Eligibility and Enrollment

Make services easier to access, ensure program integrity

For some, government benefits are a lifeline in times of crisis. Therefore, accessing vital services should be straightforward and easy. At the same time, programs need to run accurately and free of waste and abuse. We help you do both.

Few organizations help more people access needed services

15+ year

relationships with 14 states

13 states

providing eligibility support (including NY, CA and TX)

7 million

calls per month for government services

Three key advantages with MAXIMUS

Multichannel engagement

We engage with consumers the way they prefer – whether by web, phone, email, text, mobile app or in-person. By providing a consistent, streamlined experience, we achieve high voluntary choice rates that reflect our success in matching people with coverage.

Superior data matching

Our proven experience in electronic matching of state and third-party sources can help you make eligibility determinations with the highest degree of confidence.

Independent, conflict-free solutions

We observe strict protocols to ensure we remain free of conflicts, financial or otherwise, that could undermine public confidence and trust in the integrity of the services we deliver on behalf of government.

Read this white paper to learn more

Leading the way in eligibility and enrollment for programs

Tap into our knowledge to streamline access to your programs, give consumers a single point of access across multiple health and human services programs, or manage provider enrollment. Here are the types of programs we currently support:

  • Medicaid
  • Children's Health Insurance Program (CHIP)
  • State-based Exchanges
  • Medicare
  • Temporary Assistance to Needy Families (TANF)
  • Supplemental Nutrition Assistance Program (SNAP)
  • Child Support and Protective Services
  • Disability Benefits and Services
  • LifeLine

A single point of entry for New York state enrollment

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.

75%+

target audience enrolled in voluntarily-selected managed care plan

Enhanced eligibility verification

To re-verify Medicaid eligibility, Illinois sought our expertise in external data matching. Our solution revealed that 46% of current beneficiaries were ineligible or belonged in a different program. In addition, we reduced eligibility processing time by 25 minutes per case.

$200M

in annual savings in per-person/per-month payments to the Medicaid Managed Care Network