Total Gainwell System Outage for MMIS – Scheduled Maintenance

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.

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