The Indiana Department of Administration has signed a $220 million deal with HP.
The new deal enables HP to extend its 20-year working association as the state’s Medicaid fiscal agent with the Indiana Department of Administration, on behalf of the state’s Family and Social Services Administration.
HP says the six-and-a-half-year contract includes construction and implementation of the new Indiana interChange Medicaid Management Information System (Core MMIS).
The long term contract 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 Core MMIS for Indiana enables healthcare providers to enroll online and receive real-time claims adjudication, permitting on-the-spot resolution. The solution includes a member portal providing immediate access to information that aids in health-related decisions.
In addition, the new system will interface with the Medical Assistance Provider Incentive Repository (MAPIR) application. Indiana will use the web-based application to confirm provider eligibility and track incentive payments.
The Core MMIS also will interface with strategic vendors, serving as the central hub for the state’s pharmacy benefits management and data warehousing, as HP assists Indiana in realizing its vision of an integrated enterprise Medicaid system.
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. HP call centers also fielded approximately 500,000 benefits, provider and pharmacy calls over the past year.
“Indiana needs the flexibility and speed to address future challenges, such as regulatory changes and membership growth, with additional self-service options and no service interruptions,” said Susan Arthur, vice president, U.S. Health and Life Sciences Industry, HP Enterprise Services.
HP claims that it 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. HP’s U.S. health care experience spans payer, government and life science communities.