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Medicaid

Confidently Deliver Compliant Medicaid Programs

MedHOK’s Unified Payer Platform was built from the ground up to be fully Medicaid-compliant across the nation. MedHOK enables multi-state plans to seamlessly enable and move between differing state regulations to enable all markets to operate from one single system and data repository. Our unique HEDIS engine allows for the creation of state-specific quality measures and tracking to conduct care gap closure and outreach programs, no matter the location.

MedHOK’s unified approach to all medical and pharmacy continuum of care applications drives improved efficiencies, user productivity, and improved revenue realization for Medicaid Plans. MedHOK eliminates the productivity inhibitors by eliminating the need for data replication across multiple systems and the resulting benefits of improved data accuracy, Member management, and real-time compliance reporting.

MedHOK brings the ability to manage dual eligible Members for eligibility, regulatory compliance, and clinical management. MedHOK brings one of the most robust Long Term Support Services (LTSS) for long term care plans, including the support of MMPs and integrated dual SNPs.

MedHOK serves a wide range of Medicaid plans, including many county-based plans, special population plans, and many of the largest Medicaid plans in the country.

Value point headline

Value point headline

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Value point headline

Value point headline

Donec id elit non mi porta gravida at eget metus. Fusce dapibus, justo sit amet risus etiam porta sem.

Value point headline

Value point headline

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“MedHOK helps us run Medicaid programs in several states with confidence that we are compliant to each state’s rules and regulations.”

CIO, Regional Health Plan offering Medicaid Programs

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