Medicaid Program Modernization

Program Expertise

Create a sustainable Medicaid program in your state

A comprehensive approach to program and MMIS modernization is critical to the success and sustainability of the Medicaid enterprise. Maximize the return on your investment in Medicaid modernization with CSG. Our expertise and experience with the Medicaid system makes us the ideal advisor for your Medicaid modernization project.

Rob Guenther, Practice Director, Healthcare and Human Services

Healthcare & Human Services

“A comprehensive strategy adds value to your program modernization efforts.“

Rob Guenther, Practice Director, Healthcare and Human Services Practice

CSG’s Expertise in Action

View Client Work

Project Oversight, Management, and Integration Services for Iowa’s MMIS Modernization

The Iowa Department of Human Services, through the Iowa Medicaid Enterprise (IME), provides healthcare coverage for 684,000 residents at an annual cost of nearly $4 billion and depends on its…

Strategy and Planning for Minnesota’s Medicaid System Modernization

The Minnesota Department of Human Services (DHS) had been operating its current MMIS for over 20 years. In order to improve interoperability between systems and agencies, DHS launched a major…

Project Management for Missouri’s Case Management Solution Modernization

The Missouri Department of Health and Senior Services, Division of Senior and Disability Services (DSDS), manages and promotes public health programs to improve the life and wellness of Missourians. To…

Proactive System Modernization Services for Ohio’s MMIS Implementation

Ohio’s Medicaid program provides healthcare coverage for 2.8 million residents at a cost of $15 billion per year. The Ohio Department of Medicaid (ODM) has reached a major milestone in…

Strategic Planning and Procurement Support for Florida’s MMIS Modernization

The Florida Agency for Health Care Administration (AHCA) oversees the State’s Medicaid program providing healthcare coverage to nearly 3.8 million Floridians. To enhance and integrate its MMIS and Decision Support…

Performance-Based Contract Management Planning for Texas Medicaid

The Texas Health and Human Services Commission (HHSC) coordinates the planning and delivery of health and human services programs in the State, including its Medicaid program. To provide Texans with…

Strategic Planning and Procurement Support for Missouri’s MMIS Modernization

The Missouri Department of Social Services’ MO HealthNet Division (MHD) has been operating its current MMIS for over 30 years, processing over 99 million claims from over 49,000 providers per…

Procurement Support for Virginia’s Modular, Interoperable MMIS

The Virginia Department of Medical Assistance Services (DMAS) administers the Commonwealth’s Medicaid program for over 950,000 Virginians. In order to provide high quality and cost effective services, DMAS is transitioning…

Planning and Procurement Support for Iowa’s Transition to Managed Care

The Iowa Medicaid Enterprise (IME) administers the State’s Medicaid program for over 560,000 Iowans. IME is transitioning from a traditional Fee-For-Service (FFS) claims payment model to a Managed Care Organization…

Strategic Planning and Program Integrity Expertise in South Dakota

The South Dakota Department of Social Services is implementing corrective action plans resulting from Payment Error Measurement (PERM) and Program Integrity (PI) reviews conducted by CMS. By completing these plans,…

IV&V for Massachusetts’ Pharmacy Benefit Management System

The Massachusetts Executive Office of Health and Human Services (EOHHS) is comprised of 12 agencies focused on the health, resilience, and independence for the 1.6 million residents it serves. EOHHS…

IV&V for Georgia’s Modular Medicaid Enterprise System Implementation

The Georgia Department of Community Health provides Medicaid coverage for more than 2 million Georgians. The agency is executing a Medicaid Enterprise System Transformation program that includes the multi-year agile…

Planning and Procurement Support for Massachusetts Pharmacy Claims Management Solution Modernization

The Commonwealth of Massachusetts Executive Office of Health and Human Services (EOHHS) is the largest secretariat in state government comprised of 11 agencies and the MassHealth program. EOHHS administers health…

Organizational Change Management for South Carolina’s MMIS Modernization

The South Carolina Department of Health and Human Services (SCDHHS) is the single state agency responsible for the administration of the Medicaid program in South Carolina, overseeing more than one…

Enterprise IV&V for Vermont’s Medicaid Enterprise System Modernization

The Vermont Agency of Human Services and the Department of Vermont Health Access selected CSG to provide IV&V services for services for the design, development, and implementation of Vermont’s Medicaid…

Modular Procurement Support and IV&V for Kentucky’s Medicaid Enterprise

The Kentucky Cabinet for Health and Family Services (CHFS) is responsible for overseeing the Commonwealth’s Medicaid program. In order to more efficiently administer services to its 1.2 million recipients, CHFS…

Enterprise PMO for Connecticut’s MMIS Modernization

The Connecticut Department of Social Services (DSS) administers the State’s Medicaid program. To administer services more efficiently to about one million Connecticut residents, DSS launched the Connecticut Medicaid Enterprise Technology…

Procurement Planning and PMO for Idaho’s MMIS Modernization

The Idaho Department of Health and Welfare’s mission is to promote and protect the health and safety of Idahoans. DHW is replacing its current Medicaid Management Information System (MMIS) with…

Strategic Planning and Procurement Support for Ohio’s Modular Medicaid Enterprise

The Ohio Department of Medicaid (ODM) has a network of more than 83,000 active providers and delivers healthcare coverage to 2.8 million Ohio residents. To assure it provides the most…

IV&V for New Mexico’s Modular MMIS Implementation

The New Mexico Human Services Department (HSD) is implementing a modular MMIS to efficiently administer the State’s Medicaid program to its more than 800,000 recipients. The MMIS replacement is one…