Our Services

HMS offers an array of services to address Medicaid and other state program needs.

Identification & Recovery - HMS identifies valid third party liability coverage for individuals covered by Medicaid, and recoups payments.

Cost Avoidance - HMS provides clients with verified policy information so they can avoid paying for services that are the responsibility of another liable third party.

Case Management - HMS provides a full-service subrogation product, including recovery of Medicaid payments from casualty insurers or the estates of deceased beneficiaries.

Program Integrity - HMS provides data mining and algorithm services to identify, verify, and recover inappropriate payments.

SCHIP - HMS helps SCHIP programs to right-size enrollment by identifying other coverage available to applicants before they are enrolled. We also ensure ongoing program compliance through periodic re-validation of enrollees, and provide recovery services for claims paid on non-eligible children.