The Texas Health and Human Services Commission (HHSC) pushed several scheduled Medicaid Management Information System (MMIS) procurements back several months or to dates to be determined.
One solicitation for the modernization of MMIS business operations and services was set for early 2021, but now HHSC plans to issue a request for offers (RFO) in September. This project will integrate business operations and services to manage projects and ensure effective functioning of the Medicaid ecosystem when divided across multiple vendors.
- Provider management.
- Electronic visit verification.
- Transformed Medicaid Statistical Information System (T-MSIS) for federal reporting.
- Medicaid/CHIP Data Analytics (including Surveillance Utilization Review and Medicaid Fraud and Abuse Detection System).
- Managed care encounter data warehouse.
A RFO for an update to MMIS IV and V was scheduled to be advertised in summer 2021 to provide independent verification and validation oversight of the MMIS operations. It is now to be determined.