Medicaid Enterprise Systems – Provider Services Module

The state of Montana, through a cooperative agreement with NASPO ValuePoint, has established a contract for the Medicaid Enterprise Systems Provider Services Module under solicitation number 18091790010. This initiative focuses on modernizing the Medicaid Management Information System to comply with Federal Code 42 CFR 433.111 and section 1903(a)(3) of the Social Security Act. The contract provides a configurable, web-based, self-service solution designed to automate provider enrollment, re-validation, and maintenance. Key objectives include replacing manual legacy functions with automated workflows and triggered communications, enhancing customer interaction through user-centric management features, and ensuring out-of-the-box compliance with current federal regulations. The procurement process, initiated via RFP DPHHS-RFP-2018-0127JT, resulted in master agreements that include core service modules and optional services. The contract term began on June 1, 2018, with an initial period running through May 25, 2025, and includes three one-year renewal options, extending the potential total duration to ten years with a final deadline of May 31, 2028. Managed by the state of Montana and supported by NASPO ValuePoint, the project utilizes NAICS code 541512 to deliver a modernized infrastructure for healthcare provider management.