Clinical Assessments, Screenings, and Evaluations

We deliver independent, conflict-free evaluations that help government agencies make faster, more accurate decisions and better serve people with complex needs.

Person-centered care, driven by clinical expertise and innovation

We deliver conflict-free clinical assessments, disability evaluations, and medical exams to determine the right level of care for individuals across settings. Our experts help state and federal agencies modernize benefits, care coordination, and readiness programs — improving accuracy, efficiency, and outcomes.

What we deliver

Independent screenings, assessments, and medical exams

We deliver independent assessments and medical exams that connect individuals to the right services in the right setting.

Clinical case management

We deliver comprehensive clinical case management — including assessment, care coordination, and monitoring—to improve physical, mental, and psychosocial health outcomes.

Child and youth behavioral health services

Our assessments and clinical reviews help ensure children and youth receive the right support, care, and services to improve their long-term wellbeing.

Prior authorization and utilization reviews

Our utilization review approach is tailored by state to ensure clinically sound, standards-based care recommendations.

Outreach and options counseling

We provide outreach and options counseling to guide person-centered care planning, helping individuals make informed decisions aligned with their goals, preferences, and needs during program transitions.

Clinical expertise for program readiness, response, and delivery

Military Health

Veteran Services

Medicaid

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

Learn more about our services

Improving assessment processes isn’t just about efficiencies. It’s also about ensuring all people have equal and timely access to the care they need and are treated with dignity and respect.

Nancy Shanley Managing Director, State Clinical Services

Modernizing medical exams and reviews for Veterans

More case studies

Bringing mobile health solutions to Veterans nationwide

Maximus’ Veterans Evaluation Services (VES) supported 6,500 clinicians in delivering mobile medical exams across 3,000 locations, expanding access and increasing exam volume.

Streamlining independent medical reviews

Maximus modernized the independent medical review process to improve efficiency, reduce turnaround times, and ensure accurate, high-quality results for federal health programs.

Featured perspectives

More clinical services insights

How PASRR improves care planning and reduces risk

Maximus conducts PASRR resident reviews that improve Medicaid compliance, reduce risk, and strengthen person-centered care in state LTSS programs.

As federal agencies look to become more efficient, RPA takes center stage

Discover how federal agencies use RPA to boost efficiency, cut costs, and streamline services—freeing staff to focus on higher-value mission tasks.

Certifications and accreditations

See how our accreditations reflect our dedication to the quality of the clinical assessment services we provide.

Our health capabilities

Clinical Assessments, Screenings, and Evaluations are part of our health capabilities portfolio.

View all health capabilities

Independent and objective

Our conflict-free affiliate status means we have no financial interest in health plans, providers, or service outcomes. Every screening, assessment, determination, and enrollment is made objectively, protecting program integrity and public trust.

Clinical services across the states

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

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Become part of our provider network

Join our world-class team of medical providers who are delivering crucial services supporting major government health programs. Be part of something meaningful.

Read about our impact

FAQs

We operate as an independent, conflict-free provider of assessments, determinations, and reviews. Our conflict-free affiliate status means we have no financial interest in health plans, providers, or service outcomes, reinforcing public trust and the integrity of government programs.

We support individuals including children, seniors, Veterans, service members, and people with complex medical, behavioral health, or long-term care needs within programs such as Medicaid, Medicare-related programs, Veterans services, and state-based health initiatives. Our services help agencies ensure appropriate care placement and make accurate, program-aligned eligibility and care determinations.

We deliver 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.

In addition to screenings and evaluations, we provide clinical case management, utilization reviews, outreach and options counseling, and appeals support to help state agencies manage programs end-to-end.

Veterans qualify for services and benefits based on their military service, discharge status, and service-connected disabilities. Specialized medical disability exams are performed by highly trained and certified independent providers to evaluate health conditions for the VA to determine program eligibility.

Agencies can improve Veteran healthcare outcomes by implementing secure, technology-enabled administrative support, reducing appointment scheduling delays, and utilizing conflict-free clinical assessments. Modernizing the exam process ensures veterans receive timely and accurate evaluations.

Delivering Veteran medical evaluations is often challenged by geographic barriers, complex claims processes, and legacy data systems. Utilizing a global network of qualified clinical providers and mobile exam units helps agencies overcome these access constraints.