Medicaid Enterprise Systems

GPTKB entity

Statements (49)
Predicate Object
gptkbp:instanceOf gptkb:health_information_technology_system
gptkbp:component gptkb:Medicaid_Management_Information_System
gptkb:Data_Warehouse
gptkb:Decision_Support_System
Care Management System
Eligibility and Enrollment System
Financial Management System
Pharmacy Benefit Management System
Provider Management Module
Third Party Liability System
gptkbp:fundedBy gptkb:government
state governments
gptkbp:goal improve data quality
support interoperability
enhance program integrity
improve efficiency of Medicaid administration
support policy and decision making
gptkbp:purpose administer Medicaid programs
gptkbp:regulates gptkb:Centers_for_Medicare_&_Medicaid_Services
gptkbp:relatedTo gptkb:Medicaid_Management_Information_System
gptkb:Affordable_Care_Act
gptkb:Health_Insurance_Exchange
gptkb:Medicaid_Information_Technology_Architecture
Electronic Health Records
gptkbp:requires gptkb:security
modularity
interoperability
support for analytics
support for reporting
compliance with federal standards
certification by CMS
support for data exchange
support for program integrity
gptkbp:subject federal certification
state-specific requirements
gptkbp:supports financial management
pharmacy benefits
claims processing
decision support
reporting and analytics
program integrity
care management
provider enrollment
third party liability
member eligibility
gptkbp:usedBy gptkb:state_Medicaid_agencies
gptkbp:bfsParent gptkb:Medicaid_Management_Information_Systems
gptkbp:bfsLayer 8
https://www.w3.org/2000/01/rdf-schema#label Medicaid Enterprise Systems