Clinical Services

A leading provider of conflict-free assessments for states, we specialize in government-funded supports to improve the quality of life of people with complex needs.

Person-centered solutions for states

Our clinical professionals identify the services and supports individuals need to live safely at home, in the community, or in appropriate institutional settings. We’re helping states achieve their goals when people receive the right care in the right setting.

Screening and assessments

Independent assessments and specialized tools ensure people of all ages and conditions receive the right services at the right levels and in the right setting.

Clinical case management

From assessment and planning to referral and coordination, then monitoring, we focus on helping each person achieve their highest physical, mental, and psychosocial wellbeing. 

Child and youth behavioral health services

Our assessments and clinical reviews inform appropriate supports, service, and level of care determinations for children and youth, including those in foster care.

Prior authorization and utilization reviews

Our state-tailored UR methods ensure that recommendation services adhere to accepted clinical standards.

Outreach and options counseling

During program transitions, our unbiased and person-centered support guides people to make care planning decisions that align with their preferences, values, and goals. 

Appeals and independent medical reviews

We deliver fast, independent, and accurate determinations and facilitate the fair resolution of benefit disputes and health care, disability, and workers' compensation appeals.  

Conflict free

We firmly stand by the independence and objectivity of our screenings, assessments, determinations, and medical reviews because we don’t have any potential conflicts of interest with service providers or payers. Our status as a conflict-free state affiliate reinforces the effectiveness of government programs, increasing public confidence and trust in programs’ integrity.

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Comprehensive clinical platform solution

As the leading provider of specialized screening and assessments for government programs, our assessment solutions and services span the full spectrum of long-term services and supports (LTSS). Our clinical platform solution hosts a variety of screening and assessment tools to support all populations and program reporting services, enrollment broker, and eligibility operations.

A young woman takes part in an assessment conducted by a clinical services professional

Clinical services across the country

If you’re a provider, recipient, or guardian, find more information about the assessment programs we support in your state.

View state-specific information

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Addressing children's mental health through assessments

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Bringing a person-centered approach to assessments

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Maine SIS-A assessments

We've been selected to independently administer SIS-A® 2nd Edition (Supports Intensity Scale for Adults) Assessments in Maine.

URAC accreditation

Maximus U.S. Services has again earned URAC full accreditation for Health Utilization Management for clinical review criteria, pre-review screening, initial clinical review, and clinical decisions.

A young woman takes part in an assessment conducted by a clinical services professional

North Dakota level of care determinations

We've been awarded an expanded contract from North Dakota’s Health and Human Services Medical Services Division to deliver clinical determinations using several types of comprehensive assessments.

State and local government solutions

Across all 50 states and D.C., we help agencies accelerate service delivery to address challenges and move people forward.

Explore our solutions