Disability Eligibility Frequently Asked Questions
Centauri helps eligible individuals and health plan members navigate the complex process of obtaining federal disability benefits, including SSI and SSDI.
Centauri has supported disability eligibility for health plans and consumers since 2006, backed by more than three decades of disability-related analytics, education, and representation expertise.
Medicaid members and dependents who may qualify under Social Security Administration (SSA) criteria, including the 14 adult body systems and 15 pediatric disability categories.
We identify and reach out to members to explain the value of the program and the potential to receive a monthly cash benefit when medical and non-medical requirements are met.
Our proprietary analytics engine uses rules-based logic, AI, and machine learning to predict potential disability eligibility using claims, member, and pharmacy data. We then conduct individual assessments to confirm additional factors.
Yes. Our disability specialists support hearings, on-the-record reviews, appeals, and Administrative Law Judge representation. We also reconcile awarded benefit amounts against SSA payment files.
Yes. Through Social Services+, members can access food, housing, transportation, and other community resources tied to Social Determinants of Health (SDOH).
Centauri combines unmatched analytics with decades of expertise, making us a national leader in disability enrollment. Our SSA rules-based engine grows more accurate over time, and our trained disability specialists guide members with compassion and skill.
Yes. Every dollar invested in Disability Eligibility generates an estimated 1.5x positive local economic impact by bringing federal SSI/SSDI dollars back into members’ communities.
Our platform is HITRUST r2 Certified, and Centauri maintains a strong compliance record supported by comprehensive, real-time reporting.
It is one of five Member Connect offerings — alongside Dual Eligibility, Medicaid Retention, Social Services+, and Long-Term Care — all designed to help individuals access the benefits they are entitled to.