Assessments & Clinical Eligibility
Level Of Care
Assessments
Preadmission Screening &
Resident Review
Behavioral Health Needs
Assessment
Application Processing
Center

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 protects
providers-1

3,000+

Licensed Clinicians

application

700,000+

Annual Assessments

readiness-evaluation

98.8%

Assessment Accuracy

productive

90

Net Promoter Score

customer-service

2.5M

Clinically-focused Calls

passion

99%

Member Satisfaction Rate

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.

extension
Recommended Resource

Clinical Assessment Framework

The Acentra Health Clinical Assessment Framework can help optimize state agencies' healthcare operations and enhance clinical assessment strategies.
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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.

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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. Services include: Level I screening, Level II evaluation, determination and notification processing, comprehensive PASRR IT system, and extensive daily and monthly reporting.

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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.

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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.

Learn more

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.

Learn more