HP Enterprise Services has signed a $147 million contract with the Delaware Department of Health and Social Services (DHSS), Division of Medicaid and Medical Assistance to deploy its interChange Medicaid Management Information System (MMIS).
The five-year contract includes six one-year options that are not part of the base agreement and extends HP’s 24-year relationship in supporting Delaware Medicaid.
Delaware becomes the 16th state to adopt HP’s interchange Healthcare platform that gives states and their providers access to technology aimed at cutting costs, increasing access to information, reducing implementation risk and improving provider satisfaction.
HP Delaware Medicaid Enterprise System (DMES) will provide the flexibility to enable Delaware to respond quickly to federal and state legislative changes such as the Affordable Care Act and the HITECH Act.
HP said the system include the scalability to develop into a multipayer system to support other state programs.
DHSS will benefit as the HP system drives innovation for new capabilities and services, such as web-based, self-service tools that allow better access to information through a secure portal. Clients will be able to request eligibility and providers will receive prior authorizations and submit claims online.
HP DMES will provide state health managers with near-real-time healthcare trend data to identify emerging needs. It also reduces reliance on paper claims and documents.
This apart, HP will continue providing a sustainable infrastructure and managing the DMES with Business Process Outsourcing Services during and after the implementation. This is the infrastructure DHSS, providers and clients will use for provider enrollment, claims processing, reporting and audits. HP also will host the application and provide additional MMIS support, maintenance and disaster recovery services.
HP helps Delaware manage Medicaid benefits for more than 230,000 individuals a year. In 2013, HP processed more than 22 million claims worth $1.7 billion for nearly 10,000 Delaware healthcare providers. About 97 percent of claims were submitted electronically.