SPI Insights

The Texas Health and Human Services Commission (HHSC) is planning to issue a request for offers (RFO) in early 2021 for application maintenance and development in support of its modernization of the Texas Medicaid Management Information System (MMIS).

Vendors will be asked to provide support of recently updated applications which will be residing in the state-owned data center, including provider management and electronic visit verification.

The project scope includes support for the Transformed Medicaid Statistical Information System (T-MSIS) for federal reporting, the Medicaid/CHIP Data Analytics (including Surveillance Utilization Review and Medicaid Fraud and Abuse Detection System), and the managed care encounter data warehouse.

Using a phased approach, HHSC intends to replace legacy technology systems with an ecosystem that better reflects the Texas Medicaid business model today and is more adaptable for future needs. HHSC’s project goals are to achieve more efficient, system-driven processes and enhanced data capabilities that better support its business objectives.