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Medicaid management information systems (MMIS) Modernization

Overview

State Medicaid agencies are increasingly constrained by outdated, monolithic MMIS platforms that hinder agility, scalability and compliance. These legacy systems make it difficult to adapt to evolving federal mandates, integrate with partner systems and deliver efficient, user-friendly services to beneficiaries and providers.

HCLTech’s MMIS Modernization solution empowers states to transition to a modular, cloud-native architecture aligned with CMS and MITA 3.0 guidelines. With a phased, low-risk approach, it enables seamless integration, robust data exchange and improved operational performance—while minimizing disruption and maximizing long-term value.

Medicaid management information systems (MMIS) Modernization

Key features of the solution:

Modular transformation of MMIS components like provider management and claims
Modular transformation of MMIS components like provider management and claims
Cloud-native enablement for scalability, flexibility and up-time
Cloud-native enablement for scalability, flexibility and up-time
Interoperability by design using FHIR and API-first principles
Interoperability by design using FHIR and API-first principles
Role-based portals for intuitive access by state workers, providers and beneficiaries
Role-based portals for intuitive access by state workers, providers and beneficiaries