Government Solutions and Services Medicaid and Public Health Solutions

Medicaid Program Management

Improve care with modernized Medicaid solutions

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Delivering for our clients at scale

16M
recipients supported annually
$1B
pharmacy claim payments managed annually
18
successful MMIS systems certifications

Enhance access and drive better healthcare outcomes

States face the challenge of outdated Medicaid systems that are costly, inefficient, and ill-equipped for today’s healthcare demands. Conduent Medicaid Suite (CMdS) helps states transition to a modern, scalable platform that meets MITA goals and CMS standards. It boosts efficiency, adapts to regulatory changes and enhances service delivery for Medicaid recipients.

*Source: Medicaid.Gov

  • Optimize budgets

    Ensure data-driven decisions and performance with advanced web-based analytics that provide key insights into finances, trends and usage.

  • Simplify processes

    Unify and streamline healthcare processes efficiently and cost-effectively across multiple agencies by leveraging CMdS modules, ensuring seamless integration and improved outcomes.

  • Boost program integrity

    Leverage pre- and post-payment tools to verify accurate coding, streamline claims processing and manage financial transactions with precision.

Conduent Medicaid Suite (CMdS)

Modern, scalable Medicaid Enterprise Systems

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Featured insights

Medicaid Program Management: Commonly asked questions

How can Medicaid agencies improve operational efficiency?
Modernizing legacy systems with scalable, cloud-based solutions like Conduent Medicaid Suite (CMdS) can streamline operations, reduce costs, and enhance service delivery. These solutions also ensure compliance with CMS standards and adapt to evolving regulatory requirements.

What strategies help Medicaid agencies address rising enrollment numbers?
Leveraging advanced data analytics and automated workflows enables agencies to handle increased demand efficiently. Tools for eligibility verification, claims processing, and fraud detection also help manage growing caseloads without compromising accuracy or timeliness.

How can Medicaid agencies stay ahead of regulatory changes?
Agencies can adopt flexible, modular technology solutions that quickly adapt to new CMS requirements and state-specific regulations. Partnering with experienced vendors like Conduent ensures compliance, minimizes disruption, and keeps systems aligned with evolving healthcare policies.