Health care reform opens the door to health care coverage for tens of millions of Americans, with Medicaid and CHIP serving as the foundation for expansion. States need an application and eligibility determination process for their subsidized programs that coordinates and assesses an individual’s or family’s eligibility, is easy for consumers to understand, and satisfies program requirements.
A standardized, modernized and simplified application and renewal process for eligibility increases consumers’ abilities to accurately complete the application. We help states improve choice rates and health outcomes by offering consumers a simple, straightforward application process. Our Eligibility and Enrollment Modernization solution:
A simplified eligibility and enrollment model promotes operational efficiencies, allowing states to achieve simplicity and cost efficiency without compromising program integrity. We can help states create a model that features:
As the leading enrollment contractor for government health insurance programs, MAXIMUS offers flexible, proven eligibility systems and solutions that are easily customized to a state’s rules and program design. Together we can help you create an accurate and efficient enrollment process to meet the needs of all subsidized consumers.