FOX MMIS Consulting

MMIS Consulting

FOX Systems, Inc. (FOX) is the nation’s leading Medicaid Management Information Systems (MMIS) consulting organization and a major thought leader in MMIS planning.

For 18 years, FOX has been a valued partner to states in assisting with the design, procurement and implementation of MMIS. Having worked with over 35 states, we have developed a unique understanding and appreciation of the initiatives and innovations that are essential to effective and efficient management of the Medicaid program.

Our range of MMIS Services includes:

Strategic Medicaid Systems Planning
Systems Integration
Cost / Benefit Analysis
Business Process Improvement
MMIS Procurement Support
- Requirements Analysis
- Feasibility & Alternatives Analysis
- Systems Analysis & Design
- APD Development pieces
- RFP Development
- JAD/JAR Facilitation
IV&V
QA Services
Documentation & Training
Project Management
Federal Certification
MITA Assessment
HIPAA Assessment

FOX’s greatest asset is our human capital. Our consultants come from varied backgrounds including having worked for various state Medicaid agencies and collectively have more than 300 years of Medicaid experience and expertise. FOX’s extensive knowledge base makes us unique in our ability to provide the most insightful, creative, and cost-effective solutions in today’s Medicaid administrative marketplace. Our consultants are committed to serving the public sector and have extensive practical knowledge and work experience in Medicaid.

Currently, Medicaid systems are undergoing significant changes both in functionality to support dynamic Medicaid policy changes, and in architecture to support data exchange. One significant change in this direction is the Medicaid Information Technology Architecture, (MITA). FOX is a key partner of the Centers for Medicare & Medicaid Services (CMS) in defining, developing and implementing the MITA framework.

FOX is the partner of choice for all your MMIS-related needs. We understand the importance of enhanced Medicaid matching funding and how vital Medicaid programs are for to the state administration and budget. The broad range of our clients and our history of successful engagements in all facets and at all levels of the Medicaid marketplace is unmatched. We have worked successfully across the health sector with states, federal agencies, fiscal agents, specialty vendors, managed care organizations, and providers to enhance, educate and support their efforts.