#United States #Chicago #South Dakota #RedMane Technology #Medicaid System

RedMane Technology's Medicaid System Achieves CMS Certification

On September 3, 2025, RedMane Technology LLC, a software solutions company headquartered in Chicago, announced that its Medicaid Benefits Eligibility and Enrollment system has received official certification from the Centers for Medicare & Medicaid Services (CMS). This certification, confirming the system's compliance and effectiveness, marks a significant milestone for the State of South Dakota's Department of Social Services (DSS) Economic Assistance Division.

The certification process involved a thorough Streamlined Modular Certification (SMC) assessment and is backdated to September 2024. This means that the system has not only met the high standards set forth by CMS but also demonstrated its positive impact on the lives of South Dakota residents.

RedMane developed this advanced system on the Cúram platform, which integrates numerous functionalities to streamline various processes. With this system, data verification and eligibility determinations are simplified, reducing the reliance on manual handling and ultimately enhancing the user experience for both applicants and recipients of the Medicaid program.

Launched in March 2024, the Medicaid eligibility system has undergone continuous improvements to better serve the needs of South Dakota residents. The cloud-based platform features a user-friendly web portal for citizens. This portal allows individuals to easily navigate their eligibility status, submit applications, and manage their information. The system includes a robust rules engine that assists with timely and accurate eligibility determinations and automates the processing of any change in personal circumstances. Furthermore, it enables seamless renewals and efficient reporting, which are crucial to maintaining service quality and efficiency.

Tony Lakier, CEO of RedMane, expressed his enthusiasm regarding the certification. He remarked, "CMS certification validates the strength of the BEES solution and the commitment behind it. It reflects our focus on solving complex eligibility challenges with scalable, flexible technology that works for both agency staff and the individuals they serve." The timing of this announcement is particularly relevant as it coincides with the upcoming Medicaid Enterprise Systems Conference (MESC) 2025, highlighting RedMane's dedication to innovation and effective collaboration in Medicaid modernization.

Following the successful implementation of the Medicaid program during its initial phase, RedMane is currently working on the system's second phase, which aims to expand its functionality to include Child Care benefits. This advancement will consolidate eligibility processes within a single, integrated, and modern cloud-based framework, enhancing accessibility and efficiency for families in South Dakota.

The South Dakota Department of Social Services's Economic Assistance division plays a vital role in the community by connecting individuals and families with critical services such as medical care, food assistance, childcare, financial aid, and employment support. With the recent advancements facilitated by RedMane Technology, these essential services are more accessible than ever.

Since its establishment in 2000, RedMane Technology has specialized in creating innovative systems that support health and human services programs such as Medicaid, child welfare, and veteran services. They have partnered with various organizations across North America, including numerous U.S. states and Indigenous Peoples communities, showcasing their commitment to delivering solutions that enhance societal well-being.

For more information on RedMane Technology and their offerings, you can visit their official website at www.redmane.com.