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Committee seeks timeline for MMIS upgrade and centralizing credentialing
Summary
Members asked DHCF for MMIS certification status and whether provider credentialing could be centralized in the provider data management system; agency staff said CMS gave an initial go-ahead in February, final certification is a 12–18 month process, and centralizing credentialing would require a modified RFP and extra funding but might yield administrative savings over time.
The committee pressed DHCF on the Medicaid Management Information System (MMIS) upgrade and whether the provider data management module could be expanded to centralize credentialing.
DHCF said the vendor and agency presented to CMS in February and received an initial go-ahead to proceed; full certification typically requires 12–18 months. On centralizing credentialing, DHCF said the change is feasible but would require altering the request-for-proposal language and adding funding to support credentialing work. Staff said initial vendor estimates were in the low millions and that any offset would likely come from reduced administrative credentialing costs currently borne by managed care organizations, but it would not be a one-for-one offset and would still impose district costs.
Committee members requested a formal cost estimate and an updated timeline for MMIS certification and credentialing scope so the council can understand tradeoffs and potential provider impacts.
Ending: DHCF agreed to provide the committee with updated certification milestones, vendor estimates for credentialing expansion, and the current assessment of potential administrative savings.
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