Preferred Vendors

Specialized listings: D-SNP Services | Member Contact Update | Entering the Marketplace | AI Services

Preferred Vendor Connection Portal for Members and Preferred Vendors

Showcases: 2025 Member Engagement and Retention | 2025 D-SNP, MLTSS, MA | SDOH 2024 | SDOH 2023 | D-SNP, MLTSS, MA |

2025 ACAP Politics and Policy Update for Preferred Vendors:  Video  Slide Deck

Resources for Members (login required): Preferred Vendor Education Series Videos

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

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Our Strategic Allies


Belong Health

ACAP Strategic Ally, Care for High Risk Members, DSNP Launch, Dual Eligible Strategy, Health Plan Administration and TPA

CuraFi

ACAP Strategic Ally, Analytics Business Intelligence and Performance Management, Reinsurance

HealthEdge

ACAP Strategic Ally, Appeals & Grievances, Artificial Intelligence, Care Coordination / Management Technology Solutions, Care for High Risk Members, Care for High Risk Populations, Care Gap Closure Programs, Care Management, Caregiver Engagement, Claims, Clinical Operations, Core Administration Processing Solutions (CAPS), Core Claim Administration Software for all Lines of Business, Digital Engagement, Digital Engagement Platforms, Disease Management, DSNP Launch, Electronic Payments, HEDIS, HEDIS / Gaps in Care, HEDIS / Quality, HEDIS Compliance and Reporting, Integrated Care, Integrated Care / Case Management IT Platforms, Interoperability, Interoperability Compliance, Medical Management, Member Assessments, Member Engagement, Mobile Engagement, Modernization: Operations and Systems, Patient Engagement, Payment Automation, Payment Integrity Operations, Population Health, Population Health / Value Based Care Reporting, Population Health Management, Provider Data Curation & Management, Social Determinants of Health, Software Vendor, User Engagement Platforms, Utilization Management

Softheon

ACAP Strategic Ally, Exchange Integration, Individual & Group Enrollment and Premium Billing, Individual & Group Private Exchange Portal, Interoperability, Interoperability & Data Exchange

Foodsmart

ACAP Strategic Ally, Nutrition, Population Health Management, Social Determinants of Health, Telehealth

AArete

Analytics Business Intelligence and Performance Management, Artificial Intelligence, CAHPS, Management Consulting, Payment Integrity Operations, RADV Audit

ACAP Advisors

Interim Staffing

Activate Care

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

Alaffia

Fraud Waste & Abuse, Payment Integrity Operations, Software Vendor

Alivi Health

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

Anoteros

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

Astrata

Analytics Business Intelligence and Performance Management, Artificial Intelligence and Machine Learning, HEDIS / Gaps in Care

ATI Advisory

DSNP Launch, Policy and Regulatory Support, RFP Strategy and Response, Value-Based Contract Design and Performance

Attane Health

Disease Management, HEDIS, Nutrition, Social Determinants of Health

Autonomize AI

Artificial Intelligence and Machine Learning, HEDIS / Gaps in Care, Utilization Management

Azara

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

Braided Health

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

Cain Brothers

Capital Raises, Investment Banking, Valuation

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

Catalyst Solutions

Business Process & IT Services, Business Process Outsourcing, CAHPS, Contact Center

ClarisHealth

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

Clarity Software Solutions

Member Engagement, Member/Provider Communications Consulting and Software, Print Fulfillment

Cognizant

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

Coordinated Transportation Solutions

Non-Emergency Transportation Management, Social Determinants of Health

COPE Health Solutions

Analytics Business Intelligence and Performance Management, Management Consulting, Population Health Management, Social Determinants of Health

Curatus LLC

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

DataLink

Analytics Business Intelligence and Performance Management, DSNP Launch, HEDIS / Gaps in Care, Interoperability, RADV Audit

Delfina

Artificial Intelligence and Machine Learning, Disease Management, Maternal Health, Social Determinants of Health

DeltaSigma

Business Development, Clinical Program Strategies, Strategic Consultants

DentaQuest

Dental, DSNP Launch, Vision

DRG Claims Management

CMS Audit Support, DSNP Launch, Fraud Waste & Abuse, Payment Integrity Operations

Drive Health

AI and Tech Enablement, Operational Efficiencies, Social Determinants of Health

Edifecs

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

Evernorth Health Services

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

Forvis Mazars

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

Freespira

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

FTI Consulting

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

Good Leadership

Management Consulting, Strategic Consultants

GreatBlue Research

Member Assessments, Non-Emergency Transportation Management, Patient Engagement

HealthCare Dynamics International (HCD International)

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

Healthcare Fraud Shield

Fraud Waste & Abuse, Payment Integrity Operations

HealthPlan Data Solutions

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

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

Homestyle Direct

Home Delivered Meals, Nutrition, Social Determinants of Health

Imagenet

Business Process & IT Services, Business Process Outsourcing, Contact Center, RADV Audit

J2 Health

Provider Data Curation & Management, Provider Network Adequacy, Provider Network Development

