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Medicaid Enterprise Systems – Claims Processing and Management Services Module

Active
NASPO-ADT-122State & Local

Contract Overview

Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.

General Info

Agency

NAICS

N/A

Place of Performance

MT, US

Set-Aside

NONE

Documents

(6)

Scoring Summary.xls

XLS

MMIS Claims Processing and Management Services Module Portfolio Snapshot

PDFcontract-document

RFP for Claims Processing and Management Services Module

OCTET-STREAM

MMIS Participating Addendum Process Diagram.pdf

PDF

Portfolio Snapshot

OCTET-STREAM

MMIS_Claims_Portfolio_MAP.pdf

PDF

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Timeline

PhaseSolicitation
Posted

Solicitation

Response Deadline

Submission deadline

Response Deadline

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Organization & Contact Information

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AgencyMontana
Contacts4 people available
OfficeMT, US
Organization / Agency
Montana
View Agency Profile
Office AddressMT, US
Contacts
Nolan HarrisLead State Administrator
Tia CorbettNASPO CPM
Angie NegleyNASPO SEM
Amy OldsCooperative Portfolio Coordinator

Full Description

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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).