STATE News:

FLORHAM PARK, N.J. — Conduent Incorporated, a global technology-led business process solutions company, has announced that it has been selected by the New Mexico Human Services Department (NMHSD) to deliver a new Medicaid Management Information System (MMIS) to replace the agency’s existing system.

Conduent’s Medicaid Suite (CMdS), a modular, cloud-based technology platform, will create a seamless experience for providers and improve access for approximately one million state Medicaid members.

Conduent will manage the system implementation, and provide maintenance and enhancements designed to reduce costs while optimizing the state’s Medicaid operations.

The CMdS Financial and Claims Modules will form the foundation to transform NMHSD’s MMIS into a future-ready system to support well-coordinated services for providers and members.

The all-encompassing replacement project includes the following services: 

• Enterprise Claims Processing (including medical claims, pharmacy claims, non-medical claims, and other payment types);
• Self-Directed Home and Community Based Services;
• Pharmacy Benefit Management Services;
• Drug Rebate Management Services; and
• Data Exchange and Reporting Services.

“Conduent brings the expertise and solutions that will help position the Human Services Department for the future,” NMHSD Acting Secretary Kari Armijo said. “By automating manual processes and promoting interoperability between IT systems, operations will become more efficient and effective. We anticipate that the project will also bring significant improvements to help our Medicaid providers by creating a single point of entry for all claims and a streamlined billing process. These and other updates will make it easier for NMHSD and its sister agencies to capture data necessary for measuring and improving health outcomes for our customers.”