Preferred Vendors

Preferred Vendors Offering: D-SNP Services (Updated Aug. 2023) | Update Member Contact Info
Preferred Vendor Connection Portal for Members and Preferred Vendors
2023 ACAP Politics and Policy Update for Preferred Vendors: Video Slide Deck

Resources for Members (login required)
Preferred Vendor Education Series Videos
Vendor Showcases: Interoperability | Digital Engagement | SDOH 2022 | Value Based Payment | SDOH 2023 *coming soon*

Interested in becoming an ACAP Preferred Vendor? Contact Sherry Rohlfing.

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Abacus Insights

Clinical Data Connectivity, Data Sharing and Analytics, Interoperability & Data Exchange

AbsoluteCare

Social Determinants of Health

ACAP Advisors

Interim Staffing

Activate Care

Care Coordination / Management Technology Solutions, Digital Engagement Platforms, Social Determinants of Health

Alaffia Health

Fraud Waste & Abuse, Payment Integrity Operations, Software Vendor

Alera Health

Behavioral Health, Integrated Care, Value-Based Contract Design and Performance

Alivi Health

Dental, Non-Emergency Transportation Management, Social Determinants of Health, Vision

Altarum

Behavioral Health, Care Coordination / Management Technology Solutions, LTSS Strategic Management & Clinical Services

Avēsis, a Guardian company

Dental, Hearing, Vision

Azara

Data Sharing and Analytics, Payer / Provider Collaboration, Population Health Management, Social Determinants of Health

Beacon Healthcare Systems

Appeals & Grievances, CMS Audit Support, CMS Compliance and Operations Support, Compliance, Enrollment, Fraud Waste & Abuse, Social Determinants of Health

BeneLynk

Dual Eligible Outreach, Member Retention/SSI Advocacy, Retention Services, Social Determinants of Health

Best Foot Forward

Member Assessments, Member Engagement (Unable to Contact), Patient Engagement, Retention Services

BluePeak Advisors / Solid Benefit Guidance

CMS Compliance and Operations Support, Mock Audits - Medicaid/Medicare, Pharmacy Benefit Management Consulting

BrainHQ

Behavioral Health, Brain Health, Population Health

Cain Brothers

Capital Raises, Investment Banking, Valuation

CAQH

Payment Integrity Operations, Provider Credentialing, Provider Directory Solutions

CareBridge

Care for High Risk Members, DSNP Launch, Dual Eligible Strategy, LTSS Strategic Consultative and Clinical Services

Carelon Behavioral Health

Behavioral Health, Crisis Solutions, Specialty Population Management

Chartis

Management Consulting, Operational Effectiveness & Technology Consulting, Strategic Consultants

Cityblock Health

Behavioral Health, Care for High Risk Members, Social Determinants of Health

ClarisHealth

Fraud Waste & Abuse, Modernization: Analytics Operations and Systems, Payment Integrity Operations

Clearlink Partners

Accreditation/Quality/Regulatory Consulting, Clinical Operations, Medical Management

Cody Consulting Group

Business Process Outsourcing, DSNP Launch

Cognizant

Business Process Outsourcing, Core Administration Processing Solutions (CAPS), Software Vendor

Cohere Health

Artificial Intelligence and Machine Learning, Care Coordination / Management Technology Solutions, Utilization Management

CommunityConnect Labs

Member Outreach, Mobile Engagement, Social Determinants of Health

Coordinated Transportation Solutions

Non-Emergency Transportation Management, Social Determinants of Health

Cotiviti

Fraud Waste & Abuse, HEDIS / Quality, Predictive Analytics, Retention Services, Risk Adjustment

CoverSelf

Analytics Business Intelligence and Performance Management, Fraud Waste & Abuse, Payment Integrity Operations

Curatus

Interoperability Compliance, Provider Data Curation & Management, Provider Directory Solutions, Provider Network Adequacy

DataLink Software

Analytics Business Intelligence and Performance Management, HEDIS / Gaps in Care, Interoperability

