Clients include:
- Alaska Department of Health and Social Services
- Alabama Medicaid Agency
- Arizona Health Care Cost Containment System Administration
- Arkansas Department of Human Services, Division of Medical Services
- County of Los Angeles Internal Services Department
- County of Los Angeles Department of Mental Health
- Delaware Department of Health and Social Services
- District of Columbia Department of Health Care Finance
- Florida Department of Management Services
- Iowa Department of Human Services
- Illinois Department of Healthcare and Family Services
- Kansas Department of Administration
- Kentucky Department of Medicaid Services
- Maryland Department of Information Technology
- Minnesota Commissioner of Administration
- Missouri Department of Social Services
- Mississippi Division of Medicaid
- New Hampshire Department of Health and Human Services
- New Jersey Department of Human Services, Division of Medical Assistance and Health Services
- New Mexico Department of Health
- New Mexico State Purchasing Agent
- New Mexico Public Education Department
- New York Department of Health
- Oklahoma Health Care Authority
- Oregon Department of Administrative Services
- Oregon Department of Human Services
- Pennsylvania Department of General Services
- Pennsylvania Department of Public Welfare
- South Carolina Department of Health and Human Services
- Tennessee Department of Finance and Administration, Bureau of TennCare
- Tennessee Department of Human Services
- Texas Department of State Health Services
- Utah Department of Health
- Washington Health Care Authority