The Indiana Department of Administration, on behalf of the state’s Family and Social Services Administration, has signed a $220 million contract for HP to continue its 20-year relationship as the state’s Medicaid fiscal agent.
The six-and-a-half-year agreement includes construction and implementation of the new Indiana interChange Medicaid Management Information System, also called Core MMIS. It also involves moving users into the new system, as well as four years of service delivery and maintenance. In addition, the agreement contains two one-year options that are not included in the contract value.
The new system will interface with the Medical Assistance Provider Incentive Repository (MAPIR) application. Indiana, one of the states that collaborated with HP to develop MAPIR, will use the Web-based application to confirm provider eligibility and track incentive payments.
The Core MMIS will also interface with vendors, serving as the central hub for the state’s pharmacy benefits management and data warehousing.
As Indiana’s fiscal agent, HP will continue providing claims processing and resolution, mailroom support, and reporting, as well as provider services including enrollment, education and call center services. Once the Core MMIS is fully implemented, HP will maintain the system and provide infrastructure support.
Last year, HP processed more than 85 million Indiana healthcare claims worth about $5.8 billion for nearly 46,000 healthcare providers who treat approximately 1.2 million Medicaid recipients, says the company. HP call centers also fielded approximately 500,000 benefits, provider and pharmacy calls over the past year.
HP is the nation’s largest provider of Medicaid and Medicare process management services, administering $140 billion in benefits a year. It serves as the fiscal agent or principal IT provider for Medicaid in 20 states.
[Image courtesy: State of Indiana]