Medicaid

BluePeak is familiar with the nuances between states and their administration of the Medicaid program. We have also observed the growing alignment between Medicaid, Medicare and private coverage plans, as a result of the Medicaid and Children’s Health Insurance Program (CHIP) Managed Care Final Rule and the Medicare-Medicaid Plans (MMPs). Timeframes and processes for member notices, coverage decisions, grievances, encounter data reporting, provider networks and directories, transition of care, quality rating systems, records retention, etc. will be consistent across the various managed care plans by 2021. As a result, we are able to provide many of our Medicare services, such as mock audit and audit support, marketing material review, operational assessments, and others, to our Medicaid clients.

OUR SERVICES