Make every citizen interaction with your program count
Respond to the growing demand for assessments
Resolve benefit disputes with a nonjudicial approach
Modernize your program, adapt to changing needs
Make services easier to access, ensure program integrity
Our Provider Services solution achieved the modular certification requirements and processes by the Centers for Medicare & Medicaid Services (CMS).
As service delivery needs evolve to support healthcare initiatives, our Provider solution offers cost-effective web-based self-service capabilities to help states address the enhanced requirements — particularly in the screening, enrollment and ongoing management of provider relationships.
Our provider management solution:
In addition to screening and enrollment, our PDMS supports credentialing of medical providers to URAC and National Committee for Quality Assurance (NCQA) standards. These capabilities can be implemented with minimal impact to your current operations as they require no modifications to your existing Medicaid Management Information System (MMIS) and can be hosted and fully staffed by MAXIMUS.
Our Provider Services solution satisfies all elements of the Medicaid Information Technology Architecture, Service Oriented Architecture and the Centers for Medicare and Medicaid Services Seven Conditions for Enhanced Funding standards.