Maximus Earns URAC Accreditation for Health Utilization Management in Clinical Reviews

December 04, 2024 at 10:00 AM EST

Designation demonstrates excellence in state assessment services and a meaningful commitment to quality healthcare

Maximus, a leading employer and provider of government services worldwide, today announced it has again earned URAC full accreditation for Health Utilization Management for clinical review criteria, pre-review screening, initial clinical review, and clinical decisions. This accreditation is a demonstration of excellence in reviewer qualifications and efficient timelines that are part of the clinical assessment services Maximus provides to state agencies.

URAC is the independent leader in promoting healthcare quality by setting high standards for clinical practice, consumer protections, performance measurement, operations infrastructure, and risk management. By achieving this status, Maximus has demonstrated its commitment to quality care, enhanced processes, patient safety, and improved outcomes as it helps government agencies optimize the efficiency of their programs while complying with state and federal regulations.

“The Health Utilization Management accreditation serves as a testament to our clinical quality standards and ability to deliver consistent, unbiased determinations for public health programs. By earning this accreditation again, we’re demonstrating our unwavering commitment to excellence in person-centered care,” said Christa Ballew, Senior Managing Director for Clinical Services, Maximus. “When state governments select Maximus to support their critical healthcare programs, they know they are working with a partner that values quality and accountability when meeting the needs of people seeking services and support.”

The URAC accreditation process facilitates learning and continuous quality improvement through a framework that enables organizations to assess and improve clinical care and program operations. Maximus submitted comprehensive policies, procedures, workflows, and other organizational information for review. URAC’s accreditation process validates compliance with nationally recognized healthcare standards and supports improvements and innovation in care management and service delivery for the long term.

“Healthcare professionals know that utilization management is an important component to ensure that people receive the most appropriate care for their particular needs. We are proud to recognize Maximus for achieving URAC’s Health Utilization Management Accreditation,” said URAC’s President and CEO Shawn Griffin, MD.

In addition to the URAC accreditation for Health Utilization Management earned by Maximus U.S. Services, Maximus Federal Services has been granted full accreditation by URAC for Credentials Verification Organization, Independent Review Organization, and Workers’ Compensation Utilization Management. Maximus holds several certifications and accreditations across its global operations.

About Maximus

As a leading strategic partner to governments across the globe, Maximus helps improve the delivery of public services amid complex technology, health, economic, environmental, and social challenges. With a deep understanding of program service delivery, acute insights that achieve operational excellence, and an extensive awareness of the needs of the people being served, our employees advance the critical missions of our partners. Maximus delivers innovative business process management, impactful consulting services, and technology solutions that provide improved outcomes for the public and higher levels of productivity and efficiency of government-sponsored programs. For more information, visit maximus.com.