HTS consultants specialize in Centers for Medicare and Medicaid Services (CMS) programs and Health Information Technology. Our team has decades
of experience with a full range of enterprise systems including Medicaid Management Information Systems (MMIS), State Level Registries (SLR),
Eligibility Systems, Electronic Health Records (EHR), EHR Incentive Payment systems, Medicaid Information Technology Architecture (MITA)
Assessments and Pharmacy Benefit Management systems. HTS has worked with clients across the country including states and Fortune 500 companies
to design, implement and improve their programs.
Managed Care Programs
HTS consultants have an average of more ten years’ experience working with Managed Care Organizations (MCOs) at the state or service level.
HTS has worked alongside both states and top 25 MCOs. We understand the changes and challenges of changing federal requirements alongside
pressures for higher levels of service. We offer a full range of consulting services from provider networks to operations and technical
assistance, and our goal is to help you succeed at every level.
Electronic Health Care Records
HTS is a recognized national leader in Medicaid Electronic Health Care Record (EHR) Incentive Programs. HTS provides EHR Technical Assistance
for CMS as part of the Medicaid EHR Team (MeT), including developing the Stage 2 Audit Toolkit and auditing training manuals, conducting the
Auditing Community of Practice, and researching questions and issues posed by State Medicaid Agencies. Working with CMS has given our team a
nationwide perspective of the best practices being employed by states. HTS consultants also have years of in the field experience with EHR
Provider Incentive Program post-payment Meaningful Use audits. Our combination of Medicaid experience, familiarity with SMA staff, and
hands-on knowledge in EHR programs gives us a unique understanding of the challenges and opportunities many agencies face.
At HTS our senior consulting staff have worked alongside every federal department including the Office of Management and Budget (OMB) and
the White House. HTS consultants have direct work experience on over 50 different types of Federal grants, loans and programs totaling over
$3 billion dollars. HTS staff have worked alongside CMS and other Federal agencies understanding and implementing Federal requirements such as
grant and program reporting including Office of Management and Budget Circular A133; Generally Accepted Government Auditing Standards (GAGAS);
Health Insurance Portability and Accountability Act (HIPAA); Affordable Care Act (ACA); CMS Medicaid Enterprise Systems; Electronic Medical
Records (EMR); Health Information Exchange (HIE); Health Benefit Exchange (HBE); Advance Planning Documents (APD); electronic transactions
implementation (4010 and 5010); National Correct Coding Initiative (NCCI); Medicaid Statistical Information Systems (MSIS/T-MSIS); and Medicaid
Information Technology Architecture (MITA).
Health Information Exchange
HTS consultants bring first-hand experience in working within numerous statewide Health Information Exchanges (HIE) and Regional Health
Information Organizations. We are well versed in the State HIE Cooperative Agreement Program and the requirements of the Office of the National
Coordinator for Health Information Technology. Our staff also brings the first-hand experience of launching a nationally recognized,
fully-operational statewide HIE. HTS consultants provide strategic consulting services in planning, implementation, deployment, training, and
upgrade assistance to a number of states across the country.
Health Benefit Exchange
HTS offers in-depth knowledge of health care reform and the eligibility process. Our team has provided state agencies with first-hand
open enrollment operational support and training. HTS consultants have delivered recommendations regarding insurance affordability
programs, cost share reductions, eligibility rules and processing. Our consultants have assisted clients with all aspects of the enrollment
and eligibility process including exchange navigators, application counseling, call center support, appeals and systems processing.
HTS consultants partner with clients to keep pace with a changing regulatory environment with increasing demands for services.
HTS Human Services and Public Health experts offer in-depth knowledge of programs including immunization registries, clinic management
systems, state laboratory services, child welfare, elder and disabled adult care, nutrition assistance, behavioral health, home health,
and Women, Infants and Children (WIC). Our consultants have detailed knowledge of major systems including Electronic Benefit Transfer (EBT),
vital statistics systems, case management systems, and the National Electronic Disease Surveillance System (NEDSS). HTS experts understand
the need to meet federal and state program goals, while striving for continuous improvement in health services and outcomes.