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MEDICAID MEDICALLY FRAIL DETERMINATION

Milliman Medicaid Frailty Solution

An elderly patient with a doctor

Milliman Medicaid Frailty Framework

Milliman is uniquely qualified to assist states in implementing medically frail determinations for their Medicaid populations as required under HR1. Medically frail determinations need more than just a technological change order. The Milliman Medicaid Frailty Framework combines Milliman’s proven and industry leading software with actuarial, policy, and clinical consulting knowhow to provide a solution that goes beyond the ones and zeros to support states with financial modeling and policy analysis.

Why is Milliman uniquely qualified?

Experience

Milliman has successfully provided the medically frail solution for a state Medicaid agency for over a decade.

Speed

We can provide a ready-to-deploy, customizable solution that seamlessly integrates with any system, ensuring rapid and efficient implementation.

Customizable

Our tool is fully adaptable and supported by experts with experience implementing community engagement requirements across multiple states, ensuring both federal compliance and a tailored state solution.

Peace of Mind

Our tool provides peace of mind by leveraging a data-driven actuarial approach to risk identification, rather than relying on arbitrary policies or a stagnant list of diagnosis codes.

Insight

WHITE PAPER

Medically frail determinations under new Medicaid requirements: Experience-based insights

We offer some experience-based insights for medically frail determinations under the new Medicaid work requirements to help states implement an accurate, compliant solution.

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Ask the tough questions. We’re ready for them.