Conduent Medicaid Suite (CMdS) is a production-ready application portfolio that supports states’ migration from a legacy MMIS to a digital, interoperable, and scalable enterprise. CMdS is a modular solution that enables program to optimization and is delivered through Software as a Service (SaaS). It fully supports MITA goals and aligns with CMS’ Seven Standards and Conditions.
Integrated and Independent
CMdS at a glance
Each CMdS module performs critical functions to integrate seamlessly in the MES multi-vendor ecosystem.
CMdS Claims: supports simple and complex pricing methodologies using configurable program and benefit plan capabilities.
CMdS Financial: provides accounts payable, accounts receivable, and financial management solutions and eliminates the need to piece together information from multiple systems.
CMdS Pharmacy: offers real-time comprehensive NCPDP-compliant claims adjudication functionality that automatically evaluates eligibility, drug coverage, benefit limitations and pharmacy network enrollment prior to dispensing.
CMdS Drug Rebate: Maximize efficiency with configurable, integrated flexibility to support all major rebate types. Our user-friendly, point-and-click graphical user interface and suite of reports makes all actions intuitive.
CMdS Federal Reporting: offers flexible, comprehensive reporting functionality to meet federal reporting requirements, standard reporting to advanced ad hoc queries and analytics.
CMdS Contact Center: delivers an effective omnichannel communications using routing, workforce optimization, automation, and analytics.
CMdS EDW & Analytics: provides program insights, trends and actionable knowledge to form a 360O view of program performance and member engagement. Data management and analytics services incorporate data from all State sources to support Medicaid programs’ transformation, fiscal management, fraud, waste and abuse avoidance and overall program quality.
CMdS TPL: Intelligent automation and configurable workflows help recover maximum program funds while ensuring Medicaid is the payer of last resort.
Experience Talks:
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42 Years
of Government healthcare experience
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First
to have a system certified wholly based on MECT criteria
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First ever
to receive modular certification within Medicaid – by implementing a CMdS module
