Acentra

Acentra Health builds and operates healthcare delivery systems for public sector programs, working across screening and enrollment, provider engagement, claims processing and adjudication, and member services. Its scope extends into clinical eligibility work such as level of care assessments, Preadmission Screening & Resident Review (PASRR), and behavioral health needs assessment, alongside an Application Processing Center that handles intake at scale. The company brings 30+ years of public sector health experience to this work, based out of McLean, Virginia.

Service lines cover care management, including care coordination and carceral care, plus pharmacy management and utilization management. Quality and compliance functions include CMS waiver support, standard of care review, and managed care oversight, supported by an Employee Assistance Program (EAP) offering. Operations run on a named technology stack — Atrezzo, evoBrix, X, eCAMS, and HCE — that underpins claims adjudication, financial management and reporting, and member-facing services.

Acentra Health carries CMS-certified solutions status, a CMMI Level 3 Appraisal, URAC accreditation, and HITRUST certification, credentials relevant to organizations that must meet federal and state healthcare compliance standards. The combination of clinical assessment services (level of care, PASRR, behavioral health needs assessment) with claims and financial management infrastructure positions the company to support public sector health agencies managing both the clinical and administrative sides of program delivery. Its carceral care and PASRR offerings point to work with populations and settings — correctional health, resident review for long-term care — that require specialized screening and oversight rather than general commercial healthcare administration.