A significant number of TANF and general Medicaid members could qualify for Supplemental Security Income (SSI) benefits, but they are often overlooked.
Chamberlin Edmonds unique expertise as advocates for patients enables us to navigate through complex eligibility requirements to identify and qualify those TANF members most likely to be eligible for federally funded disability benefits.
Converting members from TANF to disability can result in significantly higher incremental PMPM rates, upwards to Five times the normal rate. Rates vary by state. It is realistic to expect that a Medicaid HMO with 100,000 members could see millions of dollars in annualized incremental revenues from these capitated rate increases.
There are other benefits, as well. Most SSI recipients receive from $500 to $800 a month to cover their living expenses. By increasing the managed care plan's value to its members, Chamberlin Edmonds also helps improve member retention and reduce turnover costs.
The benefits:- Increased revenue
- Member retention
- Increased member satisfaction
- Upon approval, many members receive monthly income for food, shelter and clothing
