Xerox Medicaid Management Information System Receives Federal Certification
June 30 2015 - 2:00PM
Business Wire
Xerox’s (NYSE: XRX) Health
Enterprise platform, a next-generation Medicaid Management
Information System (MMIS), has received full federal certification
in New Hampshire. This is the first instance of certification for
Xerox Health Enterprise, which is also being used in Alaska and is
under development in four other states.
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The Centers for Medicare & Medicaid Services (CMS) requires
each state’s new Medicaid application processing platform to be
certified to validate that it meets all federal requirements, along
with state Medicaid goals and objectives. With the certification,
New Hampshire is eligible to receive the maximum amount of federal
funding for its Medicaid program. The certification is retroactive
to March 31, 2013, when the system first went live, and it was
granted based on the latest federal checklists in the Medicaid
Enterprise Certification Toolkit (MECT).
“This is a very important milestone,” said Commissioner Nicholas
Toumpas, New Hampshire Department of Health and Human Services.
“Since we started using Health Enterprise more than two years ago,
we have put it to the test. The system lets us to pay billions of
dollars to thousands of providers on behalf of New Hampshire’s
Medicaid members. We‘re confident Health Enterprise will allow us
to continue providing excellent service to our Medicaid service
providers and members.”
Xerox Health Enterprise manages all aspects of contemporary
Medicaid programs, including provider credentialing, member
enrollment and management, and benefit plan management. It offers a
variety of advantages to New Hampshire Medicaid:
- Agility: New Hampshire has
expanded its Medicaid program under the Affordable Care Act. Xerox
Health Enterprise was configured to allow the state to onboard new
members and begin processing transactions in just four months – a
major accomplishment that can take six to 10 months with legacy
technology.
- Interoperability: State health
agencies, like the New Hampshire Department of Health and Human
Services, can easily communicate and exchange data with a state’s
Medicaid network – a key aspect of federal regulations for Medicaid
Information Technology Architecture (MITA).
- Ubiquitous access: Health
Enterprise’s modern architecture gives Medicaid members, providers
and state agencies access to a variety of services anytime,
anywhere.
- Configurability: Though it was
originally designed for a fee-for-service model, the New Hampshire
system was flexible enough to accommodate a state program change
and was converted to a managed care model in under 10 months.
As the CMS-certified Xerox Health Enterprise system is rolled
out in other states, they can access additional features,
including:
- Mobility: Xerox Health
Enterprise can give Medicaid members mobile access to their medical
history and other services via Android and iOS devices.
- Responsive screen design: A
graphical user interface built on HTML5 simplifies and enhances
operation for all end users – members, providers and state
agencies.
- Population health management:
Data and analytics help states monitor and manage healthcare
delivery and identify high-risk Medicaid populations who might
benefit from state care management programs.
“The CMS certification validates Xerox’s significant, ground-up
investment in this comprehensive solution for modern Medicaid
program management. Xerox Health Enterprise is a sound, reliable
and scalable technology platform that makes Medicaid as easy and
accessible as possible for a state’s providers, members and
agencies,” said Dave Hamilton, group president, Government
Healthcare Solutions, Xerox. “The stamp of approval from CMS in New
Hampshire should allow us to speed the process in other states we
work with.”
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Xerox has more than 40 years of experience working with
government health agencies to enhance the efficiency of health
programs and help ensure the health of citizens. Health Enterprise
helps states annually process millions of claims and pays billions
of dollars to thousands of doctors and hospitals on behalf of
Medicaid members accurately and on time, saving states money and
maximizing allowable federal financial participation.
About Xerox
Xerox is a global business services, technology and
document management company helping
organizations transform the way they manage their
business processes and information. Headquartered in Norwalk,
Conn., we have more than 140,000 Xerox employees and do business in
more than 180 countries. Together, we provide
business process services, printing equipment, hardware
and software technology for managing information -- from data
to documents. Learn more at www.xerox.com.
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Media:XeroxJennifer Wasmer,
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