Medicaid Provider Management

Serves the enrollment and revalidation process requirements of Healthcare Providers and the State Medical Agencies

Overview

Medicaid Provider Management System from Cardinality, is a self-service solution, distinctly serving the enrollment and re-validation process requirements of Healthcare Providers and the State Medical Agencies. The solution seamlessly performs the functions of Provider Enrollment, Management and Credentialing, while ensuring compliance with the different State and Federal policies. The highly modular componentry of the solution, aligns with business needs, program integrity and customer service.

The solution is equipped to carry out the processes of:

  • Provider Enrollment,
  • Eligibility determination
  • Inquiry and Provider Information Management
  • Screening and Validation
  • Site Visits
  • Approvals
  • Disenrollment
  • Termination
  • License Requests

In entirety, the application based on Medical Information Technology Architecture 3.0 (MITA) warrants rapid deployment nurturing flexibility and customizations. Protecting the integrity of the Medicaid program, the solution is built to ensure that only eligible providers participate in Medicaid the gap between stakeholders and aids in channelizing medical benefits and services reach the last mile.

Details

Protecting the integrity of the Medicaid program & Compliance with the different State and Federal policies
Bundled with advanced features like AI Enabled Analytics & Dashboards, Low Code Configurator, Personalized Widgets and Workflows, Chat-bots, highly configurable Notifications and Alerts engine analytics
Solution encompasses Role Based Access Control (RBAC), Standard Medicaid Provider Reports, accepts multiple enrolment, integrated with NPPES, making add-ons and upgrades a nimble exercise.

Images

End users are viewing your products!

Make sure they have all the information they need.

If you own this product, sign in to complete this section

Videos

Sorry, you must be logged in to view the rest of this page

Please log in or create an account to view more details.

Customers and Partners

Documents

Sorry, you must be logged in to view the rest of this page

Please log in or create an account to view more details.

Expert Analysis

Sorry, you must be logged in to view the rest of this page

Please log in or create an account to view more details.

AWS Marketplace

Pricing Information

Below are the total costs for these different subscription durations.
Additional taxes or fees may apply.

Medicaid Provider Management System
Users Description 12 MONTHS
10000 Users Up to 10000 users, excludes one-time implementation cost $3,500,000
20000 Users Up to 20000 users, excludes one-time implementation cost $4,000,000
30000 Users Up to 30000 users, excludes one-time implementation cost $4,500,000
40000 Users Up to 40000 users, excludes one-time implementation cost $4,800,000
50000 Users Up to 50000 users, excludes one-time implementation cost $5,000,000
60000 Users Up to 60000 users, excludes one-time implementation cost $5,100,000
70000 Users Up to 70000 users, excludes one-time implementation cost $5,180,000
80000 Users Up to 80000 users, excludes one-time implementation cost $5,200,000

Usage Information

Fulfillment Options

Software as a Service (SaaS)

Software as a service is a delivery model for software applications whereby the vendor hosts and operates the application over the Internet. Customers pay for using the software without owning the underlying infrastructure. With SaaS Contracts, customers will pay for usage through their AWS bill.

End User License Agreement


By subscribing to this product you agree to terms and conditions outlined in the product
End User License Agreement (EULA)

Support Information

Medicaid Provider Management System

[email protected]

Refund Policy

Cancellation with full refund within 1 month of subscription start date

Additional Support

Expert Analysis

View All Expert Reviews
Apply to Review
Compare items
  • Total (0)
Compare
0

Shopping cart

Coming Soon!

This resource is not yet available!

Ok

Coming Soon!

The Events Resource will launch in June.

Ok

Coming Soon!

The Events Resource will launch in May.

Ok

Coming Soon!

The Grants Resource will launch in 2022.

Ok

Coming Soon!

The Innovation Opportunities Resource will launch in 2022.

Ok

Coming Soon!

The Venture Capital (VC’s) Resource will launch in 2022.

Ok

Applications for Phase 1 closed on March 21st

If you have questions about the phase 1 application, please email [email protected] .

Ok

Coming Soon!

The Grant Portal Resource will launch in 2022.

Ok

Coming Soon!

The Innovation Hq Resource will launch in August.

Ok

Coming Soon!

The Pilot Applications Resource will launch in 2022.

Ok

Product Builder

Innovators can add important details about their products, using the product builder, that will help end-users on the R2 Network identify their solutions and understand fit.

Ok

R2 Learn

Resources to educate Entrepreneurs and First Responders on the unique challenges and opportunities in the public safety market. Search for courses, customize your library or add a course below.

Ok

Events

In-person and online opportunities to engage with the public safety community around what's new in response and resiliency technology.

Ok

Product Finder

First responders and public safety agencies can use the product finder to identify the technology solutions their agency needs to address response and resiliency challenges.

Ok

Grant Portal

Public safety agencies will be able to use the Grant Portal to identify the grants they qualify to procure needed technology and resources. Entrepreneurs can use the grant portal to find funding to support the development of their technology.

Ok

Venture Capital

Finding investors to support start-ups in the public safety market is a huge challenge. A growing list of institutions and individuals are helping to meet the critical need. This resource will help connect funding sources with venture-ready public safety technology companies.

Ok

RFP Finders

Navigating the complex RFP world is a difficult process for most startups. The RFP Finder will help innovators identify qualifying procurement opportunities.

Ok

Innovation Opportunities

Programs and challenges designed to help promote and support the growth of public safety innovation. Stakeholders can add opportunities and recruit participants, while innovators will be able to apply in just a few clicks.

Ok

Celebrating 1 Year of the R2 Network

We'll celebrate the formal launch of the R2 Network with an eye towards the future. We will highlight what's to come from the Network designed to enable innovators and support end-users of the public safety industry.

Ok

Stakeholder User Group

Stakeholders are the backbone of the public safety industry. Federal agencies, associations, distributors, corporations, and other service providers play a vital role in the innovation ecosystem. We're launching a dedicated Stakeholder user group in the R2 Portal to help streamline Stakeholder interaction on the Portal with admin like abilities to create programs, events, content, and even products. Stay tuned for continued feature releases to improve stakeholder functions through 2022.

Ok