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Eligibility and determination

Streamline eligibility determination and enrollment for your health and human services (HHS) programs.

Making access to care easier

We bring automated, user-friendly solutions to state HHS agencies to help streamline efforts to establish and operate state-based exchanges, determine eligibility and enroll people in programs.


Process more than 94 million lives

of clinical data a year


Improved HIX performance

for five states and Washington, D.C.


Extensive experience

directing complex health IT projects

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Explore our solutions

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Optum Integrated Eligibility Services

Simplify eligibility and enrollment for your HHS programs.
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Optum Maintenance and Operations Services

Help reduce costs and system instability by outsourcing M&O.
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Optum State Insurance Exchanges

Simplify access to care with a state-based exchange that meets all your marketplace needs.

Speak to an Optum representative today

Learn how we can partner with your state.