Full Answer
What does Maximus do for Medicaid?
MAXIMUS serves as the Medicaid Managed Care enrollment broker for 22 states, and carries out Medicaid eligibility determinations in 13 states. The company also provides other Medicaid administrative services, including for long-term services and supports and provider screening.
Why choose Maximus for Medicare Appeals?
Since 1989, CMS has relied on Maximus to provide Medicare beneficiaries and providers with independent, conflict-free appeal decisions of health insurance denials. Because we have no financial affiliation with insurers or providers, we are the only conflict-free Independent Review Organization (IRO) providing Medicare appeals.
Who does Maximus contract with?
We contract with medical directors, health attorneys, pharmacist-attorneys, nurse-attorneys, nurse professionals and podiatrist-attorneys. As the largest provider of government-sponsored benefit appeals programs in the United States, Maximus offers government the ability to handle massive scale in any program area that requires appeal support.
How do I contact Maximus for assistance with Medicare?
If you require specific assistance, please reach out to us via e-mail at [email protected].
Who is Maximus for Medicare?
MAXIMUS is an independent entity that contracts with Medicare to review appeals for Original Medicare, Medicare Advantage, and Part D plans.
What does the company Maximus do?
Maximus provides administration and other services for Medicaid, Medicare, health care reform, and welfare-to-work, among other government programs. The company is based in Tysons, Virginia, has 34,300 employees and a reported annual revenue of $3.46 billion in fiscal year 2020.
What states use Maximus?
State ProgramsArizona. Arizona Jobs. 866.299.6757.California. Division of Workers' Compensation. 855.865.8873. ... Idaho. Idaho Employment & Training Services. 844.977.1600. ... Illinois. Illinois Child Support. 888.245.1938.Maine. Maine Assessing Services Agency. maximusclinicalservices.com/svcs/maine.
Who owns Maximus healthcare?
Aveanna Healthcare'sAtlanta-based Aveanna Healthcare's agreement to acquire the home health care division of Maxim Healthcare Services — for a reported $1.25 billion — is officially off the table. The deal's demise comes in the conclusion of a Federal Trade Commission (FTC) investigation.
Is Maximus a private company?
MAXIMUS, Inc. is one of the leading private sector companies that provides program management, information technology, and consulting services to state and local government agencies. Located in Reston, Virginia, MAXIMUS has projects in nearly every state, as well as a number of foreign countries.
Is Maximus good to work for?
Is MAXIMUS a good company to work for? MAXIMUS has an overall rating of 3.8 Average Rating out of 5, based on over 47 MAXIMUS Review Ratings left anonymously by MAXIMUS employees, which is 3% lower than the average rating for all companies on CareerBliss. 91% of employees would recommend working at MAXIMUS.
What is the definition of Maximus?
a Latin word meaning "largest," used in medical names and descriptions.
Is Maximus an international company?
An international leader in government services With offices in nine countries, we have built a significant capacity to deliver measurable results on an international scale. We take great pride in our work, which is why we are the best at what we do.
What is Maximus app?
• Use it send money to family or friends. • Find locations to load your card at no cost. • Deposit checks into your account by taking a picture from your phone. The Maximus Card is fast, secure and easy to use. You will need Android version 4.4 and higher to use the latest version of the Maximus Card.
How long has Maximus been around?
Founded in 1975 with the mission of "Helping Government Serve the People," Maximus has more than 6,000 employees located in more than 220 offices in the United States, Canada, and Australia.
Is Maximus in Canada?
Maximus provides cost-effective services that transform the lives of people across Canada and around the world.
Where is Maximus headquarters located?
Reston, VAMaximus Inc. / HeadquartersReston is a census-designated place in Fairfax County, Virginia. It is a principal city of the Washington metropolitan area. Wikipedia
Is Maximus a Fortune 500 company?
If you called to complain about Obamacare, you may have spoken to somebody at Maximus. That's just one service this contractor provided for the U.S. government....Company Information.LocationReston, VAIndustryInformation Technology ServicesSectorTechnologyFortune 500 Rank-Fortune 500 Profile-4 more rows
Is Maximus a BPO company?
Business process outsourcing (BPO) expertise Clients choose Maximus for our deep experience, our innovative approaches to operations, and our proven track record of achieving results.
What is Maximus mission statement?
Better solutions for better lives We use our decades of experience to design, develop and deliver innovative and impactful health and human service programs. We are driven by a mission to strengthen communities and improve the lives of those we serve.
