New York awards $351 million Medicare contract
The system, to be managed by Computer Sciences Corp., will allow the state to handle claims online
The New York State Department of Health signed a six-year, $351 million
contract with Computer Sciences Corp. to create a new system that will process
and report Medicaid claims.
The system will ultimately allow New York to handle online claims, said
Bill Liddle, project director/general manager of the Medicaid Management
Information System.
In developing a replacement Medicaid system, CSC will:
* Develop a 7-terabyte data warehouse environment to analyze Medicaid claims,
allowing the state to develop policy, trends and other reports and detect
fraud.
* Upgrade the existing Medicaid Management Information System software.
* Develop a new Electronic Medicaid Eligibility Verification System, allowing
medical providers to verify program eligibility for Medicaid recipients,
assist electronic submission of claims, allow pharmacies to check for harmful
drug interactions and increase the efficiency of pre-authorizations by providers
and pharmacists.
Last year, the Medicaid system handled $25 billion worth of claims for 300
million recipients.
CSC will also create and maintain electronic versions of the state's provider
manuals, allowing providers to access them via the Internet.
CSC has worked with New York's Medicaid program since 1986 but did not run
the verification system, which was handled by another company. This contract
ties the two systems together.
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