Medicaid Enterprise Systems definition

Medicaid Enterprise Systems or “MES”- means the State’s systems which enable efficient operations of Medicaid and non-Medicaid programs by supporting beneficiary eligibility, enrollment, care management, and other beneficiary-facing tools. These systems also serve provider enrollment and payment, benefits managements, data analytics and reporting, fraud and abuse detection, and provider electronic health record incentive payments.
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Examples of Medicaid Enterprise Systems in a sentence

  • The Contractor shall comply with Attachment G, Framework for Independent Third-Party Security and Privacy Assessment Guidelines for Medicaid Enterprise Systems (MES) and Attachment 1, SOC Reporting Requirements.

  • In addition to an increase to MMIS SO line-item budget this table is included to fix an administrative budget error in the Total line-item Medicaid Enterprise Systems Modification (SO) Enhancements that omitted $100,000 of funding not accounted for in Amendment 1 to this Contract.

  • With the transition from a singular monolithic Medicaid Management Information System (MMIS) to a modular multi-vendor environment, Contractor shall establish a Technology Management Office (TMO) to support the technology transition and roadmap development of the Medicaid Enterprise Systems (MES) ecosystem.

  • Contracted personnel shall cooperate with State personnel, other Medicaid Enterprise Systems (MES) suppliers, hardware manufacture representatives, system software suppliers, and communications systems suppliers in the provision of Services under this Contract.