Assessments, Eligibility, & Enrollment
Actionable insights for informed eligibility
and care decisions.
Acentra Health protects your program and its members through our comprehensive assessment, eligibility and enrollment services
Our assessments, eligibility, and enrollment services help organizations identify the precise medical and social determinants that influence an individual’s health. Our work includes assessing individuals applying for home and community-based waivers as well as those seeking continued program eligibility. In addition, this service line provides guidance to providers for state and federal regulatory compliance.
Acentra Health brings new innovative ideas and modern, proven processes.
We act as an extension
of your program
We’ll take on your most significant clinical and operational challenges,
so you can focus on best serving your population and complying with
state and federal law. Most importantly, we act as an extension of
your program, protecting you from risk, advocating for your members,
embodying your culture and providing compassion and premier service
in everything we do.
Our Comprehensive Suite of Assessment
& Administrative Services
Level of Care Assessments
We assist Medicaid beneficiaries with mental illnesses, disabilities and long-term care by reviewing their eligibility for state wavier programs to determine if additional services are needed. The level of care is determined by aligning quality metrics and using standardized assessments. In addition, we also review previous level of care determinations to ensure accuracy of decisions and current services provided.
Preadmission Screening and Resident Review (PASRR)
We provide PASRR services that deliver reliable, timely, and clinically-valid recommendations and determinations that protect the interests of the individual, while ensuring state compliance with federal statutes.
Behavioral Health Needs Assessments
Acentra Health facilitates the administration of Behavioral Health Needs Assessments for individuals with Intellectual and Developmental Disorders (I/DD). Our program engages individuals and their support network to ensure a well-informed assessment of the individual’s needs.
Our services aim to support and improve access for members to have the highest quality of life and be as independent as possible.
Application Processing Center
The individuals of your state have specialized requirements and
preferences — and Acentra Health's application processing services
are designed with these needs in mind. We make it easier and more
convenient for individuals to apply for state Medicaid programs
and other coverage, while providing expert guidance throughout
the processes. We create a seamless member experience while
meeting all of your expectations around timeliness,
responsiveness, and accuracy.
Behavioral Health Needs Assessments
Acentra Health facilitates the administration of Behavioral Health Needs Assessments for individuals with Intellectual and Developmental Disorders (I/DD). Our program engages individuals and their support network to ensure a well-informed assessment of the individual’s needs.
Our services aim to support and improve access for members to have the highest quality of life and be as independent as possible.
Application Processing Center
The individuals of your state have specialized requirements and preferences — and Acentra Health's application processing services are designed with these needs in mind. We make it easier and more convenient for individuals to apply for state Medicaid programs and other coverage, while providing expert guidance throughout the processes. We create a seamless member experience while meeting all of your expectations around timeliness, responsiveness, and accuracy.