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  1. Maximus
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  3. Maximus awarded independent enrollment broker contract in Pennsylvania

Maximus awarded independent enrollment broker contract in Pennsylvania

August 28, 2024

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Streamlined application and enrollment services assist residents seeking home and community based services.

older woman and man smile as they are interviewed by a case manager

Under a five-year, $263 million contract by the Pennsylvania Department of Human Services (DHS), we will deliver enhanced application and enrollment services that help eligible Pennsylvania residents receive long-term services and supports in their own homes or community settings. This contract continues the independent enrollment broker services we've provided to Pennsylvania residents since 2016. It builds on our long-term support for other DHS programs where we provide enrollment and choice counseling for participants in Pennsylvania’s Medicaid Managed Care.

Ferdinand Morales quote mentions Pennsylania's investment in aging-in-place solutions and supporting individuals with disabilities to live independently in their communities, as well as Maximus' delivery of timely and person-centered application and enrollment assistance and enhancement of the applicant experience

Under this contract, we'll continue to help seniors and people with disabilities navigate the Medicaid waiver application process — from the point of application to enrollment — to receive home and community based services. We'll conduct more case management through enhanced beneficiary support using a person-centered approach and offer choice counseling for plan and provider selection. We'll also support applicants with appeals and grievances processes. In addition, we'll implement digital solutions for residents and their authorized caregivers, including through a website created to streamline services, reduce wait times, and provide easy-to-understand information.

We previously expedited the complicated 13-step Medicaid waiver application and enrollment process, and our impact is evident in the high customer satisfaction score.

Maximus streamlined a 13-step Medicaid process that took 90 days down to 26 days where 98 percent of customers were satisfied

We coordinate efforts between the Independent Enrollment Broker contract and the Enrollment Assistance Program, where we provide a similar set of services for members of the Health Choices system of care.

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

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