What Government Agencies Gain

• Improved care quality and outcomes for members
• Stronger utilization management and oversight
• Reduced administrative complexity through centralized systems
• Transparency and access to real-time PA data
• Enhanced care coordination across providers and plans
• Greater program efficiency and value

Advanced Prior Authorization (PA) System + Centralized Portal

Alliant delivers a fully integrated Prior Authorization system, supported by a centralized PA portal, serving as a single, enterprise-wide solution for Medicaid programs.

Integrated PA System Capabilities

• Automated approvals using rules‑based decision engines for requests meeting established criteria
• Clinician-led review for complex or non-automated determinations
• A.I. enabled workflows improve accuracy, reduce administrative burden and enable faster access to care
• Direct access for agency clients to review data, monitor activity, and run reports across programs

Centralized Prior Authorization Portal

A single system of record for all prior authorization activity:

• One platform for FFS and managed care submissions
• Near real‑time data exchange across MMIS, MCOs, and enterprise systems
• Secure provider communication and submission functionality
• Consolidated data for program oversight, reporting, and quality measurement

Seamless Enterprise Integration

• Fully integrated with Medicaid enterprise systems and clinical data infrastructure
• Supports care coordination, continuity of care, and population-level insights

Extensive Clinical Expertise at Scale

Alliant leverages a national peer panel of 300+ actively practicing physicians and clinicians to support:

• Complex case review and specialty determinations
• Objective, defensible medical necessity decisions
• Appeals and reconsideration processes

Demonstrated Program Impact

Alliant delivers measurable results for government programs:

• Improved accuracy and consistency of authorization decisions
• Reduced provider administrative burden through centralized workflows
• Enhanced data-driven oversight and performance monitoring
• Strengthened care coordination across delivery systems

Comprehensive HCBS, Waiver and LTSS Management

Alliant provides full lifecycle support for home and community-based services (HCBS), waiver programs, and long-term services and supports (LTSS).

Core Capabilities

• Eligibility and level‑of‑care determinations
• Application coordination and support
• In‑home assessments and plan of care development
• Medical necessity authorizations and service approvals
• Waitlist and waiver slot management
• Monitoring CMS waiver assurances and compliance
• Quality reporting and program performance improvement

Alliant ensures services are delivered in the most appropriate, least restrictive setting, improving both compliance and member outcomes.