What is MMIS?

MMIS typically stands for Medicaid Management Information System. It's a computerized data processing and information retrieval system used by state Medicaid agencies to administer and manage Medicaid programs. These systems handle a wide range of functions, including provider enrollment and management, claims processing, prior authorization, financial management, reporting, and data analysis. They are critical for ensuring efficient and effective operation of Medicaid programs, compliance with federal regulations, and the prevention of fraud and abuse.