DeltaSigma

Business Development, Clinical Program Strategies, Strategic Consultants

DentaQuest

Dental, DSNP Launch, Vision

Direct Interactions

Business Process Outsourcing, Contact Center, Interim Staffing

DRG Claims Management

CMS Audit Support, Fraud Waste & Abuse

ECHO Health

Electronic Payments, Payment Automation, Payment Fraud Prevention

Edifecs

Data Sharing and Analytics, Interoperability, Population Health Management, Predictive Analytics, Risk Adjustment, Value-Based Contract Design and Performance

eFamilyCare

Care for High Risk Members, Caregiver Engagement, Social Determinants of Health

EPIC Insurance Brokers and Consultants

Cybersecurity, Health Plan Administration and TPA, Insurance/Reinsurance Brokerage & Consulting

Ereteam Analytics

Analytics Business Intelligence and Performance Management, Member Acquisition, Predictive Analytics

Evernorth Health Services (prev Express Scripts)

Behavioral Health, Pharmacy Benefit Managers, Social Determinants of Health, Specialty Pharmacy, Telehealth

Evolent Health

Business Process Outsourcing, Core Administration Processing Solutions (CAPS), DSNP Launch, Health Plan Administration and TPA

Finity

Care for High Risk Members, Digital Engagement Platforms, HEDIS / Gaps in Care, Social Determinants of Health

Foodsmart

Nutrition, Population Health Management, Social Determinants of Health, Telehealth

Freespira

Behavioral Health, Care for High Risk Members, Social Determinants of Health

FTI Consulting

DSNP Launch, Operations Consulting, RFP Strategy and Response, Risk and Compliance

Good Leadership

Management Consulting, Strategic Consultants

Healthcare Fraud Shield

Fraud Waste & Abuse, Payment Integrity Operations

HealthLX

Integrated Care / Case Management IT Platforms, Integration and Aggregation Services, Interoperability, Social Determinants of Health

Healthmine

Digital Engagement Platforms, HEDIS / Gaps in Care, Patient Engagement, Social Determinants of Health, Value-Based Contract Design and Performance

HealthSherpa

Exchange Integration, Individual & Group Enrollment and Premium Billing, Individual & Group Private Exchange Portal

HealthTrio

Digital Engagement Platforms, Interoperability, Member/Provider Communications Consulting and Software, Retention Services, Web Portals / SaaS

HFI

Connecting Medicaid Members to SSI Benefits, SSI Reclassification for Revenue Enhancement

HMA – Health Management Associates

DSNP Launch, Management Consulting, Retention Services, RFP Strategy and Response, Social Determinants of Health, Value-Based Contract Design and Performance

Horman Actuarial Solutions

Actuarial and Data Services, Management Consulting, Quality and Regulatory Compliance Consulting, Value-Based Contract Design and Performance

Inovalon

HEDIS Compliance and Reporting, Provider Data Curation & Management, Risk Adjustment

Itiliti Health

Artificial Intelligence and Machine Learning, Care Coordination / Management Technology Solutions, Interoperability, Utilization Management, Value-Based Contract Design and Performance

Leap Orbit

Interoperability & Data Exchange, Provider Directory Solutions, Web Portals / SaaS

LIBERTY Dental Plan

Dental, Value-Based Contract Design and Performance

Mazars USA LLP

DSNP Launch, Provider Network Development, Social Determinants of Health, Telehealth, Value-Based Contract Design and Performance

Medicaid Learning Center

Medicaid Training, Training and Education

MedImpact Healthcare Systems

Pharmacy Benefit Managers

MHK

Care Coordination / Management Technology Solutions, HEDIS Compliance and Reporting

Milliman

Actuarial and Data Services, Analytics Business Intelligence and Performance Management, DSNP Launch, Pharmacy Benefit Management Consulting

Modivcare

Non-Emergency Transportation Management, Nutrition, Remote Patient Monitoring (RPM)

Mom’s Meals

Nutrition, Social Determinants of Health

Monroe Plan for Medical Care

Analytics Business Intelligence and Performance Management, Care for High Risk Members, Integrated Care / Case Management IT Platforms

Morgan Consulting Resources

Executive Search & Recruitment, Interim Staffing

MostlyMedicaid

Business Development, Management Consulting, RFP Strategy and Response

MTM

Care Coordination, Caregiver Engagement, Non-Emergency Transportation Management, Social Determinants of Health

N1 Health

DSNP Launch, Member Engagement, Redetermination, Risk Adjustment & Predictive Modeling, Social Determinants of Health

