Texas Health and Human Services Commission (HHSC) has chosen CNSI to design and implement a new Provider Management and Enrollment System (PMES) for the state’s Medicaid program. The state awarded a four-year $28 million contract to CNSI to create the system, work will begin immediately.
With the upgrade, Texas’ Medicaid enrollment system will be aligned with the Centers for Medicare & Medicaid Services (CMS) Medicaid Information Technology Architecture (MITA) framework. System users will be able to enroll through a single online portal and state workers will be able to manage provider relationships and onboard new enrollees.
The company says that the new system will cut costs and save time for both enrollees and case/system managers.
To facilitate the effort, CNSI has opened an office in Austin dedicated to the PMES project will work. The new location augments CNSI’s presence in Texas, which began last year with work on the Department of Veteran Affairs Financial Services Center, also based in Austin, Texas.
Texas’ decision to upgrade its Medicaid enrollment comes as lawmakers consider a dozen new bills designed to reform Medicaid managed care in the state. Local newspaper the Dallas Morning News authored an investigative series that uncovered how years of structural neglect by state supervisors meant that Texas’ managed care program was needlessly denying medically necessary coverage and had failed to put local residents in touch with the right providers. That investigation led to the reform package currently before the legislature. Officials have pledged that they will improve the system so that residents can get the care that they need.