AI-driven modernization is helping agencies turn data into action—modernizing operations, strengthening program integrity, and delivering better outcomes at lower cost  Irving, Texas – August 12, 2026 – Gainwell Technologies LLC will spotlight accelerating Medicaid modernization at the 2026 Medicaid Enterprise Systems Conference (MESC), showcasing how states are transforming data, workflows, and decision-making to deliver better outcomes, including improved workforce participation,…

The CMS interim rule released June 1, 2026, makes clear that medical frailty in Medicaid cannot be confirmed by a diagnosis code alone. States must evaluate condition category, functional impairment, severity, and condition-specific context to determine whether a person's health status significantly impairs their ability to meet community engagement requirements. A multidimensional…

Medicaid oversight has a timing problem. For years, Medicaid fraud, waste, and abuse (FWA) efforts have chased questionable claims after the money has already left the system. But a major shift may be on the horizon.  Recent federal actions and interoperability mandates suggest a new era is coming. Early signs indicate the Centers for Medicare and Medicaid Services (CMS) is preparing states for a future…

Designed with direct input from clients, Gainwell Provider Everywhere supports compliance with CMS revalidation requirements, strengthens program integrity, and reduces administrative burden for providers.  IRVING, Texas – July 8, 2026 – Gainwell Technologies LLC today announced Gainwell Provider Everywhere™, the nation’s first shared platform designed to help state Medicaid agencies securely share validated healthcare provider information and reduce duplicative data and enrollment work for providers serving Medicaid members in multiple…