Our Services and Programs
- Member Outreach Programs
- Health Education and Promotion
- Provider Network Management
- Utilization Management
- Care Coordination and Case Management
- Grievances and Appeals
- SDOH and Value Added Services
- Case Management for Adults with Behavioral Care Needs
- MCO Administrative and Management Services
- Predictive modeling and health risk stratification
- Capitation and risk management
- Member Services
- Prevention and Diagnostic Programs
- COVID-19 PCR and Rapid Antigen Testing
- Children Health Wellness
- EPSDT Compliance
- Chronic Disease Management
- Health Risk Assessment
- Program Integrity Compliance
- Quality Management
- Medical Management
- Provider Incentive Programs
- Medical and MCO IT Systems
- HEDIS and CAHPS Measures Compliance
- NCQA Accreditation