Medigov Technologies Get in touch

Medicaid provider systems that get people enrolled.

Medigov Technologies helps state Medicaid programs and their vendors design, build, and fix provider enrollment, screening, and MMIS integrations, from requirements through go-live.

Provider enrollment

In screening
Provider
Lakeview Family Clinic
NPI
1234567893
Taxonomy
207Q00000X
Service location
2 active
  1. Application received
  2. NPPES and PECOS verified
  3. Exclusion screening clear
  4. Loaded to MMIS

Medicaid solutions

Ready-to-implement solutions for the provider integrity work every state Medicaid program has to do, configured to your policies and connected to your MMIS.

Provider Screening

Automated checks of every provider at enrollment, revalidation, and on an ongoing schedule, with results tied to the provider's risk level.

  • NPPES, PECOS, OIG LEIE, SAM.gov, and SSA Death Master File checks
  • State license and Medicaid termination lookups
  • Risk-level assignment and alerts when a status changes
  • An audit trail of every check for CMS review

Site Visit

Pre- and post-enrollment site visits for moderate- and high-risk providers, from scheduling through findings.

  • Visit scheduling and inspector assignment
  • Mobile checklists with photos and location capture
  • Findings routed back to the enrollment decision
  • Tracking of visit volume, outcomes, and turnaround

Provider Directory

A searchable, accurate directory built from enrollment data, so members find providers who are actually available.

  • Search by specialty, location, language, and accepting new patients
  • Updates driven directly from enrollment and revalidation
  • FHIR-based Provider Directory API for interoperability rules
  • Accessible on phones and screen readers

What we do

Focused work in the part of Medicaid where data quality decides whether providers get paid and members get care.

Provider enrollment and credentialing

Enrollment, revalidation, and credentialing processes that meet federal rules without burying providers or staff in rework.

  • Enrollment and revalidation workflow design
  • Risk-based screening and site visit requirements
  • Affiliation, program participation, and service location rules

MMIS modernization and integration

Getting provider data into and out of the MMIS cleanly, whether you are replacing a module or connecting new ones.

  • Interfaces with NPPES, PECOS, and exclusion sources
  • Legacy data conversion, mapping, and reconciliation
  • T-MSIS provider file quality

Delivery analytics and program support

Clear requirements, honest status, and reporting that shows where a program actually stands.

  • Requirements, traceability, and certification evidence
  • Operational dashboards and data quality reporting
  • Agile delivery support for state and vendor teams

Who we work with

State Medicaid agencies

Program and IT teams planning procurements, modernizing modules, or preparing for certification.

MMIS and system vendors

Delivery teams that need provider domain depth on an active implementation.

Managed care plans

Plans aligning network data and credentialing with state enrollment.

Consulting partners

Firms that need a subject matter expert for a bid or engagement.

How an engagement works

Short, defined engagements with clear deliverables, or ongoing support when your team needs it.

  1. Discovery call

    A free conversation about your program, timeline, and the problem in front of you.

  2. Assessment

    Review of current processes, data, and requirements to find what is actually blocking progress.

  3. Plan and deliver

    A scoped plan, then hands-on work alongside your team.

  4. Hand off

    Documentation and knowledge transfer so your team owns the result.

About Medigov Technologies

Medigov Technologies LLC is a Michigan-based consultancy founded by Sandeep Gatla, a delivery analytics leader with deep experience in Medicaid provider enrollment and MMIS systems across multiple state programs.

Sandeep has worked on provider enrollment platforms, MMIS interfaces, and data conversion efforts, bridging state policy staff, vendor engineers, and the data itself. Medigov brings that same practical, detail-first approach to every client.

  • Provider enrollment
  • Credentialing
  • Provider screening
  • Site visits
  • Provider directory
  • NPPES / PECOS
  • NPI and taxonomy
  • Data conversion
  • T-MSIS
  • SAFe and Scrum

Have a provider enrollment or MMIS challenge?

Tell us what you are working on. We will reply within one business day.

Email
[info@yourdomain.com]
Phone
[(000) 000-0000]
Location
[City], Michigan