Tuesday, October 11, 2011

Medicaid Contract Awarded

The Florida Agency for Health Care Administration (AHCA) has signed a renewal service agreement with HP Enterprise Services to manage the state’s Medicaid Management Information System. The $172 million three-year renewal extension contract will help the state transition to a managed care environment and prepare for pending program changes. HP administers $95 billion in benefits a year and also serves as the fiscal agent or principal IT provider for Medicaid in 22 states.

HP helps Florida manage Medicaid benefits for more than 3.1 million beneficiaries in the state. The company processes more than 150 million claims worth more than $20 billion a year for about 114,000 Florida healthcare providers.

Through HP’s interChange Medicaid Management Information System, the company has provided fiscal agent support and business process outsourcing services to AHCA since 2008. Today, HP is helping the agency prepare for pending healthcare changes by assisting through the mandatory managed care transition, helping to implement HIPAA 5010 requirements, and help to support the move to ICD-10 procedure coding.

Since AHCA switched to the HP interchange Medicaid system, the company has implemented web-based provider enrollment, claims authorization and file exchange, and supported various agency initiatives. These include Medicaid reforms, the National Correct Coding Initiative to support claims coding standards, and the Medicare and Medicaid EHR Incentive Programs. To help in the adoption of EHRs, HP has implemented a low-cost, high efficiency decision support system to support health policy decision making.

HP plans to enhance Florida’s federally certified interchange MMIS with several new advances. From its facilities in Tallahassee, Florida, HP provides real-time claims processing, call center services, and oversees pharmaceutical support provided by a third party.

According to Susan Arthur, Vice President, U.S. Healthcare Industry, HP Enterprise Services, “HP built and manages a system for Florida based on the most advanced proven technology to streamline Medicaid procedures while providing the state with vital information on healthcare trends and the medical needs of Florida’s Medicaid beneficiaries.”

For more information, go to www.hp.com.