MMIS definition

MMIS means "Medicaid Management Information System". MMIS is the automated claims processing and information retrieval system for handling all Medicaid transactions. The objectives of the system include verifying provider enrollment and individual eligibility, managing health care provider claims and benefit package maintenance, and addressing a variety of Medicaid business needs.

Examples of MMIS in a sentence

  • The remaining amount is case-mix adjusted, multiplied by inflation factors, and divided by the total number of Iowa Medicaid discharges from the MMIS claims system for that hospital during the applicable base year, less the nonfull DRG transfers and short stay outliers.

  • The remaining amount (which has been case-mix adjusted and adjusted to reflect inflation if applicable) is divided by the statewide total number of Iowa Medicaid discharges reported in the Medicaid management information system (MMIS) less an actual number of nonfull DRG transfers and short stay outliers.

  • The State has chosen not to make an adjustment because there were no programmatic or policy changes in the FFS program after the MMIS claims tape was created.

  • The hospital-specific case-mix-adjusted average cost per discharge is calculated by subtracting from the lesser of total Iowa Medicaid costs or covered reasonable charges, as determined by the hospital’s base-year cost report or MMIS claims system, the actual dollar expenditures for capital costs, direct medical education costs, and the payments made for nonfull DRG transfers, outliers, physical rehabilitation services, and psychiatric services rendered on or after October 1, 2006, if applicable.

  • Medicaid Management Information Systems (MMIS) – The Department’s automated computer systems that process Medicaid and CHP+ claims and other pertinent information as required under federal regulations.


More Definitions of MMIS

MMIS means the Medicaid Management Information System, the Department’s Medicaid claims
MMIS. Medicaid Management Information Systems refers to the systems and services that are necessary to support the administration and operation of the Montana Healthcare Programs as of the Effective Date of this Contract.
MMIS means Medicaid Management Information Systems.
MMIS means the Department’s automated mechanized claims processing and information retrieval system for Medicaid. In conjunction with this Contract, the Department has also contracted with HP Enterprise Services to develop a new MMIS named Colorado interChange, and the term MMIS shall include this new system.
MMIS means Medicaid Management Information System which refers to a CMS approved system that supports the operation of the Medicaid program. The MMIS includes the following types of sub-systems or files: beneficiary eligibility, Medicaid provider, claims processing, pricing, Surveillance and Utilization Review Subsystem (SURS), Management and Administrative Reporting Subsystem (MARS).
MMIS means a stand-alone web-based asset control and maintenance management system as described in Section 12.3.45 of the Performance Specification.