HEALTH PLANS

SERVICES

PROVIDERS

PATIENTS

HEALTH PLANS

SERVICES

PROVIDERS

PATIENTS

Managing quality care and fostering improved outcomes while reducing medical and administration costs.

Market competitive Affordability Targets for Health Plans

0+

Health plan members cared for

0+

Years of experience

A FEW WORDS ABOUT US

Coastal Care Services is a healthcare solutions company that partners with Health Plans to provide their members with high quality, patient-centered care through the delivery of home-centered healthcare service such as Durable Medical Equipment & Supplies, Home Health, Home Infusion, and post-acute transition of care in an efficient and cost effective manner.

OUR MISSION

“To provide exceptional transition of care to the home”

Foster member independence in their homes

Improve health outcomes

Reduce medical and administrative costs

Prevent unnecessary readmission

We are proud to hold NCQA Utilization Management (UM) Accreditation, a recognition that reflects our commitment to delivering fair, timely, and evidence-based utilization review decisions. This accreditation demonstrates that our UM processes meet NCQA’s rigorous standards for clinical appropriateness, transparency, and consistency. NCQA evaluates key components such as how medical necessity decisions are made, how clinical criteria are applied, and how we communicate determinations to patients and providers. Achieving UM Accreditation confirms that our organization uses industry-accepted, clinically sound guidelines and maintains safeguards to ensure that members receive appropriate care without unnecessary barriers. This designation supports our mission to promote high-quality care, protect patient rights, and enhance the overall healthcare experience through responsible and accountable utilization management practices.