Stellarware NASPO ValuePoint

Casualty & Tort Subrogation

Our Casualty & Tort Subrogation program supports Medicaid in recovering expenditures from verified third parties responsible for covering medical costs related to trauma or accident-related injuries. Through the Medicaid Recovery Network, Stellarware electronically matches Medicaid recipients with liability and workers' compensation claims. This process enables early identification of high-quality claims within the claims lifecycle, facilitating the recovery of medical costs at the time of settlement.

Estate Recovery

Estate Recovery is a Medicaid program designed to reimburse taxpayers for the cost of long-term care and home and community-based services provided to Medicaid members with qualifying assets. By leveraging data matches with Vital Records, nursing home information, city and town probate records, state MMIS system data, applications, questionnaires, and other relevant sources, we identify Medicaid recipients who have an estate. Once identified, we notify the state so that the appropriate estate claim or lien process can be initiated in compliance with program regulations. This proactive approach ensures the recovery of Medicaid expenditures while maintaining program integrity.

Trust Programs

A qualifying trust is an income trust in which the state is designated as the beneficiary of the remaining balance upon the Medicaid member's death. These trusts are commonly used when an individual has income exceeding Medicaid eligibility thresholds but not enough to cover nursing home or long-term care expenses. Under trust programs such as Special Needs Trusts (SNTs), Miller Trusts, and Pooled Trusts, Stellarware facilitates the recovery of the remaining balance in these qualified trusts to reimburse the state for Medicaid-covered services. This process ensures compliance with program regulations while supporting the sustainability of Medicaid funding.

STABLE/ABLE

The State Treasury Achieving a Better Life Experience (STABLE) program enables individuals with disabilities to invest and manage funds without affecting their Medicaid eligibility. These accounts allow individuals to save and grow their money while maintaining access to Medicaid benefits, providing a long-term financial resource for disability-related expenses. Stellarware collaborates with state agencies to establish recovery case files on STABLE/ABLE accounts, ensuring proper outreach, follow-up, and collections to assert the state's right to recovery. This process helps states recover Medicaid expenditures while maintaining compliance with program regulations.

HIPP

Under the Health Insurance Premium Payment (HIPP) program, the State pays the group health insurance premiums for Medicaid eligible individuals, if the insurance plans are determined to be cost effective. Stellarware will work side by side with the state to identify all program requirements including identification, outreach, and evaluation to maintain a successful and effective HIPP program on behalf of the state.

CHIPRA

The Children's Health Insurance Program Reauthorization Act (CHIPRA) provides states with opportunities to offer premium assistance for children under age 19 who are eligible for Medicaid and have access to qualified employer-sponsored health coverage. This initiative helps families maintain private insurance while leveraging Medicaid support to ensure comprehensive healthcare access. Stellarware partners with state agencies to design and administer a CHIPRA program tailored to its specific needs, ensuring efficient implementation and compliance while maximizing benefits for eligible children and their families.