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.
The federal government certified the current 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satisfactorily met its original objectives, it has become increasingly cumbersome to maintain and enhance because of outdated technologies in the automated application.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.
In August of 2013, The Department received funding approval from the Center for Medicare and Medicaid Services (CMS) to initiate the planning effort to replace the existing MMIS system. The Department is currently assessing requirements and options for the MMIS and related information systems. New and emerging state and federal healthcare initiatives will be incorporated 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, Options Analysis, and a Cost / Benefit Analysis.
The Department will publish further information regarding this project as it becomes available.