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Recognizing the recent shift within CMS and state Medicaid to move LTSS members into fully capitated FIDE/HIDE SNP plans, Modivcare Monitoring has moved aggressively to create a comprehensive integrated suite of solutions that brings together the assets and capabilities of leading Monitoring organizations, including VRI, Guardian Medical Monitoring, Higi & Higi Care.
Home (frail, socially isolated, high-risk maternal)
PERS provides 24/7 support for frail and complex members, unlocking access and driving engagement to identify risk factors and address open gaps in care
Home (chronic, high-risk maternal)
Care Everyday addresses the needs of members living with complex care needs, serving as a clinical extension of their care team to address opens gaps in care, achieve HEDIS control, and proactively prevent costly admissions.
Community (population health)
Anywhere Care meets members in their communities as an entry point to care and engagement, identifying risks, navigating members to resources, and providing virtual care.
This unique solution suite mitigates risk by improving access to care, positively impacting quality metrics, lowering costs, and delivering high member satisfaction.
Deliver exceptional care for Medicaid LTSS populations through a fully integrated, value-based model. We combine clinical expertise, technology, and shared-risk alignment to help your health plan improve outcomes, simplify operations, and strengthen financial performance.
One partner. One contract.
Eliminate the complexity of managing multiple vendors with a single, national provider for all services—streamlining contracting, implementation, billing, and program oversight.
Empower independence. Enhance quality of life.
Our Care Everyday Chronic Condition Management, Remote Monitoring, and Personal Emergency Response Systems (PERS) programs help members stay healthy and independent —reducing ER visits and hospitalizations.
Reaching rural and underserved communities.
Our remote monitoring and community-based telehealth enabled health stations provide access and self-monitoring tools, overcoming barriers like transportation, limited internet, and low digital literacy.
Align incentives. Drive efficiency.
As a medical provider, we bill within MLR for Chronic Care Management (CCM) and Remote Patient Monitoring (RPM). Shared-risk models link our success directly to yours.
Better data. Better outcomes.
We submit complete claims with Z and HCPCS codes for Social Determinants of Health (SDoH), helping improve HEDIS, LTSS quality measures, and risk adjustment accuracy.
Beyond clinical care. Toward equity.
We identify and document SDoH needs—such as food insecurity and housing instability—supporting compliance with CMS health equity and performance initiatives.
Prevention in action.
Proactive monitoring and early intervention reduce emergency visits, readmissions, and institutional placements—lowering the total cost of care.
An extension of your care team.
Our 50-state clinical network provides care management and care planning resulting in coordinated medical, behavioral, and social care—improving member satisfaction and continuity of service. These services can be tailored to fit within your care management structure.
Reduced administrative burden Improved outcomes and equity Stronger financial performance Happier, healthier membersA proven solution that increases member engagement, improves quality, and lowers costs.
Partner with us to create a smarter, more connected model of care.
