|The Medicaid Management Information System (MMIS) is the claims processing system for Nebraska’s Medicaid Program. In addition to processing claims, the MMIS supports coordination of benefits, surveillance and utilization review, federal and management reporting, and case management. |
During fiscal year 2009 the MMIS processed nearly 9 million Medicaid claims, and issued over $1.5 billion in payments to providers.
The federal government certified the MMIS in 1978 and, although it has satisfactorily met its original objectives, it has become increasingly cumbersome to maintain and enhance because of outdated technologies in the automated application. Efforts to enhance the system over the past decade have improved some of the Medicaid Program operations. However, an analysis conducted in 2004 indicated it was necessary to replace the existing MMIS. The 2004-2005 Nebraska Legislature authorized the Department funding to begin a project to replace MMIS.
A contract for system development services was awarded with federal approval in May 2008 and was subsequently terminated in July 2009.
The Department is assessing requirements for the MMIS and related information systems and will incorporate new and emerging state and federal healthcare initiatives into a plan for system replacement. Assessment and planning activities will be conducted in the next two years and will include the Medicaid Information Technology Architecture (MITA) assessment and the State Medicaid Health Information Technology (HIT) Plan. A request for proposal for contractual assistance in conducting the assessment and planning activities will be released in January 2010.