Getting More Value from IT Systems and Vendors
This episode of the Medicaid Leadership Exchange podcast explores how Medicaid leaders are approaching technology strategy and implementation.
Program Administration
Data and IT Systems
Data and IT systems play a foundational role in program administration. These systems enable Medicaid programs to enroll members and providers, manage benefits and cover services, detect fraud and abuse, analyze data for quality improvement, and perform other key activities in the program.
Resources
Ex Parte Explained: The Mechanics of Medicaid Eligibility Automation
An explainer on how ex parte automates eligibility and how federal law envisions ex parte processes will support...
NAMD’s Recommendations on CMS’ Prescription Drugs Prior Authorization Interoperability Proposed Rule
This resource provides a high-level summary of NAMD’s comments on the 2026 CMS’ Interoperability Standards and Prior Authorization...
NAMD Comments on the 2026 CMS’ Interoperability Standards and Prior Authorization for Drugs Proposed Rule
On June 15, 2026, NAMD formally commented on CMS’ Interoperability Standards and Prior Authorization for Drugs Proposed Rule.
Q&A with Gary Smith: Leading Medicaid in the U.S. Virgin Islands
Gary Smith has served as Medicaid Director for the U.S. Virgin Islands for the past eight years. In...
Medicaid’s Next Chapter
The next chapter of the Medicaid program will be characterized by growing fiscal pressures at the state and...
NAMD Submits Comments on CMS’s Proposed Managed Care Rule
On July 3, NAMD submitted comments on CMS's proposed managed care rule.