Navitus Health Solutions

Pharmacy Benefit Managers

NeuroFlow

Behavioral Health, Care Coordination, Population Health Management

Nokomis

Analytics Business Intelligence and Performance Management, Fraud Waste & Abuse, Payment Integrity Operations

North Compass Solutions

Cultural Competency Services and Training, DSNP Launch, Management Consulting, Operational Effectiveness & Technology Consulting

Northwood

Durable Medical Equipment Benefit Management (DBM), Health Plan Administration and TPA, Utilization Management

NourishedRx

Disease Management, Nutrition, Social Determinants of Health

Pair Team

Care Coordination / Management Technology Solutions, HEDIS / Gaps in Care, Population Health Management, Social Determinants of Health, Value-Based Contract Design and Performance

PDHI

Digital Engagement Platforms, HEDIS / Gaps in Care, Patient Engagement

PerformRx

340B Drug Pricing, Pharmacy Benefit Managers, Specialty Pharmacy

PopHealthCare

Care for High Risk Members, Risk Adjustment, Social Determinants of Health

PPSV

PQS – Pharmacy Quality Solutions

Analytics Business Intelligence and Performance Management, Data Sharing and Analytics, Performance Improvement

Quality Interactions

Cultural Competency Services and Training

Redesign Health

Care Coordination / Management Technology Solutions, Disease Management, Patient Engagement

Risk Strategies

Cybersecurity, Insurance/Reinsurance Brokerage & Consulting, Reinsurance

Rovicare

Behavioral Health, Care Coordination / Management Technology Solutions, Interoperability & Data Exchange

SameSky Health

Health Equity, HEDIS / Quality, Member Outreach (Multi-Channel), Social Determinants of Health

Sellers Dorsey

Dual Eligible Strategy, RFP Strategy and Response, Strategic Consultants

SKYGEN

Core Administration Processing Solutions (CAPS), Dental, Vision

Smile Digital Health

FHIR Implementation Services, Managed Hosting Provider, Software Vendor

Solix

Business Process Outsourcing, Contact Center, Member/Provider Communications Consulting and Software, Social Determinants of Health

Spring Street Exchange

Management Consulting, Social Determinants of Health, Strategic Consultants

Syrtis Solutions

Fraud Waste & Abuse, Subrogation

Tegria

Business Process & IT Services, Interoperability, Management Consulting, Operational Effectiveness & Technology Consulting, Telehealth

The Menges Group

Dual Eligible Strategy, RFP Strategy and Response, Strategic Consultants, Value-Based Contract Design and Performance

The Pharmacy Group

Business Development, Pharmacy Benefit Management Consulting, Predictive Analytics

Toney HealthCare Consulting

Accreditation/Quality/Regulatory Consulting, Clinical Operations, Medical Management

UpHealth

Care Coordination / Management Technology Solutions, Population Health Management, Social Determinants of Health

UPMC Benefit Management Services

Business Process Outsourcing

VBA

Core Claim Administration Software for all Lines of Business, Population Health / Value Based Care Reporting, User Engagement Platforms

Versant Health

Vesta Healthcare

Caregiver Engagement, Home-based Monitoring (RPM & PERS), LTSS/Dual Eligible Clinical Services, Value-Based Contract Design and Performance

Vheda Health

Digital Engagement Platforms, Population Health, Remote Patient Monitoring (RPM), Social Determinants of Health

Virtix Health

Clinical Data Connectivity, Member Assessments, Social Determinants of Health, Telehealth

VirtualHealth

Care Coordination / Management Technology Solutions, Population Health Management, Social Determinants of Health

VSP Vision Care

HEDIS / Gaps in Care, Vision

Wakely

Actuarial and Data Services, DSNP Launch, Provider Network Development, Risk Adjustment

Waymark

Care for High Risk Members, HEDIS / Gaps in Care, Social Determinants of Health

Weaver and Associates

Business Development, Operational Effectiveness & Technology Consulting, Strategic Consultants

WellSky

Care Coordination, Health Equity, Social Determinants of Health

ZeOmega

Care Management, Interoperability, Population Health Management, Social Determinants of Health

Zipari

Digital Engagement Platforms, Member/Provider Communications Consulting and Software, Web Portals / SaaS