Eligibility and Enrollment

Eligibility and Enrollment solutions made simple

Accessing vital government services should be straightforward and easy. Programs should be accurate, easy to use, and optimized for efficiency. We can help you do it all.

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Navigating PHE unwinding and beyond

State agencies are contending with a backlog of eligibility redeterminations with less staff. Maximus can guide you through unwinding the public health emergency (PHE).

Get your state to a new normal. Learn more

Your trusted partner, helping more people access the services they need

15+ year

relationships with 14 states

13 states

providing eligibility support

55+ million

Medicaid & CHIP participants

Improving program outcomes and streamlining service delivery

Integrated modern digital experience

Maximus works with government to provide an end-to-end eligibility and enrollment platform designed to integrate with existing back-office systems and contact center operations.

Enhanced eligibility verification

Our systems enable modernized workflow processes, accurate and timely enrollment, and faster delivery of benefits with reduced paperwork.

Easy to use enrollment platform

We provide consumers with modern, easy-to-use enrollment self-service portals across mobile and web to deliver a self-service approach.

Omnichannel engagement

We engage with consumers where they are - whether by web, phone, email, text, mobile app, or live agent, providing a consistent and streamlined experience.

Reducing the complexity of enrollment and beneficiary options

Implementing a large-scale eligibility solution

Streamlining access to your programs gives consumers a single point of entry across multiple providers. We are the leader in providing efficient eligibility support services through technology and customer service support.

Learn more about our solutions

Embracing mobile enrollment

Leveraging digital technologies to communicate healthcare information to beneficiaries. Our mobile applications provide ease of enrollment on the go.

Learn more about mobile services

Unified customer experience in New York

From webchat to streamlined renewals, our enrollment center keeps raising the bar on service for 3.3 million Medicaid beneficiaries and other health insurance program users.

Streamlining eligibility determination

Accelerating digital transformation and modernizing IT systems to assist CMS Marketplace consumers in reaching appropriate eligibility determination status both successfully and efficiently.

Learn about improving health outcomes

Total customer experience

Maximus is transforming conventional contact centers. By utilizing an omnichannel experience from self-service mobile apps to high-touch web chat – we provide beneficiaries with easier access to information and services for a more seamless experience.

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