Medicaid Programs
Adding Value with Data Integrity

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2021 Conferences

Aug 9-12 @ MESC
Medicaid Enterprise Systems Community
Sept 13-15 @ NAMPI
National Association for Medicaid Program Integrity

Nov 14-16
National Association of Medicaid Directors

Dec 6-10
Home and Community-Based Services



HHS&B Capabilities

Entellitrak-based Health, Human Services, and Benefits solutions come with pre-configured processes that can be modified to suit the exact needs of your agency.

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Entellitrak Data Sheet

Tyler’s low-code application development platform for case management is purpose-built for government.


Adding Value to Medicaid Program Integrity

In 2020, COVID-19 put unprecedented pressure on Medicaid agencies as more people became eligible and agencies relaxed regulatory requirements. Unfortunately, those challenges also increased the likelihood of improper payments. To combat this, federal regulations are requiring all states to have a program integrity operation in place within their Medicaid program. 


Configurable Appeal Case Management Software for All Appeal Types

Due to recent mandates from the Centers for Medicare and Medicaid Services (CMS), state governors and CIOs are under increasing pressure to modernize their aging Medicaid Enterprise Systems (MESs), systems that handle enrollment, eligibility, claims processing, and other functions for this huge population.


Optimize the HCBS Waiver Process by Accessing, Using, and Sharing Case File Data

Tyler's HCBS solutions promotes quality and efficiency by providing timely information to self-directed program participants, their representatives, counselors and nurses, as well as fiscal employment and income maintenance agency providers.


Critical Incident Management

State agencies have a responsibility to protect program participants from critical incidents. One of the best tools for combatting incidents is data. Tyler can configure and deploy a system that allows you to handle everything from incident detection and reporting to triage, analysis, investigation, resolution, tracking, and trending.  


Medicaid Disability Benefits
Case Processing

Tyler offers commercial-off-the-shelf solutions capable of fully satisfying SSA and Medicaid disability case processing requirements, and satisfying each DDS location’s unique needs. Disability determination agencies in the United States have been using Tyler’s Disability Case Manager solutions to process disability claims for over 40 years, including the nation’s fourth-largest federally funded entitlement program.