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MAXIMUS Simplifies Public Drug Benefit Programs with DecisionPoint for Pharmacy Benefits Management


- Debut Today at National Council for Prescription Drug Programs Conference -

RESTON, Va.--(BUSINESS WIRE)--MAXIMUS (NYSE:MMS), a leading provider of government services worldwide, announced today that it has launched DecisionPointTM for Pharmacy Benefits Management (PBM) to help states navigate the complexities of public drug benefit programs. The formal debut of this solution begins today at the National Council for Prescription Drug Programs (NCPDP) Conference in Scottsdale, Arizona.

DecisionPoint for Pharmacy Benefits Management (PBM) is the newest offering in the DecisionPoint set of solutions to assist states with the administration of their Medicaid programs. Leveraging more than a decade of drug benefit management experience in Canada, DecisionPoint for PBM combines a comprehensive, well-developed software application with decades of Medicaid program administration experience. The result is a solution that addresses the urgent need for states to better manage prescription drug programs used by a quickly expanding and increasingly diverse group of beneficiaries.

The Affordable Care Act (ACA) was a catalyst for the rapid growth in the number of Medicaid beneficiaries and mandated the need for Medicaid programs to adapt to new pharmacy benefits requirements. DecisionPoint for PBM helps Medicaid programs acclimate their prescription drug benefit programs to these massive changes through a modern, flexible solution that can be tailored to each state’s unique program requirements. DecisionPoint for PBM includes multi-program management capabilities, a highly sophisticated and configurable rules engine, and an advanced Prior Authorization (PA) process so that each program can have its own beneficiary eligibility criteria, prescriber populations, member pharmacies, benefit lists and instant PA configuration.

“Health care reform brought millions of new beneficiaries into Medicaid programs. States are striving to efficiently meet the needs of this influx and DecisionPoint for Pharmacy Benefits Management helps Medicaid program directors manage the complex needs of their prescription drug programs,” said Bruce Caswell, President of MAXIMUS.

MAXIMUS is formally launching DecisionPoint for PBM at this week’s National Council for Prescription Drug Programs Conference. At the MAXIMUS exhibit booth, John Crouse, Vice President of Business Development at MAXIMUS, and a team of pharmacy benefits management experts will provide a demonstration of the solution and will share their insights and successes in deploying the solution across multiple projects and jurisdictions.

The NCPDP Conference takes place from Monday, May 4 to Wednesday, May 6 in Scottsdale, Arizona. NCPDP is a leader in developing and promoting industry standards and business solutions for prescription drug programs that improve patient safety and health outcomes, while also decreasing costs. More information about the conference can be found at:


Since 1975, MAXIMUS has operated under its founding mission of Helping Government Serve the People®, enabling citizens around the globe to successfully engage with their governments at all levels and across a variety of health and human services programs. MAXIMUS delivers innovative business process management and technology solutions that contribute to improved outcomes for citizens and higher levels of productivity, accuracy, accountability and efficiency of government-sponsored programs. With approximately 16,000 employees worldwide, MAXIMUS is a proud partner to government agencies in the United States, Australia, Canada, New Zealand, Saudi Arabia and the United Kingdom. For more information, visit

About DecisionPoint

DecisionPoint from MAXIMUS is a set of solutions designed to help states efficiently navigate every stage of the health care member and provider continuums. Combining 40 years of Medicaid program management experience with proven technology, DecisionPoint equips health care program directors with the quality data and repeatable processes they need to make efficient, accurate eligibility and enrollment decisions. MAXIMUS DecisionPoint experts work closely with state personnel and beneficiaries to close information gaps, pinpoint areas of confusion, and ensure that the right people receive the right services at the right point in time. For more information, visit

Lisa Miles, 703-251-8637
Blake Travis, 703-251-8398

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