Eligibility and Enrollment

Our streamlined approach to service delivery reaches people on their preferred engagement channels and connects them to the right benefits and services.

Solutions for state and local agencies

Through omnichannel engagement, clear customer service and self-service options, and easy enrollment, people access programs and benefits faster. Government agencies benefit from integrated workflows, fewer paper documents and manual processes, and more accurate enrollments.

Eligibility support

Whether eligibility is determined by our team or government employees, we streamline the process with technology-enabled case management and workflows.

Customer-friendly enrollment

From self-service tools to live agent support, we provide clear, accurate information and a person-centered approach to program enrollment.

End-to-end technology

Our modular eligibility and enrollment solution provides an integrated, flexible approach. As needed, we can supplement state technology for a seamless customer experience.

Omnichannel engagement

We engage with people on their preferred channels — web, phone, email, text, or mobile app — to enhance their customer experience.

Enrollment for state health insurance programs

As the largest provider of state healthcare enrollment services, Maximus delivers unbiased, culturally competent support that helps people make informed choices about their health plans. Our eligibility support and enrollment broker services for programs like Medicaid, the Children’s Health Insurance Program (CHIP), and state-based marketplaces include processes that work seamlessly across multiple health insurance programs to get people covered.

Smiling young woman reviews her Medicaid renewal letter while accessing the document submission portal from her laptop at home

See our work in action

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Integrated eligibility support in Texas

Woman taking a photo of a document with her phone so she can use it to enroll in health insurance

Digital document uploads in New York

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Customer service agents help people enroll in coverage through a health insurance exchange.

Successful state-based marketplace implementations

A young couple compares paperwork to a laptop screen while they enroll in health insurance through their state-based marketplace

What the first decade of state-based marketplaces taught us

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 you make that successful transition.

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Woman sits in her kitchen while she looks at a laptop screen and speaks to a health insurance exchange customer service representative

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Close-up of hands holding a mobile device being used to select a health plan. An open laptop and a stack of mail are nearby .

Using digital solutions to help Pennsylvanians enroll in Medicaid

A multi-generational family smiles at each other while enjoying dinner.

Reaching Spanish-speaking Medicaid members in Michigan

Our leaders

Headshot of Maximus employee Robin LaFrance

Robin LaFrance

Executive Managing Director, U.S. Services East
Headshot of Maximus employee Laura Rosenak

Laura Rosenak

Executive Managing Director, U.S. Services West
Headshot of Maximus employee Benjamin Coss

Benjamin Coss

Senior Managing Director, Western States
Headshot of Maximus employee Ken Fisher

Ken Fisher

Senior Managing Director, Southern States
Headshot of Maximus employee Jennifer Haas

Jennifer Haas

Senior Managing Director, Central States
Headshot of Maximus employee Ferdinand Morales

Ferdinand Morales

Senior Managing Director, Northeastern States
Headshot of Maximus employee Carrie Thomas.

Carrie Thomas

Senior Managing Director, Southwestern States

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