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Oregon Department of Human Services

Oregon's new MMIS helps serve Medicaid clients, providers
Mother with her two happy boys
The Oregon Department of Human Services (DHS) implemented a new Medicaid Management Information System (MMIS) in December 2008.

The main function of the MMIS is to process payments for 35,000 state Medicaid and Oregon Health Plan providers -- hospitals, doctors, pharmacies and others -- that deliver health care services to Oregon's 430,000 Medicaid clients. These payments total approximately $2 billion each year.

The new MMIS replaced a 27-year-old system that used outdated technology and could not be updated to support increasingly complex state and federal requirements. The old system was built to process 260,000 claims per month for 116,000 eligible clients. Today, Oregon's MMIS tracks approximately 430,000 clients and processes about 2 million claims each month.

The new MMIS processes claims faster and more efficiently, and helps to detect and reduce fraud and errors. In addition, the new system will ensure that Oregon is in compliance with federal Medicaid requirements.

For more information on the new MMIS system or the MMIS computer project, refer to the Quick links below. If you have any questions or concerns, click on the "Who to contact" link.
Quick links
Medicaid in Oregon
For general information about Medicaid in Oregon, please visit the Oregon Health Plan (OHP) Web site or call 1-800-273-0557.

 

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