Multi-state
Redeterminations that do not shed the member
A state-compliant outreach and operations engine for MCOs: campaigns, field mapping, template approvals and auto-touch cadences.
- Multi-tenant, per-state template governance
- Payer feed ingestion and field mapping without code
- Pre-filled recertification and status tracking
- Print, email, SMS and voice in one cadence
Measured impact
Fewer manual touches. Cleaner state files.
- 97%
- Manual time removed
- 50 st.
- Template governance
- 4 ch.
- Coordinated outreach
Figures from live payer deployments and modelled book-of-business baselines.
Managed Medicaid
What it does
- Multi-tenant, per-state template governance
- Payer feed ingestion and field mapping without code
- Pre-filled recertification and status tracking
- Print, email, SMS and voice in one cadence
- Manual time removed
- 97%
- Template governance
- 50 st.
- Coordinated outreach
- 4 ch.
State-compliant by construction
Per-state template libraries, reading-level checks, language requirements and approval workflows before a single send.
- Template approval chains
- Reading level and language rules
- Evidence pack per campaign
Data in without code
Ingest payer and state feeds, map fields visually, validate against schema, and reconcile daily.
- 834 / flat file / SFTP
- Visual field mapping
- Exception queues with ownership
Retention operations
Pre-filled recertification, auto-touch cadences and live status tracking across every channel.
- Pre-fill from source of truth
- Print, email, SMS, voice
- Churn-risk stratification
What changes
Before Managed Medicaid. After.
Redetermination churn every cycle
Members kept covered through renewal
Manual state file reconciliation
834 and roster differences resolved automatically
Appeals aging past state clocks
Triaged and evidenced inside the window
Audit prep measured in weeks
Evidence assembled on demand
Bring us a workflow. We will show you the audit trail.
Ninety minutes with your operations and compliance leads. You leave with a mapped workflow, a measured baseline and a deployment path.