[June 30, 2015] |
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Xerox Medicaid Management Information System Receives Federal Certification
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:
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Agility: New Hampshire has expanded its Medicaid program uder
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.
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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.
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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:
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Mobility: Xerox Health Enterprise can give Medicaid members
mobile access to their medical history and other services via Android (News - Alert)
and iOS devices.
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Responsive screen design: A graphical user interface built on
HTML5 simplifies and enhances operation for all end users - members,
providers and state agencies.
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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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