Medicaid Management Information Systems
GPTKB entity
Statements (51)
| Predicate | Object |
|---|---|
| gptkbp:instanceOf |
healthcare information system
|
| gptkbp:abbreviation |
gptkb:MMIS
|
| gptkbp:administeredBy |
state governments
|
| gptkbp:component |
Medicaid program
|
| gptkbp:enables |
Medicaid eligibility determination
Medicaid audit support Medicaid behavioral health management Medicaid case management Medicaid claims adjudication Medicaid cost avoidance Medicaid cost recovery Medicaid data analytics Medicaid dental benefit management Medicaid encounter data processing Medicaid fee-for-service support Medicaid financial management Medicaid long-term care management Medicaid managed care support Medicaid member management Medicaid payment processing Medicaid pharmacy benefit management Medicaid prior authorization Medicaid program evaluation Medicaid provider management Medicaid quality assurance Medicaid reporting Medicaid third-party liability management Medicaid utilization review Medicaid waiver program support |
| gptkbp:established |
1970s
|
| gptkbp:fundedBy |
gptkb:Centers_for_Medicare_&_Medicaid_Services
|
| https://www.w3.org/2000/01/rdf-schema#label |
Medicaid Management Information Systems
|
| gptkbp:oversees |
gptkb:Centers_for_Medicare_&_Medicaid_Services
|
| gptkbp:purpose |
manage Medicaid program data
|
| gptkbp:relatedTo |
gptkb:Medicaid_Enterprise_Systems
gptkb:Medicaid_Information_Technology_Architecture |
| gptkbp:requires |
gptkb:United_States_federal_law
|
| gptkbp:supports |
Medicaid Management
Medicaid operations |
| gptkbp:technology |
cloud computing
mainframe web-based interfaces |
| gptkbp:usedBy |
gptkb:state_Medicaid_agencies
|
| gptkbp:usedFor |
fraud detection
claims processing program integrity eligibility verification provider enrollment management reporting |
| gptkbp:bfsParent |
gptkb:CNSI
|
| gptkbp:bfsLayer |
7
|