As part of its modernization efforts, New Mexico has awarded a $39 million Medicaid Enterprise Benefit Management Services contract to General Dynamics Information Technology (GDIT).
The contract is intended to support the state’s Human Services Department (HSD). GDIT noted that the contract has a four-year base period with four option years.
HSD is tasked with providing housing, nutrition and health assistance services, including Medicaid, to more than 40 percent of the state’s citizens. The state’s current Medicaid Management Information System – the primary IT system for claims processing, fraud detection, and other program services – is being upgraded to a new, modular enterprise system.
According to a press release, GDIT will implement a key module of this system to streamline provider enrollment, credentialing, training, and reporting. The company added that a new software tool that leverages artificial intelligence and data analytics will enable providers to efficiently submit their Medicaid application data and supporting documentation. The company will also provide outreach and training support to healthcare providers throughout the state.
“Our benefit management services will significantly reduce submission times, cut costs and enhance the overall provider experience for New Mexico’s Medicaid program,” said Scott Mack, GDIT vice president and general manager for State and Local Government. “As a result, providers will be able to spend more time on patient care.”
The contract was awarded following a competitive procurement process, GDIT said. The company added there are multiple other modules which are operating under contracts that comprise the Medicaid Management Information System replacement project.