While MMIS implementations previously only had states and a single vendor, the landscape looks much different now. Transformation is never easy. The MMIS, as defined to be the single and integrated system of claims processing and information retrieval – the modularized MMIS is an important step toward delivering benefits quickly and more efficiently. Bringing together the best-of-breed tools, a good MMIS provides states with the flexibility of quick adaption to changing policies while still maintaining daily operations.
In the changing landscape of technological advances, identity theft and data breaches have also been increased. An integrated MMIS System can resolve all the complexities of Medicaid programs and work towards growing the programs with its key benefits.
Its multi-factor authentication systems with advanced authentication methods help fulfil consumer expectations while focusing on customer services.
The advanced MMIS technology helps reduce the risk of improper access, fraud or breaching – without burdening users. In a word, it has a ‘hassle-free’ confirmation system.
While using renewal apps and other flexible technology help provide unparalleled and secured access to services, risk-free access management enables user-transparency
MMIS is adaptable to evolve with technology year after year.
Its unique technology and scalable system helps create a low-cost, virtual test environment
To understand these complexities better, it’s important to understand MMIS. It is a CMS certified service-based architecture for paying provider claims. It addresses the solution for interfacing with legacy systems from the MMIS, report management, configuring specific policies, rules, etc for EOHHS, (Executive Office of Health and Human Services – the largest secretariat in Massachusetts who is responsible for the Medicaid program, child welfare, public health, disabilities, veterans’ affairs, and elder affairs.) depicting the architecture of the physical environment on which the system runs.
MMIS developed and hosted by Codetru is an automated claim-processing and data-retrieval system for states and the federal Medicaid programs. This is tailor-made to support the key business functions of the providers and maintain information in such areas as provider enrollment such as user eligibility, third party liability; benefit package maintenance; managed care enrollment; claims processing; and prior authorization.
With a scalable system towards the growth of Medicaid programs, it virtualizes external services and creates life-like” test environment through its cost effective ways and service-based approaches.
With increased scalability and security, it helps correlate multiple data sources. Its Management tools help generate synthetic test data, controlled through a self-service portal.
It helps share data quickly and securely with other agencies that help provide back-end service-based architecture connectivity among all the databases.
