Evolent worked with its Medicaid plan partner to streamline eligibility processing for the HCBS population. We developed a process to aggregate data across multiple sources to ensure members were allocated to the appropriate HCBS plan, with accurate effective dates, in a timely fashion to improve the member and provider experience and ensure continuity of care.
Other content in this Stream
Automation Dramatically Reduces Provider Contract Review Time
Optical character recognition saves thousands of ours of hours of work, while improving accuracy.
Spotlight: Breaking Down the Barriers to Integrated Behavioral Health Care
Evolent is fostering a whole-person approach to physical and behavioral health care.
Spotlight: The Importance of Faith-Based Infrastructure to Support Medicaid Populations
A Chicago pastor explains how houses of worship can act as a critical link in supporting community health, and why they have been focused lately on mental health.
Spotlight: Cutting through the Noise to Better Manage Utilization
Learn how one of our health plan partners figures out where to focus their quality improvement efforts.
Spotlight: Meeting the Data Demands of NCQA’s New Health Equity Accreditation
Analyzing and leveraging the "right" data will be key to earning Our managing director of quality and accreditation explains what health plans must do to earn this new
Excelling at State Readiness
Evolent helps a Medicaid health plan partner to ace an unexpected, high-stakes state readiness review.
Matchmaker, Matchmaker: Making the Provider Data Match
Evolent Health Services drives a dramatic turnaround in provider data accuracy for a Medicaid plan.
Evolent Partners with Minority-Owned Business to Support Medicaid Plan
The agreement advances diversity-related goals while furthering our efforts to foster positive economic impact in minority communities
The Redetermination Readiness Checklist: Ensuring Continuity of Coverage for Eligible Medicaid Beneficiaries
Health plans need robust outreach efforts so members don’t lose coverage unnecessarily.
The Company You Keep: Why Health Plans Should Abandon Antagonistic Vendor Relationships
Evolent Health Services' Michael Miller highlights the upsides of a true partnership model.
Want True Transparency from a Core Administration Partner? Three Questions to Ask.
Learn how to tell which partners truly embrace transparency and accountability.
Evolent Health’s Emily Rafferty and Michael Miller share reasons to consider choosing a new administrative platform.
Cobbling together an administrative platform from various point solutions can produce IT headaches, hurt care coordination and detract from the provider experience.
The Heart of Care: Tackling Postpartum Complications and Complex Family Challenges
Facing an intreated infection and a host of family and financial difficulties at home, a mother urgently needed support. Evolent RN Nurse Educator Yuneysi Diaz answered the call for help.
Why Do Population Health Results Vary? An Introduction to "Impactability"
Providers and payers have invested millions of dollars into population health with mixed results. Why is this?
The Heart of Care: The Courage to Have a Difficult Conversation
RN Care Advisor Carissa Grepo draws on her own past experiences—a sister's illness and loved ones' deaths—to help a family coming to grips with end-of-life issues.
The Heart of Care: Behind-the-Scenes Persistence Helps a Vulnerable Child
When a crucial piece of medical equipment was mistakenly denied to a young boy, RN Care Advisor Andrea Baker jumped into action to ensure he didn't go without it.
Could The Latest In Medical Treatment Be…A Roof? Medicaid Says Maybe
Writing for Health Affairs, Evolent's Anita Cattrell explains how "social treatments," such as housing and healthy food, can help improve individuals' health.
The Heart of Care: Passion and Compassion Drive Creative Solution for Refugee
After language and literacy barriers caused a refugee patient to miss important appointments, Paige Kolok devised a simple but effective solution to help the woman stay on course.
The Heart of Care: A Whole-Person Approach to a Dire Situation
To help a patient experiencing serious health problems, Evolent RN Care Advisor Jessica Cooper addressed not only her medical needs, but also financial, social and emotional barriers to better health.