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MA Health

Automated Health Systems has been awarded a contract by the Massachusetts Executive Office of Health and Human Services to provide contact center services. AHS will serve as the primary liaison and customer services provider for MassHealth members, MassHealth applicants, providers, provider applicants, relationship entities and other interested parties. In addition, AHS will provide Enrollment Broker services for members and deliver an omnichannel contact center that provides end-to-end customer services and support for MassHealth customers.

“AHS is proud to partner with EOHHS to provide these critical services. Our goals are to provide excellent services that support the overall success of the Commonwealth’s Medicaid programs. Massachusetts has invested an immense amount of time and resources to implement innovative and compelling programs that advance the delivery of their Medicaid program. We look to mirror these standards of excellence in our approach,” said Dr. Moses Haregewoyn, AHS President.


NC DES LogoAHS has been selected by the North Carolina Department of Commerce, Division of Employment Security (DES) to provide call center services. Through this mandate, AHS will provide a robust Customer Relationship Management (CRM) solution combined with a suite of omnichannel services with a focus on serving applicants and claimants. Our decades of experience has prepared us to provide DES with talented, experienced and trained staff to support member needs. The contract term is one year with two optional one year renewals.

“With an extensive call center background, AHS is well-equipped to provide DES with these essential services. We well understand the goals of the RFP: To maintain consistency of services provided to the citizens of the State and respond quickly to significant changes in demand. Our experience, technical platform and commitment to high-quality services backs our commitment to support the needs of the citizens of North Carolina during these unprecedented times,” stated Dr. Moses Haregewoyn, AHS President.

 


MODSSAutomated Health Systems was picked the Missouri Department of Social Services to provide Beneficiary Support Center services for the State’s Managed Care, Modified Adjusted Gross Income (MAGI)/non-Modified Adjusted Gross Income (non-MAGI), Premium Collections and Blind Pension programs. AHS will provide a Beneficiary Support Center that serves all current and future MO HealthNet eligible participants. The contract includes providing enrollment broker services, developing and launching a web portal and provider directory, and supporting premium collection services.

“Our experience provides us with the unique ability to deliver outstanding services to the State of Missouri while improving the technical platform available to MO HealthNet (Medicaid) eligible members. We truly look forward to providing members with excellent service, as well as providing DSS with our unwavering commitment to partnership,” said Dr. Moses Haregewoyn, President of AHS.


AHS congratulates Vice President of Marketing and External Affairs, Rebecca Matthews, on her appointment to the Florida Education Foundation Board of Directors. “I am delighted to serve as a Board Member and Treasurer for the foundation,” Rebecca said.

She continued, “This is a unique opportunity to be involved in shaping the efforts of the foundation on behalf of Florida’s pre-K through 12th grade students, as well as the entire education community. My deep appreciation is extended to Education Commissioner, Richard Corcoran for the appointment.”

For additional information, please visit The Florida Education Foundation website at https://www.floridaeducationfoundation.org/


Derek O. Jackson, MSOL, AHS Vice President and Account Manager responsible for our longest held project in Florida was featured in the Tallahassee Chamber of Commerce Spotlight recognizing his years of demonstrated commitment to fostering business development in the Tallahassee region. In addition to outlining his considerable business achievements and ongoing involvement with community organizations, the article touches on his personal activities, including a bucket list to visit every state in the Union; an admirable American goal to be sure.

“I am immensely grateful and honored to be featured in this Spotlight. Throughout my life, I have been proud to call Florida my home and share this pride with the Tallahassee Chamber of Commerce, as well as the many organizations that inspire the citizens of the state to achieve great things. I have been committed to emulating this philosophy throughout my career and am humbled by the recognition. I look forward to continuing to do great things for the people of Florida,” Derek said.

Read the entire Tallahassee Chamber of Commerce Spotlight article at https://www.talchamber.com/derek-jackson-automated-health-systems-aho/


HSRI Logo

AHS looks forward to continuing our role as the trusted contractor to HealthSource RI (HSRI) through the newly announced extension of their new enrollment period through August 15, 2021. The extended deadline gives new and current customers a chance to receive new savings created by the American Rescue Plan (ARP). For the last five years, we have assisted millions of Rhode Islanders with understanding and accessing available health care benefits and programs. We look forward to continuing in this role and supporting Governor McKee’s vision for this period.