Kbrax

Artificial Intelligence and Machine Learning, Behavioral Health, Care Coordination / Management Technology Solutions, RADV Audit

Kinetik

Interoperability, Non-Emergency Transportation Management, Social Determinants of Health

Lore Health

Behavioral Health, Digital Engagement

Me+U Care

CAHPS, Care Coordination / Management Technology Solutions, Caregiver Engagement, Caregiver Support, Member Engagement, Social Determinants of Health

Medical Review Institute of America

Appeals & Grievances, Utilization Management

MedImpact Healthcare Systems

Pharmacy Benefit Managers

MedScope, A Medical Guardian Company

Care Gap Closure Programs, Personal Emergency Response Systems, Social Determinants of Health

Metre

Business Development, RFP Strategy and Response, Strategic Consultants

Milliman

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

Modivcare

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

Mom’s Meals

DSNP Launch, Nutrition, Social Determinants of Health

Monroe Plan for Medical Care

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

Morgan Consulting Resources

Executive Search & Recruitment, Interim Staffing

Mostly Medicaid

Business Strategy and Development, Management Consulting, RFP Strategy and Response, Social Determinants of Health

mPulse

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

MTM

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

NationsBenefits

Care Coordination / Management Technology Solutions, Nutrition, Social Determinants of Health, Transportation

Navitus Health Solutions

Pharmacy Benefit Managers

Netmark Business Services

Business Process & IT Services, Business Process Outsourcing, Claims

Nokomis

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

Nomi Health

Analytics, Behavioral Health, HEDIS / Gaps in Care

North Compass Solutions

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

NourishedRx

Disease Management, DSNP Launch, Nutrition, Social Determinants of Health

Outcomes

Adherence Monitoring, HEDIS / Gaps in Care, Medication Management

Pair Team

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

Pallas Consulting Services

Business Strategy and Development, Management Consulting, RFP Strategy and Response

Paytient

Electronic Payments, Member Engagement

Pear Suite

Community Health Worker Management, Community-Based Organization Engagement, Social Determinants of Health

PerformRx

340B Drug Pricing, Pharmacy Benefit Managers, Specialty Pharmacy

Perkins Coie

Legal Services

Pinnacle Brokers

Insurance/Reinsurance Brokerage & Consulting, Reinsurance

PolicyMap

Analytics Business Intelligence and Performance Management, Population Health Management, Social Determinants of Health

PPSV

Legal Services

PQS – Pharmacy Quality Solutions

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

ProgenyHealth

Care Coordination, Care for High Risk Populations, Maternal and Infant Health

Reeder and Associates

Executive Search & Recruitment, Interim Staffing

Risk Strategies

Cybersecurity, DSNP Launch, Insurance/Reinsurance Brokerage & Consulting, Reinsurance

Rovicare

Care Coordination / Management Technology Solutions, Interoperability & Data Exchange, Provider Network Adequacy, Provider Network Development

RxDiet

Disease Management, Nutrition, Patient Engagement, Social Determinants of Health

Sellers Dorsey

Dual Eligible Strategy, RFP Strategy and Response, Strategic Consultants

Shield Healthcare

Disposable Home Medical Supply Benefit Management

Siftwell Analytics

HEDIS / Gaps in Care, Population Health, Risk Adjustment & Predictive Modeling, Social Determinants of Health

SKYGEN

Core Administration Processing Solutions (CAPS), Dental, Vision

Smart Data Solutions

Claims, Clearinghouse, Intelligent Medical Records

Spring Street Exchange

Management Consulting, Social Determinants of Health, Strategic Consultants

SPS Community Solutions

Business Process Outsourcing, Medicaid Retention, Patient Engagement

Syrtis Solutions

Coordination of Benefits, Cost Avoidance, Prospective Pharmacy and Medical TPL Identification Services

Telligen

Care for High Risk Members, LTSS Strategic Management & Clinical Services, Utilization Management

TenderHeart Health Outcomes

Durable Medical Equipment, HEDIS / Gaps in Care, LTSS/Dual Eligible Clinical Services

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

Accreditation/Quality/Regulatory Consulting, CAHPS, Clinical Operations, DSNP Launch, Medical Management, RADV Audit

Trualta

Brain Health, Care for High Risk Members, Caregiver Support

UPMC Benefit Management Services

Business Process Outsourcing

Upstream USA

Contraceptive Care Services, Customized Training, Implementation Services

Upward Health

Behavioral Health, Care for High Risk Members, Dual Eligible Strategy, Social Determinants of Health

UST Healthproof

Business Process & IT Services, CAHPS, Core Administration Processing Solutions (CAPS), Modernization: Analytics Operations and Systems

Vesta Healthcare

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

Violet

Cultural Competency Services and Training, Provider Network Development, RFP Strategy and Response, Social Determinants of Health

Virtix Health

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

VSP Vision Care

HEDIS / Gaps in Care, Vision

Wakely

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

ZAHealth

Analytics Business Intelligence and Performance Management, Management Consulting, Policy and Regulatory Support

Zelis

Digital Engagement, Electronic Payments, Payment Integrity Operations