NY State Medicaid IT Systems

NY State Medicaid (MMIS) System

Working closely with the NY State Department of Health, our client, an internationally renown IT Integrator, implemented the largest, most technically sophisticated Medicaid Management Information System (MMIS) in the country.

Known as eMedNY, this Web-enabled system processes eligibility verifications, claim submissions, and prior-authorization requests from the state’s 75,000 participating healthcare providers. It also manages over 450 million claims and encounters, and 150 million eligibility and prior authorization transactions. In addition to this responsibility, our client also provides management and support of the eMedNY Web site, data center operations and statewide provider telecommunications network. TCM has acted as go-to contingent IT staffing partner on this project since 2007. Over that time, we have recruited and deployed 90+ technical and functional consultants on critical assignments across each of our client’s key areas of responsibility. TCM’s consultants have included Sr. Project Managers, Data Architects, Web Developers, Programmer Analysts, Systems Administrators and QA Test Engineers.

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