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Alabama MedicaidMedicaid · Administrative · Provider Notice · ALHigh impact

Total Gainwell System Outage for MMIS – Scheduled Maintenance

Effective date
Sep 25, 2026
Identified
Sep 9, 2026

Summary

The Gainwell Technologies MMIS system will undergo scheduled maintenance resulting in a complete outage from Friday, September 25, 2026 at 6:00 p.m. (non-pharmacy) / 9:00 p.m. (pharmacy) through Monday, September 28, 2026 at 6:00 a.m. Central Time. During this period, all claims submission, eligibility verification, prior authorization, and portal access will be unavailable. The CARES eligibility system will remain operational.

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What to do

Action · 3 steps
01By Friday, September 25, 2026: Billing team must prepare for extended system downtime by (1) submitting all urgent claims and prior authorizations before 6:00 p.m. Central Time for non-pharmacy services and 9:00 p.m. for pharmacy services; (2) notifying clinical staff that eligibility verification via MMIS will be unavailable and direct patients to use the CARES system instead; (3) documenting all claims that cannot be submitted during the outage window for resubmission after Monday, September 28 at 6:00 a.m.; (4) ensuring staff are aware that the EMC Helpdesk (800-456-1242) will have limited availability Saturday 9:00 a.m. to 5:00 p.m. with potentially limited system access.
02Do not attempt to submit claims or process prior authorizations during the maintenance window.
03Resume normal submission procedures Monday, September 28 after system restoration is confirmed.

Original notice

Total Gainwell System Outage for MMIS – Scheduled Maintenance
medicaid.alabama.gov · Always check the source before changing claims.
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Related changes

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