MMIS Claims Processing and Management Services Module (2021-2028)

Expiration
01/03/2028
Inception
01/04/2021
Total Terms Expiration
01/03/2031
Solicitation Number

Lead State

Montana

Tia Snyder
[email protected]
(406) 444-3315

Documents

A Medicaid Management Information System (also known as “MMIS”) is a mechanized claims processing and information retrieval system that all states are required to have according to section 1903(a)(3) of the Social Security Act defined in Federal Code 42 CFR 433.111. The NASPO ValuePoint MMIS Claims Processing and Management Services Module portfolio supports the receipt, adjudication and editing, pricing and payment for State Medicaid healthcare program claims. Below are a few of the benefits from the Master Agreements within this portfolio:

•    Availability of Medicaid healthcare claims processing systems and operational services to support the requirements of healthcare programs administered by a State Medicaid agency.

•    Qualified suppliers that can provide modern, flexible, and configurable solutions that will support the changing needs of healthcare for State Medicaid agencies.

•    Delivered using a Software as a Service (SaaS).

Instructions

How to Order

Updates


State Participating Addenda

Select a participating state from the list or map below to view and download contracts.

Download Participating Addenda