Medicaid Enterprise Systems

GPTKB entity

Statements (50)
Predicate Object
gptkbp:instanceOf health information technology system
gptkbp:component Decision Support System
Data Warehouse
Medicaid Management Information 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
https://www.w3.org/2000/01/rdf-schema#label Medicaid Enterprise Systems
gptkbp:purpose administer Medicaid programs
gptkbp:regulates gptkb:Centers_for_Medicare_&_Medicaid_Services
gptkbp:relatedTo gptkb:Affordable_Care_Act
gptkb:Health_Insurance_Exchange
gptkb:Medicaid_Information_Technology_Architecture
Electronic Health Records
Medicaid Management Information System
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_System
gptkb:Medicaid_Management_Information_Systems
gptkbp:bfsLayer 8