“Since our launch in the state, we have supported HSRI’s mission of helping Rhode Islanders navigate the health insurance landscape. As these new changes make healthcare more affordable, we look forward to helping more individuals access coverage,” said Dr. Moses Haregewoyn, President of AHS.


TennCareThe State of Tennessee Department of Finance and Administration has selected Automated Health Systems to contract for member contact center services for its TennCare Connect program. AHS will provide the staff, facility and management of a state-furnished contact center to support TennCare’s Medicaid and Children’s Health Insurance Program (CHIP) eligibility services for individuals seeking to obtain and maintain eligibility in those programs. The contract allows AHS to continue our trajectory of providing excellent service and partnership to TennCare. For over five years, TennCare has embarked on a journey to modernize their Medicaid and CHIP programs to better serve applicants and members. AHS has been a solid partner during this significant modernization and looks forward to extending this partnership during this next exciting phase in TennCare Connect. The contract is for two years with three one-year options.

“We are honored to continue our partnership with TennCare in supporting applicants and members,” said Dr. Moses Haregewoyn, President of AHS.

“TennCare has created a culture of collaboration and we have been continuously inspired to be a partner in such transformative efforts. We look forward to continuing the excellent service TennCare applicants and members trust.  We will reflect the values and commitment TennCare has repeatedly demonstrated,” Dr. Haregewoyn stated.


HSRI Logo

AHS continues its role as the contact center partner for HealthSource Rhode Island (HSRI). As a result of recent acts by the federal government, HSRI is offering an additional health coverage enrollment period. The Special Enrollment Period, which begins February 15, 2021 through May 15, 2021, will provide all eligible uninsured Rhode Islanders with additional time to sign up for health coverage with no requirement for a qualifying life event. We look forward to delivering excellent service to Rhode Islanders during this monumental period.

“AHS has been a trusted partner to Rhode Island for over five years, and as the COVID-19 pandemic has resulted in devastating consequences for so many families, we are proud that we can be a trusted source of help during this period,” said Joseph P. Cain III, CPA, AHS Chief Financial Officer.


HSRI LogoAs this unprecedented year draws to a close with the uncertainty brought about by the coronavirus, it is more important than ever for Rhode Islanders to have access to quality health coverage options. Partnering with HealthSource Rhode Island, Automated Health Systems kicked off open enrollment for 2020, allowing individuals and families to select coverage options that best fit their needs.

“Rhode Islanders can select new or existing health coverage provided by the Health Insurance Exchange for the upcoming year,” said Christine DiFrancesco, Vice President at AHS.

“In the face of the extraordinary challenges this year has presented,” Ms. DiFrancesco continued, “we congratulate HealthSource RI for their commitment to keep health care costs low while providing access to quality care.”

Automated Health Systems offers a variety of convenient options to help Rhode Islanders obtain the health coverage they need: Call the contact center, engage in an online chat session, or attend an online virtual enrollment event. Open Enrollment in Rhode Island runs until January 23, 2021. Plans selected by December 31, 2020 will cover services starting January 1, 2021. Plans selected in January 2021 will be effective February 1, 2021.


Mobile Login ScreenshotMobile Enroll Screenshot

AHS successfully launched an innovative mobile app to support our work as the Enrollment Broker for the Florida Agency for Health Care Administration (AHCA). The app allows recipients of the Statewide Medicaid Managed Care program to manage their account, check eligibility and enrollment status, update demographic information, chat with customer service representatives, enroll in a health plan or dental plan, choose notification preferences, file a complaint and pre-choose a plan before Medicaid eligibility is determined. This capability now provides enrollees with another avenue of self-service. The Florida Medicaid Member Portal is available for download on both the Apple Store and Google Play.

“This launch represents the continuation of an outstanding partnership between AHS and AHCA,” said Eng Tan, Vice President of Information Technology at Automated Health Systems. “We have a long history of continuing innovations that improve the member service experience and this app is another step in our journey to enhance our services. I am grateful to all of the team members – both at AHCA and AHS – for their tireless efforts to make this happen.”