PHE unwinding

Guiding agencies seamlessly through PHE unwinding

Resuming regular eligibility and enrollment operations is proving to be anything but "back to normal." State agencies are facing new challenges to unwind the public health emergency (PHE). Maximus has the experience to help you navigate the road ahead.

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Bridging the coverage gap: connecting consumers to federal and state-based marketplaces

After a three-year pause, states are resuming the recertification of Medicaid and CHIP eligibility for over 91 million people nationwide. Helping millions of Medicaid ineligible individuals find and enroll in affordable health coverage is critical to ensuring they retain access to healthcare. For many who lose Medicaid coverage, a state-based or federal marketplace coverage may be a viable option.

Read our latest insights blog here
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Solutions to overcome any obstacle

Is your agency facing a backlog of redeterminations and recertifications with less staff? We can help make a seamless changeover, getting your business operations and service delivery "back to normal." Our eBook “6 ways to make unwinding the public health emergency easier” will highlight our approach.

Learn more by downloading our eBook
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Our capabilities for unwinding the PHE

Working closely with your agency, we'll make sure your transition is handled efficiently, empathetically, and equitably. Here are just a few of the services we can provide.

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Clear eligibility backlogs

With so many new enrollees in Medicaid and other programs, efficient verification and recertification of beneficiaries is essential.

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Bridge data siloes

Through our integrated eligibility solutions, we can fix broken, siloed eligibility systems.

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Shape a new ecosystem of employment support

We can help turn your vision for supporting job seekers and employers into reality.

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Ensure program integrity

In the face of anticipated budget gaps, strengthen controls to assure benefits go to those who really need them.

Modernize technology

Eliminate technology bottlenecks as you reverse changes made to state eligibility and enrollment systems.

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Enhance the customer experience

Communicate clearly, quickly, and compassionately to current beneficiaries about upcoming changes to rules.

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Augment your agency workforce

Our flexible talent solutions can scale up or down as you need them to address many urgent needs.

A trusted partner helping you tackle the challenges ahead

Revenue shortfalls, employee retention, and legacy systems are a few of the aftershocks facing state agencies as they begin to unwind years of emergency measures. At Maximus, we have the experience to navigate and tackle the next critical phase of unwinding the PHE. We are a trusted partner to states for a reason.

  • 47 years of partnering with state HHS agencies
  • 92 state and local health services programs supported
  • 18 UI programs supported during the pandemic
  • 11,000 clinical health professionals

 

Let’s talk about unwinding the public health emergency
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Comprehensive public health solutions

The Maximus Center for Health Innovation provides the latest technology and proven experience to help federal, state, and local governments move public health forward. We help modernize health data, systems, and programs effectively and at scale by leveraging innovative technology and digitally enabled customer services. We partner with governments to respond to population health needs and emerging public health threats while enabling the modernization of our national health infrastructure.

Learn how we're transforming public health
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Featured Insights

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Anticipate spike in “fair hearings” that address eligibility decisions as states ramp Medicaid Unwinding efforts

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CMS guidance requires states to initiate Medicaid Unwinding between February 1 and April 2023

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New details available on the schedule for Medicaid Unwind - states authorized to start redetermination process as early as February 1, 2023

Case study

Ensuring integrity: Gaining control over Medicaid verification in Illinois

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Digital innovations will drive enhanced CX in government