Home monitoring and telehealth
Appropriate tracking of blood glucose, blood pressure and other health measures, with education, clinician-directed follow-up and eligible virtual encounters.
PREVENTION · WELLNESS · EDUCATION
State Medicaid Initiative
Connected care starts with coordinated partners.
A COORDINATED CARE MODEL
One management partner. A connected provider network.
MediSeniorCare’s State Medicaid Initiative is a coordinated care model designed for implementation with participating Medicaid providers and health plans. It brings home health agencies, nursing facilities, licensed healthcare professionals, technology vendors and qualified suppliers together under one management services organization (MSO).
Our model supports diabetes prevention education, glucose monitoring, remote patient monitoring and telehealth coordination, with additional nursing-facility services where included in the contracted program. Each implementation is adapted to the state’s covered benefits, participating provider network and approved funding arrangements.
How the program is structured
Select a partner to see its role.
MediSeniorCare Lead MSO
MediSeniorCare provides overall business and administrative leadership. Its role includes program design, operating budgets, partner agreements, vendor coordination, training logistics, reporting and operational accountability. MediSeniorCare retains approval authority over its program budgets, contracts and major business decisions.
Project director and implementation team
A designated project director coordinates daily execution, partner responsibilities, staffing readiness, launch milestones and performance reporting within MediSeniorCare’s approved budget and delegated authority.
Home health partners
Participating agencies support in-home implementation, patient education, device-use assistance, monitoring workflows and communication with treating clinicians within their licensed scope and contracted responsibilities.
Nursing facilities
Participating facilities coordinate resident access, on-site support and communication with the clinical team. Their work may include integration of monitoring, wound-care services and medically necessary laboratory services into individual care plans.
Licensed clinical providers
Physicians and other appropriately licensed professionals determine clinical eligibility, order services when required, direct treatment and supervise clinical work. They establish how concerning readings are reviewed and escalated. Clinical judgment remains with the responsible provider.
Technology and qualified supply partners
Technology partners support devices, connectivity, platforms, integrations and technical training. Qualified suppliers fulfill prescribed CGM devices and related supplies. Laboratories and wound-care providers deliver their contracted services within their qualifications.
State Medicaid agencies and participating health plans
The applicable payer determines coverage, authorization and payment requirements. MediSeniorCare coordinates only the administrative functions assigned through its agreements; payer authority remains with the state agency or health plan.
Services the model can support
Continuous glucose monitoring
Coordination of prescribed CGM devices, setup education, supplies and communication with the treating team for eligible members.
Nursing-facility support
Resident-specific coordination of monitoring, wound care and provider-ordered laboratory services where contracted and medically necessary.
Prevention and nutrition education
Practical support for healthy eating, physical activity and diabetes-risk reduction. Education for members with diagnosed diabetes supports their treatment plan. Prevention services, clinical treatment and device coverage have separate eligibility and funding requirements.
How we implement the program
Assess the state’s needs and funding pathway
Identify the intended member population, care gaps, participating payer, covered services, required approvals and measurable program goals.
Establish agreements and responsibilities
Define MediSeniorCare’s management role and each partner’s services, staffing, fees, reporting, data responsibilities and clinical authority. Confirm provider qualifications and applicable enrollment or network requirements.
Prepare the care model and technology
Agree on referral processes, monitoring protocols, clinical response procedures, equipment support and privacy safeguards. Configure the technology and train participating teams before launch.
Enroll eligible members and support setup
The responsible providers confirm clinical suitability and required orders. Program teams coordinate benefit checks, authorizations, consent, patient education and device setup as applicable.
Launch a defined initial phase
Begin with an agreed group of providers, facilities and eligible members. Verify that devices, communication channels, clinical follow-up and administrative workflows operate as intended.
Measure performance and improve delivery
Review participation, monitoring engagement, follow-up, service quality and agreed clinical or utilization measures. Identify gaps, assign corrective actions and report progress to participating organizations.
Expand based on readiness and results
Add providers, facilities or service areas after reviewing capacity, outcomes, contracts and funding. Apply the same structured process to each additional state.
How management and payment are organized
Under the proposed model:
Covered clinical and supply services
Paid to the properly authorized entities under their payer agreements.
Documented management services
MediSeniorCare receives defined compensation under its contracts.
Specifically delegated administrative work
A separate payer agreement may fund this work.
Fees, responsibilities and funding sources are established for each implementation, with overlapping charges excluded.
What participating organizations can expect
Members and families
A coordinated support process and help using their monitoring tools.
Providers and facilities
A central management partner, defined responsibilities and organized reporting.
Participating payers
Visibility into program activity and agreed performance measures.
The program’s goals are earlier identification of concerns, stronger follow-up and more consistent care coordination. Results are measured during implementation.
Explore a provider partnership
Home health agencies, nursing facilities, healthcare professionals, health plans and qualified technology or supply partners are invited to discuss participation.
Call 877-739-0450Availability varies by state and depends on finalized agreements, applicable approvals, member eligibility, medical necessity and payer requirements. MediSeniorCare provides management and administrative support; appropriately licensed providers deliver clinical care. The initiative does not imply government endorsement, availability in every state or guaranteed Medicaid coverage or payment.