Driving Health Plan Success

Who We Are

Providing Comprehensive Face-to-Face Case Management Services

We are your Ground Game for Member Locating, Outreach, Engagement, and Delivery of Comprehensive Case Management Services Delivered in the Home and Inpatient Settings that Produce Outcomes Well Above Industry Standards.

Any Where

We have capability to deploy face-to-face comprehensive case management services in all settings and all geographical areas.

On Demand

We can deliver case management services at any time in the amount you need providing timely turn around and best industry outcomes.

Fast Implementation

We can initiate new services for you within five (5) to seven (7) days including training, tool creation and scheduling.

Our Services

SMM Face-to-Face Case Management Services are an effective and affordable solution for health plans to achieve their productivity, compliance, quality, financial, and member outcomes.

Quality
Assessments

An Experienced RN, LMSW, or APRN can perform all assessments in the home or inpatient setting:

  • Health Risk Assessments
  • Well-Being Assessments
  • Nursing Facility Level of Care
  • Personal Care Assessments
  • Level II LTSS Assessments
  • Risk Adjustment Assessments
  • Home Safety Assessments
  • Transitions of Care Assessments
  • Psychiatric & Behavioral

Quality
LTSS

We have a 100% approval rate for 1915(c) Waiver Applications. We do not get paid until the Waiver Application is approved. We have worked with Long-Term Services and Supports for over 20 years. We can manage Personal Care Services including assessment and time adjustment with supporting documentation. Nursing Facility Level of Care Determinations with supporting documentation in the community or nursing facility.

Quality
Social Determinants

We Provide Individual and Group Physician Practices with Complete Care Management Solutions and Prepare the Practice for NCQA PCMH Recognition. With Our Meaningful Programs, Physicians Will Increase Shared-Savings with ACOs, CMS Direct Contracts and Health Plan Value-Based Contracting.

Quality
Well-Being

We Provide a Complete Solution to Managing SNF Patients through Integration of Our Case Managers Specializing in SNF Readmission Prevention and Transitions of Care Management. Our Case Managers Help Guide and Support the Patient and SNF Staff to Ensure A Safe Stay, Shorter LOS, No Re-Admissions and Safe Transitions Home.

Quality
Something

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OUR STORY

SMM began as a simple idea to provide comprehensive case management services to health plans who often need a little help reaching high-risk, unable-to-reach, transitions, and Long-Term Services. and Supports (LTSS).

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