Acentra Health Awarded North Carolina’s $56.9M Comprehensive Independent Assessment Entity Contract to Enable Timelier Access to Medicaid Long-Term Services and Supports
14 Dicembre 2023 - 2:22PM
Acentra Health, formed by the merger of CNSI and Kepro, announced
today that the North Carolina (NC) Department of Health and Human
Services (DHHS) awarded the company the Comprehensive Independent
Assessment Entity (CIAE) contract for the NC Medicaid program. As
the CIAE, Acentra Health will implement and operate the state’s new
clinical delivery model, the NC Medicaid Linking Individuals &
Families for Long Term Services and Supports (NCLIFTSS), creating a
single point of access for multiple long term services and supports
(LTSS) programs. NCLIFTSS will enable timelier access for
beneficiaries deemed eligible to receive Medicaid LTSS and create a
smoother referral process for providers. The NCLIFTSS contract
includes a three-year base term valued at $56.9 million and two
one-year extension options totaling $41.9 million.
“We are delighted to partner with the North Carolina Department
of Health and Human Services in creating a best-in-class experience
for beneficiaries and providers in accessing long-term support
services,” said Acentra Health CEO Todd Stottlemyer. “Acentra
Health’s referral and request processing teams are highly skilled
and receive intensive training on delivering person-centered
interactions that help our state Medicaid agency clients accelerate
better health outcomes for the populations they serve.”
Per the contracted scope of work, Acentra Health will partner
with NCDHHS to streamline access to its LTSS programs in NC
Medicaid Direct (non-managed care Medicaid). This will help reduce
the length of time between initial intake and service enrollment
for beneficiaries, leading to faster interventions and better
overall health outcomes. Once complete, the individual programs
will be branded as NCLIFTSS, which will simplify enrollment and
access to services. NCLIFTSS will include:
- State Plan Personal Care Services
(PCS)
- Community Alternatives Program for
Children (CAP/C)
- Community Alternatives Program for
Disabled Adults (CAP/DA)
- Preadmission Screening and Resident
Review (PASRR) Level II
- Transition of Care Coordination
Acentra Health will process NCLIFTSS referrals, conduct
assessments and eligibility for program enrollment and utilization,
perform quality assurance reviews, staff a dedicated
beneficiary/member LTSS resource line, and perform outreach to
under-served LTSS beneficiaries. The company will also develop
provider training that drives enhanced quality and improves
outcomes.
“Acentra Health has over three decades of experience providing
assessment and eligibility services for state Medicaid programs and
today processes and manages over 700,000 referral requests
annually,” said Meghan Harris, Acentra Health’s President and Chief
Operations Officer. “We look forward to working with NCLIFTSS to
improve care quality and enhance outcomes for North Carolinians
needing long term services and supports.”
About Acentra Health
Acentra Health, formed by the merger of industry leaders CNSI
and Kepro, combines public sector knowledge, clinical expertise,
and technological ingenuity to modernize the healthcare experience
for state and federal partners and their priority populations. From
designing and developing advanced claims, encounter, and provider
solutions that drive efficiency and cost savings to delivering
clinically focused service models for care management and quality
oversight, Acentra Health is accelerating better outcomes. Acentra
Health is backed by Carlyle (NASDAQ: CG), a global investment firm.
Learn more at acentra.com
Media Contact:Janice MooreVP, Corporate
Communications703-214-3552
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