Acentra™ Health Implements Modular, Cloud-based Medicaid Claims System for Utah
June 22 2023 - 8:42AM
Utah Medicaid providers have a modern, efficient system for
submitting claims following implementation of the state’s Provider
Reimbursement Information System (PRISM). The fully modular,
cloud-based system was designed, built, and implemented by Acentra™
Health (formed by the merger of CNSI and Kepro), a leading Medicaid
Enterprise Systems (MES) provider, in partnership with the Utah
Department of Health and Human Services. Utah announced PRISM’s
go-live on April 3.
Built on Acentra Health’s proprietary evoBrix® platform, PRISM
replaces the Utah Department of Health and Human Services’
35-year-old legacy Medicaid Management Information System (MMIS)
with a user-friendly system that helps providers easily submit
claims and track payment status online. With the full suite of nine
MES modules, PRISM enables continued system flexibility with an
efficient system that delivers cost savings for the state. The
configurable system includes Acentra Health’s Audit Studio® and
ClaimsSure® solutions, to support program integrity, and the
company’s HealthBeat™ dashboard providing real-time system
performance information.
“The Utah system launch continues our commitment to providing
the most innovative and configurable solutions to the state
government healthcare industry,” said Todd Stottlemyer, CEO. “This
new solution forms the foundation for enabling the Utah Department
of Health and Human Services to better measure patient outcomes
while also empowering Medicaid participants to have an active role
in the care they receive.”
“PRISM embodies our commitment to ensuring Medicaid-enrolled
Utahns have access to the vital healthcare services they deserve,”
said Jennifer Strohecker Medicaid Director; Director, Division of
Integrated Healthcare, Utah Department of Health and Human
Services. “The system’s modern design and intuitive interface will
help reduce the administrative burden for providers so they can
focus on delivering best-in-class care.”
Acentra Health is a recognized trailblazer for developing
technology solutions that support state government MES needs. The
company was the first to develop a web-based MMIS and the first to
bring a MMIS to the cloud. In collaboration with the Wyoming
Department of Health, the company set the record for the fastest
implementation of a full claims adjudication and fiscal agent
services system. In 2022, the Wyoming system received full
certification with zero findings from the Centers for Medicare and
Medicaid Services (CMS), becoming the first fully modular MES
certified under CMS’ new Streamlined Modular Certification.
About Acentra Health
Acentra Health, formed in 2023 by the merger of industry leaders
CNSI and Kepro, combines public sector knowledge, clinical
expertise, and technological ingenuity to modernize the healthcare
experience for state and federal partners and their priority
populations. From designing and developing advanced claims,
encounter, and provider solutions that drive efficiency and cost
savings to delivering clinically focused service models for care
management and quality oversight, Acentra Health is accelerating
better outcomes. Acentra Health is backed by Carlyle (NASDAQ: CG),
a global investment firm.
For information on Acentra Health, including a company video and
an organization timeline, visit acentra.com. A comprehensive new
website will launch later this summer. For more information on CNSI
and Kepro, visit cns-inc.com and kepro.com, respectively.
Media Contact:
Janice Moore
Director, Corporate Communications
703-214-3552
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