Medicaid Enterprise Systems – Provider Services Module

The contract pertains to the development and implementation of a modern, web-based Provider Services module for Montana’s Medicaid Management Information System, designed to replace legacy manual processes with an automated, configurable solution for provider enrollment, revalidation, and ongoing maintenance. The system will enable healthcare providers to conduct self-service updates and enroll electronically, significantly improving efficiency and user experience while ensuring full compliance with current federal regulations. Key features include automated workflows, triggered communications based on enrollment data, and user-centric functionality aimed at reducing administrative burdens for both providers and the state Medicaid agency. The solicitation, numbered 18091790010, was posted on June 1, 2018, with a response deadline extending through May 31, 2028, indicating a long-term procurement framework under a cooperative agreement led by Montana and managed through NASPO. The point of contact includes the Lead State Administrator, Nolan Harris, as well as NASPO program and cooperative portfolio coordinators who oversee the collaborative acquisition. The solution is intended to be delivered out-of-the-box with federal compliance embedded, requiring minimal customization to meet state and national requirements, and is positioned to serve as a scalable, secure platform supporting Montana’s Medicaid enterprise for the next decade.