About Us

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 as a Georgia company under the entity name MMISME Operations Consulting LLC in February of 2009 but 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 as well as the systems design, development, testing, implementation and maintenance phases of an MMIS.

Current and past clients include 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 and Briljent.

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

Company Differentiators

MMISME LLCs 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 as well as federal certification of Medicaid Management Information System (MMIS) modules using the Medicaid Enterprise Certification Toolkit (MECT), Eligibility and Enrollment Management Systems using the Medicaid Eligibility and Enrollment Toolkit (MEET) and Outcomes Based Certification (OBC). MMISME 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: Lead Business Analyst, Project Manager, Technical Writer, SME and General Consultant identifying opportunities for clients to realize and operational efficiencies and cost savings. MMISME LLCs bilingual leadership provides clients with capabilities to target Hispanic markets in culture and language.

Meet Our President

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

With more than 24 years of Medicaid experience in the private and public sector and work in 14 states, DC and in the US territory of Puerto Rico she has been successful in slowly growing her certified MBE/WBE. In addition to being a Medicaid and Medicaid Management Information System (MMIS) subject matter expert (SME), 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 US Territory of Puerto Rico which both 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 adds value and helps 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%

STATE AGENCY AND STATE STAFF

98%

CERTIFICATION & MITA

100%