Home / Services / Health & Human Services IT
Health & Human Services IT
Eligibility and enrollment, health benefit exchanges, Medicaid systems and child welfare: the programs where NexSolv has the deepest bench and the longest track record.
Built inside state HHS programs
NexSolv delivers Health IT for state agencies, spanning Agile delivery, Medicaid modernization and AI-enabled automation across eligibility, enrollment and benefits administration. Our flagship engagement, Maryland’s MDTHINK platform, replaced siloed legacy systems with a shared cloud platform for SNAP, TANF, Medicaid and child-welfare programs. We also support the Maryland Health Benefit Exchange.
Modernization roadmap
The sequence NexSolv used on Maryland’s statewide platform, adapted for each state’s programs and federal partners.
Solution areas
Integrated eligibility & enrollment
Multi-program eligibility rules, verifications through federal and state hubs, notices, renewals and ex-parte automation under CMS and FNS requirements.
Health benefit exchanges
Marketplace engineering and operations: plan management, open-enrollment readiness, Medicaid/CHIP handoffs, MARS-E security and year-round sustainment.
Medicaid & MMIS modernization
Modular MMIS components, claims and provider management, X12 and FHIR interoperability, and AI agents for claims, appeals, prior authorization and FWA.
Child welfare & case management
CCWIS-aligned case management, worker mobility, document management and analytics for safety and permanency outcomes.
Member & provider experience
Multilingual portals and chatbots with secure human handoff, provider onboarding accelerators and data-quality automation.
Program analytics & reporting
FMAP and cost reporting, CMS-64 automation, MCO performance dashboards and federal reporting pipelines.
Why agencies choose NexSolv for HHS
- Past performance on a statewide integrated-eligibility platform (MDTHINK)
- Ongoing health-exchange engineering and operations support
- Customer base across Maryland, New York, Ohio, West Virginia and Virginia HHS agencies
- CMMI ML3 delivery process and ISO 27001 security controls
- Eleven working AI and RPA demos for Medicaid operations, ready to pilot