About Us

About Us

MMISME is comprised of Instruction & learning, infrastructure, IT management, information & business systems, world-class research, and enterprise risk.MMISME LLC is a Florida Limited Liability Company certified nationally as a Minority Business Enterprise (MBE) by the National Minority Supplier Development Council (NMSDC). It is also certified as an MBE and a Woman Business Enterprise (WBE) by the State of Florida.

The company was first established in Georgia under the entity name MMISME Operations Consulting LLC in February of 2009. It was dissolved approximately two and a half years later and reestablished in July of 2011 as a Florida company in order to relocate its offices to Florida. MMISME LLC offers resources and services in Medicaid and government healthcare-related operational and IT areas, including strategic planning and the systems design, development, testing, implementation, and maintenance phases of an MMIS.

Target Clients

Fortune 1000 Companies, Government Entities (in the US and US territories), Mid-Large Professional Services Firms, Similar Type Companies and Entities in the US Territories

Certifications

MBE: Southern Florida Minority Supplier Development Council (SFMSDC), an affiliate regional council of the National Minority Supplier Development Council Inc. (NMSDC) and W/MBE: State of Florida Office of Supplier

Current and Past Clients:

Accenture LLP, CSG Government Solutions, Georgia Department of Community Health (DCH), Health Law Network (HLN), Youth Advocate Programs (YAP), Intervoice, Cambria Solutions Inc. (now Ernst & Young), Molina Health, Clouds and Things, and Briljent

Company Differentiators

MMISME LLC’s team has a wide array of Medicaid experience gained through working on projects in multiple state Medicaid programs.

We specialize in:

  • Medicaid Information Technology Architecture (MITA) 3.0 state self-assessment (SS-A) planning and execution
  • Federal Certification Medicaid Management Information System (MMIS) modules using the Streamlined Modular Certification
  • Eligibility and Enrollment Management Systems using the Medicaid Eligibility and Enrollment Toolkit (MEET) and Outcomes Based Certification (OBC)
MMISME LLC also supports its clients in multiple areas including strategic planning, re-procurement support including writing Requests For Proposals (RFPs) and Design Development and Implementation (DDI) with subject matter expertise in provider and member relations including claims processing, call centers, provider enrollment, EDI, and web portals.

Our roles filled for clients include:

  • Certification Manager
  • Certification Lead
  • MITA Lead
  • Lead Business Analyst
  • Project Manager
  • Technical Writer
  • SME and General Consultant identifying opportunities for clients to achieve operational efficiencies and cost savings.

MMISME LLC’s bilingual leadership provides clients with capabilities to target Hispanic markets in culture and language.

Meet Our President

Image of MMISME LLC President Vivian de la Gándara

Vivian de la Gándara is the President of MMISME LLC, a Medicaid consulting firm based in Boynton Beach, Florida, serving clients across the country. She began her Medicaid career in the State of Florida in 1999, working for one of the state’s previous fiscal agents.

With more than 24 years of Medicaid experience in both the private and public sectors, and work in 14 states, DC, and in the US territory of Puerto Rico, she has been successful in gradually growing her certified MBE/WBE. In addition to being a Subject Matter Expert (SME) in Medicaid and Medicaid Management Information Systems (MMIS), Vivian is also a SME in MITA and federal certification of MMIS modules and Eligibility and Enrollment Management Systems using the MECT 2.3, MEET. Vivian personally participated OBC pilots for the state of Louisiana and the U.S. Territory of Puerto Rico, both of which contributed to the development of the new Streamlined Modular Certification (SMC) process released by CMS in 2022.

Vivian partners with clients to provide Medicaid-related consulting services that add value and help them achieve success.

Experience of MMISME Team Members

MEDICAID
100%
OPERATIONS
100%
BILINGUAL (SPANISH AND ENGLISH)
96%
INTERCHANGE
100%
MMIS
96%
DDI
100%
MCO & ENCOUNTER
100%
TRAINING AND KNOWLEDGE TRANSFER
100%
FA
100%
STATE AGENCY AND STATE STAFF
98%
CERTIFICATION & MITA
100%