MMIS-Provider Services Module (2018 - 2028)
- Total Terms Expiration
- Solicitation Number
Provider Services RFP & Attachments
The Request For Proposal (RFP) for the NASPO ValuePoint Master Agreement for MMIS-Provider Services Module (2018 - 2028) with all attachments
MMIS Participating Addendum Process Diagram
The PA process for our MMIS portfolios contains an extra step for federal approval
MMIS-Provider Services Module Portfolio Map
Overview of the portfolio’s offerings with a snapshot of the solicitation
Awarded Vendor and Category
Summary of what of the various service category and what vendors can participate in each category
Provider Services Pricing Materials
.zip file containing all pricing sheets for various contractors on the portfolio
Non-disclosure of Confidential Information Declaration
Non Disclosure agreement
Provider Service MasterAgreements CMS Approval Letter
Letter from the Centers for Medicare and Medicaid Services approving contractors for participation on the solicitation
MMIS-Provider Services - State Rollout Slides
Roll out webinar PowerPoint slide deck for the MMIS-Provider Services Module (2018 - 2028) Contract. This includes supplier awardees, solicitation number, award date, and award structure.
Roll out webinar video for the MMIS-Provider Services Module (2018 - 2028) Contract. This includes supplier awardees, solicitation number, award date, and award structure.
MMIS-Award-Recommendation & Vendor Scoring
A summary of the evaluation of proposed contractors for the proposal and their final scores
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 Provider Services module will support provider enrollment, re-validation, and maintenance. The Provider Services vendor will provide a configurable, web based, self-service solution that allows healthcare providers to enroll electronically with Healthcare Programs and provide an option for provider self-service updates.
Below are some highlights of the benefits from the prospective contract awards:
1. Modern Provider Enrollment system that is highly configurable, web based, and automates many of the manual functions occurring in the legacy MMIS (e.g., automated workflows, automatically triggered communication based on key elements within the provider’s enrollment record).
2. User centric Provider Management module that includes a number self-service features not currently available today to improve customer interaction with the State’s Medicaid Agency.
3. Provider Services solution that is configured “out of the box” to be compliant with current Federal Regulations
How to Order