Medicaid Eligibility Advocate

A Medicaid advocate solution for Medicaid Managed Care payers to assist their non-dual eligible managed Medicaid populations with state specific Medicaid redetermination requirements.

What’s Included in Medicaid Eligibility Advocate

  • Streamlined, managed process

    • Managed program reduces staff burden
    • Eliminates need for customer guidance on outreach
    • Three tiers of support and automation available
  • Premium customer support

    • Live agent interaction with members
    • Extensive Medicaid recertification experience
    • Dedicated government relations appeals team
  • Proactive identification and support

    • Members are identified using customer data feed
    • Members are guided through the recertification process
    • Change Healthcare helps manage eligibility dispute resolution

Proactivelytarget non-dual eligible Medicaid members to help preserve revenue through retention

Eligibility and Enrollment

Identify members requiring recertification to increase retention and duration

Streamline the Medicaid recertification process by proactively identifying members and providing reminders, education, and application assistance, in addition to social determinants of health screening and referrals.  

Eligibility and Enrollment

Keep abreast of differing state requirements to maintain compliance

Reduce compliance risk by monitoring state’s unique plans to resume Medicaid redetermination processing as COVID 19 orders expire.

Eligibility and Enrollment

Reduce staff burden by automating processes

Increase operational efficiency by eliminating the need for staff to perform redetermination outreach.

Let’s start a conversation

We’re here to help you find out how our services could benefit your organization. Complete the quick form to the right, and someone will reach out to you soon.

Our experts will:

  • Discuss your individual use case and business needs
  • Explain our features, benefits, and services
  • Show how this solution can help achieve your goals

Want more information about our services? Start here.

Thank You

We appreciate your interest in Change Healthcare. A member of our team will contact you to better understand your needs and discuss potential solutions.

Together, we are accelerating the journey toward improved lives and healthier communities.

Our outcomes

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