Who is the CEO of Maximus?
Bruce L. Caswell (Apr 1, 2018–)Maximus Inc. / CEO
Transforming lives and achieving program goals
For more than 40 years, Maximus has partnered with state, federal and local governments to provide communities with critical health and human service programs. We leverage our extensive experience to develop high-quality services and solutions that are cost effective and tailored to each communities' unique needs.
An international leader in government services
With offices in nine countries, we have built a significant capacity to deliver measurable results on an international scale. We take great pride in our work, which is why we are the best at what we do.
Achievements
Benchmark Portal Certified Center of Excellence, FedRamp, ISO 9001, ISO 20000, ISO 27001 and Quality Improvement Organization (QIO)-Like Entity - among others.
Workers Compensation Appeals
Developed as part of California's efforts to reform and control medical care and indemnity benefit costs in the workers’ compensation system, our independent medical review (IMR) solution resolves disputes about the medical treatment of injured employees.
Medicare Appeals
Since 1989, the Centers for Medicare and Medicaid Services (CMS) have relied on us to provide Medicare beneficiaries and providers with independent, conflict-free appeal decisions of health insurance denials. Today we receive more than 600,000 appeals claims a year for Medicare Parts A, C and D.
Expertise for your needs
Our appeals work extends to virtually any government service, including eligibility, health, disability and workers’ compensation. Our appeals work includes hundreds of thousands of appeals annually from the following contracts:
Leading the way in eligibility and enrollment for programs
Tap into our knowledge to streamline access to your programs, give consumers a single point of access across multiple health and human services programs, or manage provider enrollment. Here are the types of programs we currently support:
A single point of entry for New York state enrollment
From webchat to streamlined renewals, our enrollment center keeps raising the bar on service for 3.3 million Medicaid beneficiaries and other health insurance program users.
Enhanced eligibility verification
To re-verify Medicaid eligibility, Illinois sought our expertise in external data matching. Our solution revealed that 46% of current beneficiaries were ineligible or belonged in a different program. In addition, we reduced eligibility processing time by 25 minutes per case.
How much profit does Maximus make?
Health and Human Services segment—which includes its Medicaid and other state contracting business—is by far its most profitable, with an operating profit of 18.6% in the third quarter of 2019.
When was Maximus founded?
Founded in 1975, the company has grown to be a giant of contracted government services. But its track record is increasingly under scrutiny from state leaders over performance failures and harm to beneficiaries. MAXIMUS serves as the Medicaid Managed Care enrollment broker for 22 states, [2] and carries out Medicaid eligibility determinations in 13 ...
What happened to Maximus in Kansas?
The harm inflicted in Kansas by MAXIMUS’ KanCare contract failures has been far-reaching. Elders and senior living homes were hit particularly hard. Some seniors reportedly gave up on seeking Medicaid coverage due to the problems at MAXIMUS. [35] According to testimony provided to the legislative KanCare oversight committee, nursing homes had to pay for prescriptions upfront for some Medicaid-pending residents because pharmacies had stopped filling their prescriptions due to the risk that they would not be paid for the medications. [36]
What states did Maximus take Medicaid?
Consulting with MAXIMUS led to Arizona , Missouri , New Jersey , and Wisconsin submitting improper claims for Medicaid reimbursement. A MAXIMUS employee in Massachusetts siphoned off almost $500,000 of Medicaid and other state health funds over nine years before the company discovered the fraudulent theft.
What is the motto of Maximus?
MAXIMUS’ state contracts account for more than 40% of the company’s total revenue. [7] . MAXIMUS’ motto is “helping government serve the people,” and its employees are responsible for Americans’ access to vital programs and services.
When does Maximus contract end?
Kansas issued a request for proposals in August 2019 for the successor contract to provide Family Medical program eligibility services when MAXIMUS’ current contract ends in December 2020. As of the publication of this report, Kansas is in the process of determining what company will be awarded this contract.
Did MassHealth pay restitution?
In 2013, MAXIMUS agreed to pay Massachusetts restitution after a MAXIMUS employee pled guilty to stealing from MassHealth—the state’s Medicaid and CHIP program—by fraudulently obtaining transportation reimbursements between October 2003 and July 2012 from a pool of funds earmarked to assist MassHealth enrollees with travel to medical appointments. The employee siphoned off $490,000 over nine years before MAXIMUS finally found evidence of the fraudulent practices, which led the company to refer the matter to the Massachusetts Attorney General’s Office and the Executive Office of Health and Human Services. [99]
