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Maine inks $179M deal for Medicaid management

By Molly Merrill

The Maine Department of Health and Human Services has inked a $179 million, seven-year contract with Unisys. The Blue Bell, Pa-based technology company will provide a new Medicaid Management Information System to manage Maine's Medicaid program.

Unisys will design, develop, implement and operate the MMIS and assist the state in managing the Medicaid program, known as MaineCare.

The new MMIS is designed to meet Maine's current program needs and will allow for flexibility and the ability to adjust to any redesign within the MaineCare program as needed or required by federal law. It will also provide a connection to Maine's eligibility system.

"We look forward to working with Unisys to implement a proven and successful innovative system and fiscal agent services to support the management and evolution of MaineCare," said Brenda Harvey, commissioner of the Maine DHHS. "This new MMIS will serve as our platform for attaining the state's vision for healthcare excellence."

Unisys will also assume responsibility for many claims and customer service functions and provide systems to help administer healthcare management. Additionally Unisys will provide hardware and software hosting, information management and data warehousing.

 

"We are pleased Maine is now among the growing number of states that have selected Unisys to help them effectively manage their Medicaid programs with solutions that promote rapid policy implementation and informed decision making," said Greg Baroni, president, Unisys Federal Systems. "Unisys is excited about this opportunity to assist Maine's efforts to integrate systems, operations and healthcare management processes into one solution to operate the MaineCare program."

Unisys will provide its Health PAS solution, a multi-payer healthcare administration system and federally certified MMIS solution made up of applications customized and integrated to form a comprehensive health information management solution. Health PAS is designed to enable Maine DHHS to efficiently accommodate program and policy changes, meet new federal Medicaid reform standards and enhance service to Medicaid recipients while helping to control costs, Baroni said.

The MMIS will including features such as a Web browser user interface; modeling capability to help the state evaluate the impact of policy and benefit changes and compare them to existing programs; managed care functionality; and primary care case management models.