Medicaid Programs
Adding Value with Data Integrity
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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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.
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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.
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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.
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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.
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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.
