Increase enrollment and
capitalize on more referrals

by letting us take care of the Medicaid process

We’ll handle the entire Medicaid process from initial referral through approval,
ensuring short pending periods and a hassle-free process.
schedule free consultation

New! SPSCS’s Referral Management Software. All your referrals in 1 portal!

Request a Demo
Experience peace of mind knowing you’re prepared for every medicaid eventuality

and it’s all made simple for you and your patients

37
Calendar days from referral to approval for new applications
15000
Applications approved over the past 18 months
21
Calendar days for recertification approvals
transparency

complete transparency

Stay up to date with:
  • Real-time updates available via online portal
  • Daily, weekly and monthly reports
  • Weekly review of open cases
accessibility

patient
accessibility

make it easy for your patients with our:
  • Home Visits
  • Personal Medicaid Specialist for each applicant
  • Multilingual Staff
results-based pricing

results-based
pricing

pay only for successful outcomes
Only get billed once the patient receives Medicaid approval.

Yes! I want to increase revenue with a swift, reliable Medicaid process

try it for free
Slice through Medicaid pending periods and avoid reimbursement losses with 4 key SPSCS services

first-time
applications

Get the entire application + paperwork taken care of quickly and efficiently
    Includes:
  • Initial Phone Consultation
  • Home Visits
  • Regular contact with the Medicaid office until eligibility is granted

eligibility
screenings

Know in advance about coverage changes for each patient so there are no unexpected lapses or changes
    Includes:
  • Monthly Eligibility Reviews
  • Month over month comparisons to catch changes

Recertifications

Hand over the full responsibility of tracking and submitting recertifications so you never miss a renewal
    Includes:
  • Active coverage tracking for full patient roster
  • Home Visits
  • Renewal application submission
  • Free eligibility maintenance advice + support for all patients

Surplus Services

Reduce risk and ensure patient eligibility
    Includes:
  • Education and training for surplus patiens so they understand surplus responsibilities
  • Pooled trust enrollment
  • Strategic billing and regular follow-up to ensure budget accuracy
Don't limit your agency’s growth — by turning away potential Medicaid patients.
Let our experts take over the Medicaid process, so you can
increase your market share and revenue, risk-free.
With SPS Community Solutions, you'll avoid yearly member loss, and be able to focus on increasing revenue and growing your agency

Yes! I want the ability to accept all referrals

contact us