The Shift in Medicaid Renewals
As states increase the frequency of Medicaid redetermination and tighten eligibility requirements under HR1, community health centers and hospitals face a growing operational challenge. Millions of patients must complete Medicaid renewals on time to maintain coverage, and provider organizations now have additional reasons to coordinate outreach, documentation, and reporting across large, diverse populations.
Azara’s integrated population health platform, Azara DRVS gives providers the data, automation, and workflows needed to manage renewals efficiently and protect both patient care and organizational revenue.
The Medicaid Redetermination Challenge
Coverage gaps most often occur due to missed forms or paperwork deadlines, as opposed to true ineligibility. For mission-driven providers, these lapses can lead to:
- Delayed preventive care and worsening health outcomes
- Lost reimbursement and increased uncompensated care
- Heavy administrative workloads
- Difficulty meeting reporting requirements from states and payers
With up to 15 million Americans projected to lose Medicaid coverage due to more frequent redeterminations for certain populations and newly enacted work requirements, organizations need scalable, proactive processes that allow them to engage with their Medicaid patients.
How Azara Supports Medicaid Renewal Workflows
Azara’s integrated solutions work together to identify at-risk patients, automate outreach, coordinate care navigator activities, and help ensure accurate documentation at every step.
Azara DRVS
Identify and Prioritize At-Risk Patients
DRVS delivers a unified patient record by aggregating EHR, health plan, and HIE data, enabling organizations to:
- Quickly identify patients due or overdue for redetermination
- Build targeted outreach registries based on risk, demographics, or care needs
- Prioritize renewal support alongside care gap management
- Produce accurate reports for state Medicaid departments and Managed Care Organizations
DRVS provides the foundation for all renewal strategies.
DRVS Patient Visit Planning (PVP)
Guide Re-Enrollment During Scheduled Appointments
The PVP is available within DRVS and alerts staff when a patient arriving for a visit is approaching a Medicaid renewal deadline. This helps teams:
- Address redetermination during routine appointments
- Get ahead of avoidable coverage gaps
- Maximize every point of patient contact
The PVP turns scheduled visits into opportunities for coverage retention and care continuity.
Azara Patient Outreach (APO)
Automated, Scalable Patient Engagement
Automated, Scalable Patient Engagement
APO helps organizations prioritize and reach large populations through automated text campaigns that:
- Notify patients of renewal deadlines
- Share instructions or link to required documentation
- Automate first-touch communications
- Allow staff to focus personal outreach on unresponsive or high-risk patients
APO reduces administrative burden while improving response rates and compliance.
Azara Care Connect (ACC)
Centralized Tracking and Navigator Workflow Management
ACC enables care teams to track each patient’s renewal journey in real time
- Document calls and texts for application assistance, and their outcomes
- Manage worklists across navigators, locations, and programs
- Assign tasks and monitor completion
- Generate real-time dashboards for internal teams and stakeholder reporting
- Support both direct care sites and multi-site/multi-organization programs
ACC ensures that every outreach attempt, conversation, and form submission is captured and reportable.
California’s Medi-Cal Success
The California Primary Care Association (CPCA) partnered with Azara to support Medi-Cal renewals across 38 counties using Azara Care Connect.
January 2024 – June 2025 results:
Enrollments
150K+
Medi-Cal enrollments and re-enrollments
Contacts
1.3M+
individuals reached
Support
290K+
residents supported with applications
Access
391K+
people helped access needed services
Why Providers Choose Azara for Medicaid Redetermination
Azara’s solutions help organizations:
- Monitor continuous patient insurance coverage
- Comply with state and payer documentation requirements
- Protect revenue and reduce uncompensated care
- Improve care continuity and preventive health engagement
- Advance health equity by reducing administrative barriers
Medicaid renewal is now an ongoing operational responsibility. Azara makes it manageable, measurable, and aligned with value-based care goals.
Strengthen Your Medicaid Renewal Strategy
With DRVS, outreach, point-of-care, and reporting tools work together so providers can reduce coverage loss, support patients more effectively, and secure financial stability for the long term.
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