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Alternatives to Managed Care

Managed Care

We well-understand that each state has its own needs, culture and programming requirements. While most of our clients utilize managed care programming for their Medicaid population, we also bring vast experience working with clients who employ various alternatives to managed care. We have the operational protocols, reporting and management expertise to administer any program that […]

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Provider Services

Medicine

AHS is the current Provider Enrollment, Re-Enrollment, Re-Validation and Update Services Contractor for Maryland, and we have performed similar provider services work for North Dakota, Pennsylvania, Louisiana and Illinois. Our provider services involve a diverse compilation of services that are specific to each client and include: Provider enrollment, re-enrollment and re-validation services in accordance with […]

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Eligibility Operations

Medicare

AHS partners with clients to achieve results that meet project requirements. When a client elects to outsource their eligibility work, they need a contractor with much more than eligibility experience. The client needs a contractor with the proven characteristics and capabilities that contribute to a solid partnership, excellent operations and transparency to help implement monumental […]

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Enrollment Broker

Call Center Reps

Since 1996, AHS has provided Enrollment Broker services in seven states across the nation. We are the current Enrollment Broker for Florida, Ohio, Wisconsin and Nebraska, and have held former Enrollment Broker contracts with Alabama, West Virginia and Illinois. We use our excellent operational performance, and proven call center tools of scripting, training and quality […]

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Health Insurance Exchange (HIX)

Providence, RI

AHS uses time-tested methodologies to deliver insights and solutions for today’s complex health care landscape. Not only do we provide state-based Exchange contact center services, we also have performed various pilot programs and initiatives that are related to the Affordable Care Act and health insurance exchange work. We are the current Health Insurance Exchange contact […]

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Contract Expertise

Contract Services

AHS is the expert in project management. We have administered diverse health and human service contracts since 1979. Each of our clients has unique needs for business operational rules, overall project management and ongoing partnership requirements. We have served a diverse range of clients that allows us to bring tested solutions, technical expertise, adaptability and proficiency […]

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