Improve Medicaid program management and outcomes
for members, providers, and stakeholders
Modular Cloud-Based Solutions
For MMIS Modernization
Medicaid management is undergoing a seismic shift — adopting modern technologies to streamline operations, increase accuracy, improve productivity, and reduce costs, while enabling agencies to meet expansion requirements. Existing Medicaid Management Information Systems (MMIS) are archaic, inefficient, and inflexible, complicating basic functions such as confirming eligibility, enrollment, and provider management. Underfunded agencies need affordable solutions with the interoperability required to share information across siloed programs, while guarding against increasing threats of fraud or abuse.
Our cloud-based Medicaid Enterprise System (MES) solutions are powered by industry-leading technology and agile methodologies, allowing state agencies to easily modernize their MMIS. Complete interoperability makes healthcare data accessible, computable, and usable for better program management. National Association of State Procurement Officials (NASPO) certifications ensure streamlined workflows and simplified processes for provider management, third-party liability, and program integrity.
Discover your Provider® (DyP®)
Our SaaS-based provider management solution includes the fastest enrollment technology available. Through its provider portal, DyP offers Provider Enrollment, Provider Self-Service, and is highly configurable to support additional functionality. DyP offers:
Verify your Entity™ (VyE™)
Identify, verify, and manage enrollment, license verification and validation, and fraud prevention information across providers, hospitals, facilities, and pharmacies on a platform powered by millions of data points. With intuitive navigation, straightforward filtering, and configurable risk scoring.
HTG FHIR™ – Fast Healthcare Interoperability Resources
Healthcare depends on timely information sharing between patients, payers, and providers spanning millions of people nationwide. HTG FHIR provides easy access to data, API management, and flexible configurations with an unlimited number of backend data sources. HTG’s FHIR Server solution provides complete healthcare data interoperability.
Recover your Liability ™ (RyL™)
Ensure accurate, timely Third-Party Liability (TPL) action– from pre-payment cost avoidance to post-payment recovery. RyL enables states to reliably save Medicaid program dollars by precisely identifying known and potential third-party payment resources and ensuring that claims are paid only after all available third-party liabilities have been exhausted.
Experience You Can Trust
Since 2007, HTG has served the needs of State and Federal Health and Human Services by delivering high-quality, cloud-based software and technical services with a specific focus on Medicaid Management Information Systems Modularity. HTG provides state-of-the-art, SaaS solutions to support states’ Medicaid modernization and interoperability strategies.
for Quality Assurance (NCQA)
Complies with Health Level Seven International (HL7) Fast Healthcare Interoperability Resources (FHIR) standards
National Association of State Procurement Officials (NASPO) ValuePoint Certification for Medicaid Third-Party Liability
End-to-end assurance that security, availability, processing integrity, confidentiality, and privacy are being rigorously managed.
“We are pleased to collaborate with HHS Technology Group to launch the PRESM system, we believe we now have one of the fastest, if not the fastest, Medicaid provider enrollment and re-enrollment systems and processes in the nation.”
Medicaid Technology and Business Operations Section Manager, Wyoming Department of Health.Freelancer