EDS will replace the state's current MMIS -- a 30-year old legacy system -- to keep pace with the changing needs of today's Medicaid program, providers and clients.
The Oregon MMIS will be based on EDS' interChange Medicaid system currently operating in several states, including Kansas, Oklahoma and Pennsylvania, modified to meet Oregon's specific functional and technical needs.
EDS is responsible for the design, development, implementation and maintenance of the MMIS. The design is consistent with Medicaid Information Technology Architecture framework of the Centers for Medicare and Medicaid Services.
The Oregon Medicaid program provides health care benefits to about 600,000 people annually across the state through 31,000 providers. The state processes more than 26 million Medicaid transactions per year.
"We look forward to having better information at our fingertips to monitor the effectiveness of the Medicaid program and the new EDS system will do just that," said Bryan Johnston, interim director of the Oregon Department of Human Services (DHS). "This system will help providers to determine eligibility, receive service authorization, submit claims, receive payments, and deliver improved care to the citizens of Oregon."
Earlier this year, EDS was awarded multi-year Medicaid contracts by Wisconsin, Rhode Island and Massachusetts.
