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Health Services

We combine clinical expertise, eligibility solutions, and health technology modernization to connect people to programs, information, and care.

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Connect with our experts in clinical care, eligibility, and health IT to improve outcomes.

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Modernizing health services at scale

Governments serve diverse populations with complex health needs. To improve outcomes, we combine clinical and program expertise with advanced technology to deliver more effective, efficient health services.

Interconnected solutions for better health outcomes

Clinical Services

Delivering independent evaluations that help agencies make faster, accurate decisions to better serve people with complex needs.

Eligibility and Enrollment

Enabling accurate and streamlined eligibility determination, enrollment, and access to benefits and services.

Health Technology Modernization

Transforming systems to enable health agencies to be more agile, data-driven, intelligent, and secure.

Across the health landscape

Federal Health Services

We partner with federal agencies to modernize large health programs, improve service delivery, and ensure compliance across complex health systems.

State Medicaid Programs

We connect people to coverage and care through eligibility and enrollment solutions, outreach and engagement, clinical services, and provider support.

Independent Dispute Resolution

Maximus is a certified IDR entity under the Federal No Surprises Act, delivering fast, accurate, and impartial dispute resolution between out-of-network providers and health plans.

State-based Marketplaces

Many states are considering running their own health insurance marketplace. As a leading provider of eligibility and enrollment services, we can help states make a successful transition.

Proud to serve America's Veterans

We deliver critical health services to millions of Veterans and transitioning service members through high-quality, timely, and accurate medical disability exams by trained professionals.

About Veterans Evaluation Services

Veterans Evaluation Services® (VES), a Maximus company, supports the U.S. Department of Veterans Affairs (VA) in its mission to provide Veterans and transitioning service members with the benefits they’ve earned through their service to our country.

Case study: Bringing mobile health solutions to Veterans nationwide

Through VES, Maximus is helping to reach more Veterans than ever with its state-of-the-art, accessible Mobile Medical Clinics. VES meets Veterans where they are – even in remote and rural locations – to provide timely medical disability examinations on behalf of the U.S. Department of Veterans Affairs (VA). 

Explore VES.com

Learn more about how our services provided by VES deliver personalized, technology-enable effective, connected, and streamlined services.  

Featured case studies

Streamlining independent medical review process for CMS

Maximus streamlined CMS’s Independent Medical Review program using digital workflows and automation, achieving 100% audit accuracy and top quality and timeliness scores.

Using AI to deliver better customer experience in Michigan

By deploying AI-powered conversation intelligence at Michigan's Medicaid enrollment contact center, Maximus improved agent quality scores by 12.5% in three months and lifted caller satisfaction to 93%.

Strengthening Ohio's provider networks with centralized credentialing

Ohio’s Medicaid program needed a centralized, automated credentialing system to reduce administrative burdens, improve data accuracy, and increase provider enrollment. Discover our solution.

Featured perspectives

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How mobile apps streamline program enrollments

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How objective assessments advance family-centered placements

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Personalized federal health systems: A scalable approach

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Federal health agencies are redefining IT success beyond systems and services

FAQs about government health services

Modernized health IT platforms enable secure, data-driven decision-making, streamline workflows, and enhance provider and member experiences. These systems support more agile, scalable service delivery across complex health programs.

Modernization accelerates enrollment, strengthens program accuracy, and improves access to care. Agencies benefit from streamlined operations, better data visibility, and improved experiences for beneficiaries, providers, and staff across both federal and state programs.

We deliver end-to-end eligibility and enrollment services that integrate across Medicaid, CHIP, and state-based marketplaces. Omnichannel support and automated systems help agencies manage high volumes efficiently, improve applicant access, and reduce administrative burden.

Person-centered, conflict-free clinical assessments and evaluations enable accurate eligibility determinations and appropriate care placement. These services help both federal and state agencies ensure resources are used effectively while improving health outcomes for individuals with complex needs.