In Touch: Transition to new Medicaid claims administrator moves forward

Work continues to move the Medicaid claims administration contract from Xerox to Accenture. HHSC is reviewing Accenture’s readiness to take over the contract, which also includes processing claims for the Children with Special Health Care Needs program and vendor drug services.

On May 9, the Attorney General’s Office filed a lawsuit against Xerox for civil Medicaid fraud and HHSC announced it would be terminating the contract. HHSC is finalizing an agreement with Accenture, the largest subcontractor under Xerox, to take over as the lead vendor until the state can competitively rebid the work. Accenture has been operating the Medicaid claims payment system under the contract since 2004.

HHSC staff have been working to ensure a seamless transition of services from Xerox to Accenture without affecting Medicaid clients or providers.

State staff will continue to work with Accenture and Xerox to identify and resolve issues or risks before Accenture assumes full responsibility for the contract. That work includes reviewing and improving the prior authorization process. Most other functions will transfer “as is” to Accenture, meaning that the current policies and procedures will largely remain the same.

In Touch: Transition to new Medicaid claims administrator moves forward.

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