Tuesday, February 22, 2011

Medicaid Contract Awarded

HP announced winning a $281 million seven-year IT services contract with the Oklahoma Health Care Authority (OHCA) to extend their long-time service agreement with the state. HP will continue to act as the state’s fiscal agent, providing systems support and business process outsourcing services for the state’s SoonerCare Medicaid Management Information System (MMIS).

OHCA manages SoonerCare benefits for more than 750,000 Oklahoma residents through 29,000 providers while processing about 40 million claims per year. The state expects as many as 240,000 additional SoonerCare members after healthcare reform takes effect.

Through the new contract, HP will provide:

• SoonerCare Medicaid online enrollment, eligibility determination, and claims processing
• A call center and internet to provide desk support for members and providers
• A web-based member portal allowing Oklahomans to apply for and track benefits online
• An upgrade to the existing web-based provider portal
• Assistance to the state to add new International Classification of Diseases—10th Revision (ICD-10) medical coding features and information on federal HIPAA 5010 requirements

Under the previous contract, HP worked with the agency to develop processes for online member enrollment with instant eligibility determination, online provider enrollment, and streamlined prior authorization workflow. The new provider process reduced the approval time for new healthcare providers from several weeks to days. HP also developed the Newborn-1 website giving SoonerCare qualified mothers of newborns easier access to healthcare.