Centene Corporation is a leading healthcare company that provides programs and services to people receiving Medicaid benefits, including Supplemental Security Income (SSI) and the Children’s Health Insurance Program (CHIP).
In addition, the company contracts with other healthcare organizations to provide specialty services including:
- Behavioral health
- Disease management
- Managed vision
- Nurse triage
- Pharmacy benefit management
- Treatment compliance
After Medicare and employee-based plans, Medicaid is the largest source of health insurance for Americans. It provides health insurance to low-income families and people with disabilities.
Every state is different, and each one determines its own eligibility requirements, benefits, payment rates, and program standards. That’s why there are 56 different Medicaid programs (one for each state, territory and the District of Columbia). Medicaid eligibility is dependent on both income and asset requirements, as determined by the states.
Created in 1997, the Children’s Health Insurance Program (CHIP) helps states extend healthcare coverage to children whose families’ income level was too high to qualify for Medicaid assistance but who still could not afford to purchase private insurance.
State and federal government approved $24 billion over five years for states to provide new health coverage for millions of children — the largest children’s healthcare investment since the creation of Medicaid in 1965.
Supplemental Security Income (SSI) is a federal Medicaid program that helps provide healthcare services for the elderly, people who are blind and those who have disabilities. SSI enrollees typically have a chronic medical and/or behavioral illness and are economically disadvantaged.
A significant portion of Medicaid enrollees (26%) meet SSI requirements. Several states have developed special programs for people with disabilities, and others have enrolled them in their Medicaid program.
CenCorp Health Solutions (CenCorp)® strives to provide specialized health solutions to the complex problems faced by:
- Healthcare providers
- Pharmaceutical companies
- Distributors and payers
CenCorp is made up of several wholly owned subsidiaries:
- Bridgeway Health Solutions
- Cenpatico Behavioral Health, LLC®
- OptiCare Managed Vision
- USScript Inc.
CenCorp also offers a pharmaceutical compliance program:
- Enhanced Care Coordination
CenCorp provides unique services, which, alone or combined, deliver improved outcomes, reliable data and cost-effective coordinated care.