NCQA-Accredited Medicaid Care Coordination Agency – Statewide PA - Business for Sale
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Medicaid Care Coordination Agency in Pennsylvania
Philadelphia, PA, US
Added today
Healthcare, Medical, & Fitness
12 years in business
Remote
This business is an NCQA-accredited Medicaid care coordination agency operating statewide in Pennsylvania, providing delegated care-management services for a major managed care organization without delivering direct care.
Key Information
Asking
$10.0M
Revenue
$6.4M
Earnings
$2.1M
Multiple
4.7x
Key Highlights
- 12 years in operation
- NCQA Case Management for LTSS accreditation (second consecutive cycle, January 2025)
- Enrolled in all 67 Pennsylvania counties
- Registered trademark and certified diverse-supplier status
- Business model: earns fixed per-member-per-month (PMPM) fees, fee-for-service waiver billing, and MCO quality-incentive bonuses
- Provides no direct care; no aides, nursing staff, EVV, or caregiver payroll
- Existing approval under Pennsylvania’s Adult Autism Waiver
- Management team in place since 2017
- Business is remote/relocatable
Contact Info
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