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.
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.
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. See how our accreditations reflect our dedication to the quality of the clinical assessment services we provide to state agencies.
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PASRR services expansion
Since 2000, Maximus’ PASRR services have supported better outcomes for individuals and more effective programs for states.
Maximus operates as a conflict free provider, conducting assessments, determinations, and reviews without ties to service delivery or payment, reinforcing public trust and the integrity of state administered programs.
Maximus delivers independent, person centered assessments that help ensure individuals receive services in the right setting, supporting quality outcomes while aligning with state policy, budget, and compliance objectives.
Services span all ages and conditions, including long term services and supports (LTSS), behavioral health, child and youth programs, and institutional and community based care, tailored to each state agency’s program requirements.
In addition to screenings and evaluations, Maximus provides clinical case management, utilization reviews, outreach and options counseling, and appeals support to help state agencies manage programs end to end.
Maximus combines a national clinical workforce with configurable technology and state specific processes, enabling consistent quality, timely determinations, and adaptability across different populations and policy environments.
