Maximus receives North Carolina DHHS contract to provide Medicaid services
Maximus announced that it has signed a new contract with the North Carolina Department of Health and Human Services, or DHHS, to provide Medicaid managed care enrollment broker services. This is the first procurement contract award as the state prepares to move toward Medicaid managed care. This program has an estimated base contract of $17M, though the actual cost is dependent upon the number of beneficiaries eligible for managed care enrollment, as well as any optional services selected by DHHS. The contract is effective August 1, through December 31, 2020, with three, one-year renewal options. Under managed care, which is expected to take effect in 2019, Maximus will provide choice counseling, enrollment assistance and education to beneficiaries as they select from a variety of health plans. As part of the enrollment broker function, Maximus will help members select the health plan and primary care provider that is most appropriate to meet their needs and, to the extent possible, maintain existing physician-patient relationships. Maximus staff will be available to help members enroll over the phone, online through an interactive website and, in some communities, in-person. Maximus will also be rolling out several digital solutions including a mobile enrollment app, mobile responsive portal, secure messaging portal and a web chat for users. By engaging citizens with digital technologies, Maximus offers a simplified enrollment process for beneficiaries, through their preferred channel, on a secure, encrypted and accessible platform. To help ensure a seamless and streamlined beneficiary experience, Maximus will also establish an ongoing partnership with the state's 100 county departments of social services and provide dedicated liaisons who will work closely with caseworkers and other county staff to provide managed care training, make beneficiary materials available locally and conduct outreach services.