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.
Maximus awarded independent enrollment broker contract in Pennsylvania
Streamlined application and enrollment services assist residents seeking home and community based services.
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.
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.