NH DHHS MMIS Enterprise Integration Architecture

SOURCE SYSTEMS

🏥MMIS

Conduent EAM 9.2.7
Oracle 19c Database
Claims & Encounters

👥NewHEIGHTS

SNAP/TANF Eligibility
Integrated E&E System
NHORR Repository

👶NECSES

Child Support System
IV-D Case Management
Payment Processing

💊PBM

Pharmacy Benefits
Drug Utilization
Rebate Management

🏨Provider

Provider Enrollment
Credentialing
Network Management

🔄TPL

Third Party Liability
COB Processing
Recovery Management

MULESOFT ANYPOINT INTEGRATION PLATFORM

Experience APIs (xAPI)

xapi-cms64-form

Federal Financial Reporting

xapi-tmsis-submission

T-MSIS Data Gateway

xapi-provider-portal

Provider Self-Service

xapi-member-services

Beneficiary Access

Process APIs (pAPI)

papi-fmap-engine

FMAP Rate Calculation

papi-eligibility-orch

Cross-Program Eligibility

papi-claims-aggregator

Claims Transformation

papi-prior-period

Adjustment Processing

papi-drug-rebate

Rebate Offset Calc

System APIs (sAPI)

sapi-mmis-claims

MMIS Data Interface

sapi-eligibility

Eligibility Snapshot

sapi-financial-gl

GL Transaction Data

sapi-mco-data

Managed Care Interface

sapi-necses

Child Support Data

🚀 Anypoint Flex Gateway

API Management • Rate Limiting • Security Policies

1,250 RPS • <30ms latency

📨 Anypoint MQ

Async Messaging • Event Processing • Queue Management

10,000+ msg/min

ETL Integration

Informatica PowerCenter 10.5

Data Lake/Warehouse

TARGET SYSTEMS

🏛️CMS

CMS-64 Reporting
T-MSIS Submission
Federal Data Hub

📊DHHS

Program Analytics
Executive Dashboards
Operational Reports

🚗DOT

Dept of Transportation
License Verification
Vehicle Registration

🔐DOS

Dept of Safety
Background Checks
Certification Data

🏢MCOs

Managed Care Orgs
Encounter Data
Capitation Reports

📝EDW

Enterprise Data
Warehouse
BI/Analytics Platform