Collaborative Solutions for Future-Ready Systems

We deliver secure, scalable technology consulting and solutions that modernize government systems, streamline integration, enhance modularity, leverage cloud capabilities, and support partners in achieving compliance, efficiency, and long-term program success.

 

We specialize in: 

  • Medicaid/Medicare and CHIP enterprise
  • Managed care program IT support
  • Health Information Exchange (HIE) and interoperability
  • Health Benefit Exchanges (also known as marketplace)
  • Human services enterprise

Technology Consulting

From AI consulting and cloud migration to system integration and architecture alignment, our technology consultants provide hands-on support that helps agencies build modern, future-ready infrastructure. We combine deep technical knowledge with a public-sector lens to ensure every solution is compliant, scalable, and fit for purpose. 

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Medicaid Systems Modernization and Integration

Helping government agencies modernize and integrate Medicaid, Medicare, and CHIP systems with confidence.

With decades of experience across 30+ states, we partner with public and private sector clients to deliver scalable, secure solutions that improve efficiency, ensure compliance, and support long-term sustainability. 

Our team specializes in:

  • MMIS development, conversion, and certification

  • MMIS Modular Modernization

  • Roadmap planning for Centers for Medicare and Medicaid Services (CMS) Streamlined Modular Certifications (SBC) 

  • Eligibility and enrollment systems

  • Pharmacy benefit management and claims processing (837, NCPDP)

  • EHR integration and incentive payment systems

  • Federal Reporting

  • Power BI Reporting

  • Financial systems, TPL, and reporting

  • Managed Care and ICD-10 compliance

  • User Acceptance Testing

  • Unit Testing, Integration Testing, System Testing, Regression Testing, Automated Testing, End-to-End Testing, Performance Testing

From current state assessments to future-state architecture, we guide agencies through every step of Medicaid enterprise modernization — ensuring that every system component is thoroughly tested, validated, and ready to perform in complex, real-world environments. 

 

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Health Information Technology

We deliver secure, scalable Health IT services that help government agencies and partners modernize systems, improve interoperability, and meet evolving federal requirements.

Our team brings deep expertise across Electronic Health Records (EHR), Health Information Exchange (HIE), Health Benefit Exchanges (HBE), HITECH/Promoting Interoperability (PI) compliance, and Managed Care IT support.

 

Health Information Exchange (HIE)

Our team has supported statewide HIEs and Regional Health Information Organizations (RHIO) through every phase — from strategic planning and RFP development to technical implementation and provider training. We ensure secure, standards-based data exchange aligned with ONC and CMS requirements. 

HIE services include:

  • Provider Relations including supporting existing and recruiting new participants.

  • Interoperability with providers, public health systems, and payers, including Medicaid.

  • Technical onboarding and support.

  • Subject Matter Expertise for strategic planning and sustainability efforts.

  • Completion of funding requests (APDs).

HITECH & Promoting Interoperability Compliance

HealthTech has supported over $3 billion in federal health IT programs and grants. We guided agencies through Promoting Interoperability (formerly Meaningful Use), ensuring compliance with HIPAA, ACA, MITA, and CMS reporting standards. 

Our compliance services include: 

  • APD and grant reporting.

  • T-MSIS and 4010/5010 transaction support.

  • EMR integration and audit preparation.

Managed Care IT Support

We work with both state Medicaid agencies and top Managed Care Organizations (MCO) to improve provider network strategy, data integration, and operational efficiency, aligning with federal guidelines while enhancing service delivery and outcomes. 

Health Benefit Exchange (HBE)

We help states manage HBE operations, including eligibility systems, open enrollment, and insurance affordability programs. Our services improve consumer experience and streamline backend operations, from call center training to appeals processing. We also have experience supporting states in transitioning from the federal exchange to state exchange, providing guidance and expertise throughout the process. 

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Enterprise and System Technology Assessments

HealthTech delivers practical, actionable IT assessments to help agencies define future-state goals and close technology gaps.

Our services include: 

  • MITA assessments

  • Evaluations of public health and financial systems

  • Readiness assessments and gap analyses

Our certified experts apply industry best practices to guide strategic planning and modernization efforts. 

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Enterprise Architecture

We help agencies align their enterprise architecture with federal expectations, including the CMS Seven Conditions & Standards. Our consultants have served as technical leads on the CMS MeT and the Technical Architecture Review Board, shaping national MITA guidance and ensuring compliance across systems. 

Human Services System Integration

Our team brings deep experience in aligning human services technology with enterprise architecture frameworks to ensure interoperability, scalability, and compliance. We provide strategic and technical support across a wide range of human services programs, including: 

  • Immunization and disease surveillance systems

  • Child welfare and elder care platforms

  • Behavioral health and home health systems

  • Nutrition and WIC program technology

  • EBT and clinic management systems

  • Vital records and case management solutions

By aligning these systems with Medicaid Enterprise Architecture and federal standards, we help agencies streamline operations, improve data sharing, and deliver better services to the populations they serve. 

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DevOps and Testing Services

Our DevOps and testing services support agile, secure, and efficient system development. We provide:

  • Cross-vendor coordination

  • Certification tracking

  • Automated and manual testing

  • Continuous integration and delivery pipelines

We ensure systems are built to scale, meet compliance standards, and are ready for certification.

 

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