Patients depend on government agencies for modern Medicaid solutions that improve access to care and promote better health outcomes. Quality service delivery relies on smart processes, data analytics and insights that help advance patient care.
We help states transition from outdated systems to a modern, scalable Medicaid solution that aligns with MITA goals and CMS standards. The Conduent Medicaid Suite (CMdS) offers a modular, cloud-based approach that optimizes programs and ensures Medicaid services are efficient and effective for residents.
Integrated and independent
CMdS at a glance
Each CMdS module performs critical functions to integrate seamlessly in the MES multi-vendor ecosystem.
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CMdS Claims
Supports simple and complex pricing methodologies using configurable program and benefit plan capabilities.
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CMdS Financial
Provides accounts payable, accounts receivable, and financial management solutions and eliminates the need to piece together information from multiple systems.
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CMdS Pharmacy
Offers real-time comprehensive NCPDP-compliant claims adjudication functionality that automatically evaluates eligibility, drug coverage, benefit limitations and pharmacy network enrollment prior to dispensing.
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CMdS Drug Rebate
Maximize efficiency with configurable, integrated flexibility to support all major rebate types. Our user-friendly, point-and-click graphical user interface and suite of reports makes all actions intuitive.
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CMdS Federal Reporting
Offers flexible, comprehensive reporting functionality to meet federal reporting requirements, standard reporting to advanced ad hoc queries and analytics.
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CMdS Contact Center
Delivers an effective omnichannel communications using routing, workforce optimization, automation, and analytics.
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CMdS EDW and Analytics
Provides program insights, trends and actionable knowledge to form a 360° view of program performance and member engagement.
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CMdS TPL
Intelligent automation and configurable workflows help recover maximum program funds while ensuring Medicaid is the payer of last resort.
Experience talks:
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42 years
of government healthcare experience
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First
to have a system certified wholly based on MECT criteria
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First ever
to receive modular certification within Medicaid – by implementing a CMdS module
