Elizabeth Dudek, FL Health Care Administration: HP Selected for $172M Florida Medicaid Contract Renewal

October 4, 2011

Florida Agency for Health Care Administration (AHCA) has signed a renewal service agreement with HP Enterprise Services to manage the state’s Medicaid Management Information System.

The $172 million, three-year renewal extension contract will help enable the state to transition to a managed care environment and continue to prepare for pending program changes in a cost-effective manner. The agreement extends HP’s contract through June 2016.

Through its interChange Medicaid Management Information System, HP has provided fiscal agent support and business process outsourcing services to AHCA since July 2008. HP is helping the agency prepare for pending healthcare changes by assisting it through the mandatory managed care transition, implementing federal HIPAA 5010 requirements and supporting the move to ICD-10 procedure coding.

“The agency appreciates the expertise HP contributes as a valuable member of our team,” said Elizabeth Dudek, Secretary of the Florida Agency for Health Care Administration. “The agency looks forward to continuing our good working relationship as we move forward with transition and implementation of several key initiatives.”

Since AHCA switched to the HP interChange Medicaid system, the company has implemented web-based provider enrollment, claims authorization and file exchange as well as supported various agency initiatives such as Medicaid reforms, the National Correct Coding Initiative to support claims coding standards, and the Medicare and Medicaid Electronic Health Records Incentive Programs to incent health care professionals and hospitals to adopt and use electronic health records.

Additionally, HP implemented a decision support system that increases productivity and lowers costs while providing better support for health-policy decision making. The system gives staff access to secure data to more thoroughly analyze the agency’s programs and policies and to help reduce fraud and abuse.

HP plans to enhance Florida’s federally certified interChange MMIS with new advances. From its facilities in Tallahassee, Fla., HP provides real-time claims processing, call center services and claims suspense, and it oversees pharmaceutical support provided by a third party.

HP helps Florida manage Medicaid benefits for more than 3.1 million Floridians. The company processes more than 150 million claims worth more than $20 billion a year for about 114,000 Florida healthcare providers.

“As a state with one of the largest and most complex Medicaid programs, Florida needs the flexibility to address future issues including increases in demand and regulatory changes without service interruptions,” said Susan Arthur, vice president, U.S. Healthcare Industry, HP Enterprise Services. “HP built and manages a system for Florida based on the most advanced and proven technology to streamline Medicaid procedures while providing the state with vital information about health care trends and the medical needs of Florida’s Medicaid beneficiaries.”

HP is the nation’s largest provider of Medicaid and Medicare process management services, administering $95 billion in benefits a year. It also serves as the fiscal agent or principal IT provider for Medicaid in 22 states. HP’s global healthcare experience spans payer, provider, government and life science communities.