TO: All
Medicaid Providers
RE: Total Gainwell
System Outage for MMIS – Scheduled Maintenance
Please be advised that the
Medicaid Management Information System (MMIS), operated by Gainwell
Technologies, will undergo scheduled maintenance that will result in a complete
system outage. During this time,
all access to Medicaid MMIS systems will be unavailable.
Please note that the
Eligibility system (CARES) will remain available during this maintenance.
Outage period:
- START for Non-Pharmacy: Friday, September 25, 2026, at 6:00 p.m. (Central
Time)
- START for Pharmacy Point
of Sale: Friday, September 25, 2026, at 9:00 p.m. (Central
Time)
- END: Monday, September 28, 2026, at 6:00 a.m. (Central
Time) or sooner
A
provider ALERT will be published
when the system
is available.
Impact:
- Access to provider,
beneficiary and enrollment portals will be unavailable
- Claims submission and processing will be unavailable
- Eligibility verification and related transactions using the MMIS system (including
Provider Web Portal, phone and fax verifications) will be unavailable
- Prior authorization submission using the
provider web portal will be unavailable.
We encourage providers to plan accordingly for this downtime.
Normal operations will resume once maintenance is complete.
During the maintenance window
the Electronic Medicaid
Claims (EMC) Helpdesk at (800) 456-1242 will be available Saturday, 9:00 a.m. to 5:00 p.m. Please
note that EMC may have limited system access during the outage window.
Please contact the Provider Assistance Center at (800)
688-7989 (Nationwide Toll-Free) if you have any questions about this notice.
The Current
Procedural Terminology (CPT) and Current
Dental Terminology (CDT) codes descriptors, and other data are copyright
© 2026 American Medical Association and © 2026 American
Dental Association (or such other date publication of CPT and CDT). All rights
reserved. Applicable FARS/DFARS apply.