Market maps/Medicaid portals·Updated Oct 2026

Who runs the Medicaid portal in your state

Medicaid is 51 programs, each with its own fiscal agent, portal and prior auth process. This map has four layers: who runs claims, who reviews prior auth, how much of the program is managed care, and CMS-0057 readiness. Tap a state for its portal, vendor, sources and the contract end where one is dated, or download the whole dataset as CSV or JSON.

states and DC
51
of claims run by Gainwell Technologies
55%
outsource prior auth review
24
have a CMS-0057 API live
1
Showing 51 of 51
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Who operates the MMIS and pays fee-for-service claims.Tap a state for detail.

What changes, and when

Contract end dates and scheduled replacements we could verify. An end date is not a replacement; most are extended.

  1. Nov 30, 2025Contract endsGDIT, plus two one-year options
  2. Mar 2, 2026Went liveGainwell Technologies
  3. Mar 23, 2026Went liveTurquoise Claims (New Mexico Health Care Authority system)
  4. Oct 12, 2026Went liveMaineCare Partner Portal
  5. Dec 14, 2026Go-live scheduledGainwell Technologies (Montana Healthcare Claims System)
  6. Dec 31, 2026Contract endsGainwell Technologies, two optional one-year extensions
  7. Jun 30, 2027Contract endsGainwell Technologies, renewable to
  8. Jun 30, 2027Contract endsGainwell Technologies, extension
  9. Dec 31, 2027Contract endsGainwell Technologies, extension
  10. Jun 30, 2028Contract endsGainwell Technologies, business operations contract
  11. Sep 30, 2028Contract endsAcentra Health, options to Sep 2031

Every state, by claims operator

Gainwell Technologies28

Conduent7

State-run7

Acentra Health4

GDIT2

Noridian Healthcare Solutions1

Wipro Infocrossing1

Accenture1

Recent changes

  1. Oct 12, 2026MaineCare Partner Portal went live and replaced the HealthPAS Online Portal; Gainwell support channels are provided for portal and MIHMS questions.source
  2. Sep 30, 2026DPHHS announced the MTHCS transition from Conduent to Gainwell; soft launch is planned for December 14, 2026, with claims-processing go-live planned for spring 2027.source
  3. Aug 6, 2026Virginia DMAS awarded Conduent a contract to continue operating and modernize Medicaid enterprise and fiscal-agent systems; the agreement includes a two-year design and implementation phase, followed by a six-year base term and six one-year options.source
  4. Jul 27, 2026Provider notice stated that EDI transactions will move from Conduent to Gainwell and the MATH Portal will be retired as functions move to new provider portals.source
  5. May 2, 2026Prime became the NC Medicaid Direct pharmacy benefit administrator; providers were directed to discontinue NCTracks pharmacy functionality and use the Prime Pharmacy Provider Portal.source
  6. Mar 23, 2026Turquoise Claims went live at YES.NM.GOV, replacing OmniCaid and the NM Medicaid Provider Web Portal for claims submission.source
  7. Mar 20, 2026AHCA terminated HHS Technology Group’s EXD115 contract, cancelling the FX Provider Services Release. The FX roadmap entered a planned pause while operations and maintenance continued.source
  8. Mar 2, 2026DHCF transitioned fiscal-agent and claims-payment responsibilities from Conduent to Gainwell Technologies; Gainwell system go-live occurred.source
  9. Feb 13, 2026Amendment 6 updated Vermont’s Gainwell Technologies MMIS contract and retained the 2022-01-01 through 2026-12-31 MMIS operations budget period.
  10. Jan 20, 2026Gainwell provider portal went live.source
  11. Dec 1, 2025Behavioral Modification and Consultation services stopped being managed by Magellan Healthcare. Providers submit authorizations through Telligen’s Qualitrac Provider Portal and bill Idaho Medicaid directly through Gainwell Technologies; existing authorizations were transferred or extended.source
  12. Oct 20, 2025EDIaaS production go-live for batch transactions.source
  13. Sep 22, 2025EDIaaS production go-live for interactive transactions, replacing BES WebBBS; PROMISe Internet was not impacted.source
  14. Jun 1, 2025Nebraska Medicaid ended paper provider-enrollment applications; electronic enrollment moved to Maximus's Provider Data Management System.source
  15. May 1, 2025Optum became Colorado's Provider Services Call Center vendor, replacing Gainwell for that module; Gainwell remained the core MMIS and Provider Web Portal vendor.source
  16. Apr 28, 2025Gainwell replaced WPS as Wisconsin CLTS claims processor; providers began submitting claims and adjustments through the ForwardHealth Portal.source
  17. Mar 17, 2025MassHealth completed the MMIS and POSC migration to AWS; the POSC reopened and transactions were redirected to AWS.source
  18. Feb 25, 2025The FX Executive Steering Committee decided to terminate Gainwell Technologies’ FX Core contract; formal notice followed. Legacy FMMIS remains in operation while AHCA evaluates an RFI and future Core or takeover procurement.source
  19. Jan 23, 2025Kentucky stopped implementation of the MCAFS replacement and will maintain the current MMIS; future changes will be announced to stakeholders.source
  20. Nov 1, 2024Alaska completed the final phase of transitioning behavioral-health Medicaid claims processing from Optum to the state MMIS; the first phase was completed by 2024-10-01.source