Member Connect
Connect every member to the benefits they're eligible for.
Connected Support
Member support,
simplified.
Centauri Member Connect helps organizations understand each member's needs, prioritize outreach, and connect people to the care, coverage, and support they're likely eligible for. By combining timely data, intelligent workflows, and human-centered engagement, Centauri improves access, reduces gaps, and supports better outcomes across complex populations.
Products
Centauri's eligibility and retention suite.
We offer eligibility and enrollment solutions that help individuals and health plan members with specific needs to get the benefits they qualify for.
Disability Eligibility
Centauri supports potentially eligible individuals and members through the complex process of obtaining federal disability benefits. Our probabilistic modeling pinpoints members who may qualify for dual eligibility, enabling targeted outreach and higher conversion success.
We identify Medicaid members who meet income and resource criteria for Supplemental Security Income (SSI) or Social Security Disability Insurance (SSDI) and guide them through each step of the conversion process. By connecting clinical, financial, and eligibility signals, we surface high-probability candidates and support them through application, approval, and ongoing benefit retention.
Key benefits
- Higher conversion, sustained coverage, and more stable reimbursement.
- Consistent, human-centered engagement improves retention, reduces drop-off, and builds trust throughout the process.
- Ongoing support to manage redetermination and recertification requirements to support Medicaid pathways such as Spend Down and Deductible programs.
Dual Eligibility
We support Medicare Advantage members in applying for and maintaining Full Dual, Partial Dual, and LIS (Extra Help) benefits. Using probabilistic modeling, Centauri identifies members who are most likely to qualify for dual eligibility and prioritizes outreach to those with the highest likelihood of conversion.
Centauri also surfaces members at risk of losing eligibility, experiencing care interruptions, or disengaging from their plan by connecting clinical events, eligibility changes, and social needs. With insight delivered at the moment it matters, plans can intervene earlier — reducing churn, improving coordination, and sustaining continuity across care and coverage.
Key benefits
- Identify members approaching renewal, experiencing care transitions, or showing signs of instability.
- Prioritize outreach and intervene before gaps in coverage or care occur.
- Real-time visibility into changes in member status and coverage.
Medicaid Retention
We protect Medicaid coverage through proactive redetermination, recertification, and rapid reinstatement support for individuals and members who have lost benefits.
We also help members identify qualifying community engagement activities — such as education, volunteerism, or work hours — that support recertification. When participation isn't possible, we assess for medical frailty to ensure members maintain access to the coverage they need.
Key benefits
- Improve member experience and increase approval rates with Centauri’s advocates, who work directly with members through screening, application, representation, and appeals.
- Deliver financial stability for members and your organization.
Long-Term Care
We guide eligible individuals and members through the complex processes required to obtain and maintain Home and Community-Based Services (HCBS) and Long-Term Services and Supports (LTSS) waiver benefits.
Using predictive analytics, compassionate guidance, eligibility support, and ongoing follow-up, we help reduce administrative barriers, prevent benefit disruptions, and ensure individuals who rely on long-term care services remain connected to the right level of support.
Key benefits
- Improve access to needed services by helping individuals understand eligibility requirements and complete the steps required for HCBS and LTSS waiver benefits.
- Reduce administrative burden for plans and care teams by guiding members through complex processes with hands-on support.
Social Service+
Centauri connects individuals and members to Disability Eligibility support and essential community resources that help address Social Determinants of Health (SDoH) barriers and strengthen overall stability and well-being.
Many members face additional social needs — such as transportation challenges, housing insecurity, or limited access to food. Through targeted outreach, needs assessment, resource navigation, and follow-up, Centauri helps individuals access support beyond clinical care and stay connected to the services that matter most.
Key benefits
- Improve member stability by addressing non-clinical barriers that affect health, access, and day-to-day well-being.
- Strengthen care continuity by helping individuals overcome challenges that can lead to missed appointments, delayed care, or coverage disruption.
- Support better outcomes at scale with compassionate navigation that connects members to the right resources at the right time.
Security & Compliance
Security built into every connection.
Centauri protects sensitive health information through HIPAA-aligned protocols, secure exchange frameworks, controlled access, and continuous compliance oversight. The platform is built for clinical-grade interoperability — ensuring data is shared safely, consistently, and with the governance required for trusted coordination across the healthcare ecosystem.
See what connected healthcare can do.
Clarity in the moments that matter—so healthcare teams can move faster, work together, and drive better outcomes.
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