MMIS-Provider Services Module (2018 - 2028)


As a leading provider of government services, MAXIMUS delivers innovative Provider Management Services that contribute to improved outcomes and higher levels of productivity, accuracy and efficiency of state Medicaid programs. Our Provider Services solution, which has earned CMS modular certification, offers a web-based self-service tool with provider screening and enrollment features supported by responsive customer service support.

We help states satisfy the requirements for managing their health provider networks and establish an effective process of provider risk segmentation, assessment and site-based confirmation to safeguard integrity. Our modular, modernized system decouples provider management from existing Medicaid Management Information System (MMIS), giving our clients a flexible, scalable, easy-to-deploy solution built around their state policy objectives and operational preferences. Additionally, our solution allows for accurate and timely exchange of data between existing state systems and our provider data management system.

Managing provider data and enrollment services for more than 200,000 Medicaid providers, MAXIMUS stands ready to assist the efforts of participating states implementing and maintaining enhanced Medicaid provider screening and enrollment requirements.