Medicaid Retention Frequently Asked Questions

Community engagement requirements, more frequent redeterminations, and shifting program financing are increasing the risk of coverage loss. Expansion-population members are now more likely to lose Medicaid for administrative or technical reasons — not because they’re truly ineligible.

Our advocates reach out to members most likely to need recertification using multiple communication channels. We verify income and asset eligibility through our live eligibility process and match members to programs based on state-specific criteria. With consent, Centauri initiates the application with the local agency and guides members through each step.

We use analytics-driven outreach, outbound calling, SMS, and self-service scheduling to reach historically hard-to-engage populations, including Medicaid and Medi-Cal members.

We make multiple outreach attempts across channels before marking a case unresolved. When appropriate, we refer members to qualifying community engagement activities — such as education, work, or volunteering — and help identify exemptions that may apply.

Most programs launch within 45–90 days. A dedicated implementation team manages the process and keeps all deliverables on track.

We require a monthly demographic and referral file (via SFTP), approval of member-facing materials, accounting setup, and in-service training on Centauri’s reporting tools.

Centauri operates on a HITRUST r2-certified platform with comprehensive call recording, quality monitoring, and strict compliance oversight.

Yes. Our workflow platform incorporates state-specific income and asset criteria, and our nationwide eligibility infrastructure supports application processing in all 50 states.