PASRR Level I & II / Level of Care for Eligibility for Waiver Programs / SSI/SSDI / Occupational Health)
  • Automated Asset Verification / Transfers through DecisionPoint for Program Integrity for Financial Eligibility
  • Unbiased Choice Counseling and Enrollment
Post-Enrollment Services
  • Care Planning
  • Staffing Management & Referral
  • Care Coordination
  • Payment Processing and Fiscal Agent Services
  • Quality Monitoring
  • Fraud Prevention through DecisionPoint for Program Integrity
  • Adult Protective Services

MAXIMUS has been directly involved with helping states administer their Medicaid programs and Aged, Blind and Disabled (ABD) projects for several decades. We have a unique perspective into the health and social aspects of these populations and the challenges that face the state and health care providers as they deliver services to them. For more information, please e-mail us.