Federal Services
Federal agency leaders recognize and support citizens’ demands for the highest level of professional expertise and flawless execution in the delivery of federal services. Federal agencies have selected MAXIMUS because of our unparalleled experience, commitment to excellence and demonstrated success in meeting program goals.
We maintain the highest levels of independence with the strongest conflict of interest policy in the industry. Simply put, we have no organizational or financial relationship with any segment of the health industry.
Health Appeals
MAXIMUS is the national leader in providing government health plan enrollees and providers with independent appeals of health insurance denials. Since 1989, the Centers for Medicare and Medicaid Services (CMS) have relied upon us for conflict-free resolution of Medicare appeals. Today we provide 200,000 appeals a year for Medicare Parts A, B (South), C, and D, and also serve the US Office of Personnel Management Federal Employees Health Benefits Plan (FEHBP), the Department of Defense (TRICARE), and over 30 state health insurance regulatory agencies. More...
Quality of Care
We are the government’s partner in quality of care and compliance assessment. Our services include protected medical peer review, evaluation of medical malpractice claims, quality of care standards definition and screening, provider facility review, quality assurance plan review, and health data monitoring. More...
Global Health
MAXIMUS has worked successfully with U.S. and international government agencies to design new programs that bring culturally competent government-assisted programs closer to the public and improve the health of those they serve. Our experience gives us a unique understanding of the issues that global health assistance agencies face. More...
Investigative Services and Compliance Monitoring
The U.S. Department of Justice (DOJ) relies upon MAXIMUS to provide financial investigations and compliance oversight under the Professional Assistance Contracts (PACS-2). For example, working with the US Marshals Service, we monitor federally seized businesses to ensure compliance with court-ordered monitoring requirements. We also conduct a wide range of forensic and investigative services, particularly for the Drug Enforcement Agency. Our diverse team of professionals offers unparalleled understanding of compliance and business monitoring. More...
Contract Vehicles
MAXIMUS holds a number of government contracts pertaining to health care reform efforts. Our project managers are experienced in both delivering and supporting technical service engagements and can help you define your task, prepare budgets and draft necessary documentation. MAXIMUS can draw on experts across the firm to make these services available quickly and with minimum paper work, under time & material, firm fixed price, or cost option contracts. Find out more about the MAXIMUS GSA Schedules and Government Wide Acquisition Contracts. More...
For Medical Professionals
MAXIMUS has a national panel of health care reviewers that engage in health appeals and quality of care operations. We offer a wide range of opportunities for qualified physicians and other professionals. More...
Contact Center Services
MAXIMUS operates multi-channel contact centers for complex federal programs. As the Operations Support Manager for the Social Security Administration’s Ticket to Work contact center we assist disabled beneficiaries find employment. Through one of our established contact centers, we also help unemployed workers appeal denials of COBRA premium assistance established under the American Recovery and Reinvestment Act (ARRA).