In 2011, Ohio Medicaid replaced its outdated Medicaid Management Information System with a new Medicaid Information Technology System (MITS). The old system was not able to meet the real-time demands of claims processing and decision support. The new system is designed to process about 64 million health care claims each calendar year, with state-of-the-art information technology services for Ohio’s 90,000 Medicaid providers and three million recipients. MITS lets Medicaid more rapidly implement program and policy changes, automate business processes that used to be paper-based, and provide near real-time decision support to providers and other stakeholders. Also, the new system is more efficient and pays claims more accurately, resulting in significant taxpayer savings.