Acentra Health Awarded New Contract Supporting Utilization Management and Assessment Services for West Virginia Medicaid
15 November 2023 - 12:22AM
West Virginia’s Department of Health and Human Resources (DHHR) has
awarded Acentra Health (formerly Kepro), a leading provider of
healthcare technology services and solutions, a five-year contract
to continue delivering assessment and utilization management
services for children and adults enrolled in the state’s Medicaid
fee-for-service and waiver programs. The award continues Acentra
Health’s 23 years working with DHHR as a vital partner in
delivering critical health services that improve well-being and
accelerate better health outcomes.
“Our teams in West Virginia are passionate about their work and
have a deep understanding of the cultural needs and challenges of
the populations they serve, owing to their two-plus decades living
and working in the state,” said Acentra Health CEO Todd
Stottlemyer. “Acentra Health is grateful to West Virginia’s
Department of Health and Human Resources for recognizing the value
of that experience serving its Medicaid members, and we look
forward to continuing our strong partnership.”
According to Acentra Health President and COO Meghan Harris,
“The new contract continues Acentra Health’s role in developing and
managing programs provided through the Bureaus for Social Services,
Behavioral Health, and Medical Services and the West Virginia
Children’s Health Insurance Program (WVCHIP). In 2018, Acentra
Health partnered with the state to design, implement, and oversee
its Health Home Care Coordination model, which integrates social
services with community-based physical and mental health resources.
A study by West Virginia University found that the model’s diabetes
service has helped accelerate better health outcomes across the
state, reducing monthly emergency room visits by 36% and hospital
admissions by 62% for participants, and reducing costs to the state
by $187 per participant.”
“Effectively managing chronic diseases, like diabetes, is one
the ultimate challenges in healthcare today,” said Cindy Beane,
Commissioner, West Virginia Bureau for Medical Services. “Our
collaboration with Acentra Health has been an important driver in
improving the health of our diabetes population, and we look
forward to expanding on that success as part of our continued
partnership.”
Acentra Health’s clinical teams conduct assessments, eligibility
determinations, provider reviews, data collection and analysis for
prescribed services in behavioral health, medical, the Socially
Necessary Services program, and nursing home pre-admission
screenings. The teams also manage state Medicaid waiver programs,
including the Traumatic Brain Injury Waiver (TBIW), the Aged and
Disabled Waiver (ADW), the Children with Serious Emotional
Disorders Waiver (CSED) and Intellectual/Developmental Disabilities
Waiver (IDDW).
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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