Molina Healthcare, Inc. (NYSE: MOH) announced today that the Medicaid
Management Information System (MMIS) implemented in Idaho by its wholly
owned subsidiary, Molina Medicaid Solutions, has received full federal
certification from the Centers for Medicare and Medicaid Services (CMS).
The certification follows a week of rigorous on-site testing of the
system, as well as a subsequent evaluation by CMS. As a result of the
CMS certification, the state of Idaho is entitled to receive federal
reimbursement of 75 percent of its MMIS operations costs retroactive to
June 1, 2010, the date that the system first began processing claims.
"Federal certification is a significant milestone because it allows the
state of Idaho to access maximum federal funding for its Medicaid claims
processing system," said Norm Nichols, president of Molina Medicaid
Solutions. "We are gratified by the achievement of this milestone and
will continue to work closely with Idaho's Department of Health and
Welfare and the Idaho health care community to serve the state's
The claims payment system serves over 230,000 participants and handles
more than 140,000 claims per week. The federal government required the
system upgrade, with conversion to Molina's system occurring in June
"Molina Healthcare has been an excellent partner with our claims
processing system," says Richard Armstrong, director of the Idaho
Department of Health and Welfare. "When problems arose, Molina brought
in the necessary resources and worked closely with us to correct the
issues. Idaho can be proud of the high-performing system we have today."
The initial conversion encountered issues during the first months of
operation; however, because of the combined efforts of Molina and state
staff, significant progress has been realized. "The system is now
performing beyond expectations in some areas, while continuing to show
improvement in others," according to DHW Director Armstrong.
Federal certification increases the share of the claims processing costs
the federal government will pay for monthly operations. With an
uncertified system, the federal government contributes approximately 50
percent of claims processing costs, with the state paying the other
half. With a certified system, the federal government pays 75 percent of
costs, reducing the state's share.
About Molina Healthcare, Inc.
Molina Healthcare, Inc. (NYSE: MOH), a FORTUNE 500 company, provides
quality and cost-effective Medicaid-related solutions to meet the health
care needs of low-income families and individuals and to assist state
agencies in their administration of the Medicaid program. Our licensed
health plans in California, Florida, Michigan, New Mexico, Ohio, Texas,
Utah, Washington, and Wisconsin currently serve approximately 1.8
million members, and our subsidiary, Molina Medicaid Solutions, provides
business processing and information technology administrative services
to Medicaid agencies in Idaho, Louisiana, Maine, New Jersey, and West
Virginia, and drug rebate administration services in Florida. More
information about Molina Healthcare is available at www.molinahealthcare.com.
Molina Healthcare, Inc.
Juan José Orellana, 562-435-3666, ext.
Sunny Yu, 562-901-1039