Empowering states with the data, processes and technology needed to deliver on the promise of Medicaid expansion

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The implementation of the Affordable Care Act (ACA) paved the way for millions of Americans to access health insurance, many for the first time. The ACA, along with the expansion of some state Medicaid programs, created a surge of newly eligible consumers looking to their state’s health insurance programs for coverage. With more citizens to serve, new eligibility requirements for consumers and providers, and mountains of data to manage within legacy systems, state health leaders face a daunting challenge.

DecisionPoint® by MAXIMUS is a set of solutions designed to help states manage their growing public health insurance programs, including Medicaid, CHIP and state-based marketplaces. DecisionPoint combines more than 40 years of experience helping administer state health insurance programs with proven technology to design, develop and manage processes. This ensures rapid and accurate eligibility and enrollment decisions for your program beneficiaries and providers.

With solutions focused on each stage of the continuum and a reputation for delivering high-quality consumer experiences, DecisionPoint by MAXIMUS will help you manage the influx of consumers into your program while creating new efficiencies to position it for the future.

DecisionPoint delivers solutions for:

Long-Term Services & Supports

Pharmacy Benefits Management

Provider Services

Premium Assistance

Business Intelligence