>State Medicaid Systems (MMIS) are paid for by the feds and each state has
>'standardized' on their own version of MMIS so there are 50+ of them i.e. 
>every
>state has there own at taxpayer expense. For the most part changes to MMIS
>systems are the result of state or federal legislation not of a progressive
>healthcare organization.

FWIW .. The fifty largest violators of the current HIPAA electronic 
standards are the fifty states' Medicaid programs.


MCM



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