Acentra Health Awarded Contract Extension Overseeing Utilization Management Services for Florida Medicaid
September 07 2023 - 8:24AM
Florida’s Agency for Health Care Administration (AHCA) awarded
Acentra Health (formerly Kepro) a new five-year contract extending
the company’s 12 years of work overseeing utilization management
services for beneficiaries enrolled in the state’s fee-for-service
Medicaid program and those receiving select Medicaid Managed Care
carve-out services.
“We are grateful to be recognized for the success of our strong
partnership with Florida’s Agency for Health Care Administration
and this opportunity to continue serving individuals and families
who rely on the state’s Medicaid program,” said Acentra Health CEO
Todd Stottlemyer. “Our highly experienced teams live in the
communities they serve, understand the challenges to health access,
and are passionate about connecting individuals and families with
local resources to accelerate better health outcomes.”
According to Acentra Health President and COO, Meghan Harris,
“The contract originated in 2011 under eQHealth, which was acquired
by Kepro and is now Acentra Health. Services provided span 18 areas
of utilization review in fee-for-service Medicaid covering one
million Florida beneficiaries, including inpatient acute medical
surgical and psychiatric services, and enhanced care coordination
for beneficiaries receiving select services. Utilization review
also encompasses Medicaid Managed Care carve-out services including
behavior analysis and prescribed pediatric extended care (PPEC),
which provides continual skilled medical care in a community
setting for medically complex children up to age 20. Other services
include provider and beneficiary outreach and a call center.”
As a URAC-accredited organization for Health Utilization
Management, Acentra Health adheres to the highest standards and
best practices in case review backed by experienced, credentialed
clinicians and national expert resources. Its utilization and care
management programs cover 34 state Medicaid contracts.
The Florida Medicaid contract includes five option years for
renewal.
About Acentra Health
Acentra Health, formed in 2023 by the merger of industry leaders
CNSI and Kepro, combines public sector knowledge, clinical
expertise, and technological ingenuity to modernize the healthcare
experience for state and federal partners and their priority
populations. From designing and developing advanced claims,
encounter, and provider solutions that drive efficiency and cost
savings to delivering clinically focused service models for care
management and quality oversight, Acentra Health is accelerating
better outcomes. Acentra Health is backed by Carlyle (NASDAQ: CG),
a global investment firm. Visit acentra.com.
Media Contact:
Janice Moore
VP, Corporate Communications
703-214-3552
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