CMS Waiver Oversight
Helping states achieve and maintain
compliance with CMS regulations.
Trusted provider for state Medicaid programs
Our experience and expertise in conducting quality reviews have made us a trusted advisor for state Medicaid programs. Our past and current national experience gives us best practices and lessons learned to help states achieve and maintain compliance with CMS regulations. Additionally, our experience has taught us how to complete these services in an efficient and comprehensive manner.
Our Health Intelligence team often partners with our clinical and operational experts to assist our clients in achieving demonstration state status for federal programs. We have also collaborated with our clients to assist them in achieving improved reimbursement rates and expanding proprietary branding across departments and services.
Proven Medicaid waiver program experience
Acentra Health has the distinction of collaborating with the Bureau for Medicaid Services to develop a groundbreaking waiver management program for the Intellectual/Developmental Disabilities Waiver (IDDW) during our work as the Administrative Services Organization for the West Virginia Department of Health and Human Services.
Since 1992, we have helped 12 Medicaid agencies administer utilization review and HCBS waiver programs by making timely, evidence-based medical necessity determinations across all healthcare settings.
Improve healthcare quality oversight with
our cross-functional solutions
Appeals & Grievances
Reach successful conclusions with flexible processes that work for your organization's unique systems and criteria.
Standard of Care Review
Promote continuous quality improvement through objective quality reviews.
External Quality Review
Meet EQR requirements and improve patient care with sophisticated data analysis.
Get Started with Acentra Health
Connect with an expert from our team and learn more about how
Acentra Health's solutions and services can benefit your organization.