MMIS Procurement Analysis Report
In preparation for its upcoming MMIS procurement, the State of Colorado, Department of Health Care Policy and Financing is conducting an assessment of Medicaid Management Information System (MMIS) and Fiscal Agent services procurements in other states. The purpose of this report is to provide a snapshot of the current environment for the wide range of MMIS solutions across states. This includes available core claims processing systems as well as supporting systems, service options, operational options, system innovations, best procurement practices, and lessons learned for procurement and implementations. The report also presents options for the Department to consider for the upcoming MMIS procurement, as well as a final recommendation based on a facilitated alternatives analysis process.
MITA State Self-Assessment
The Centers for Medicare & Medicaid Services (CMS) introduced the Medicaid Information Technology Architecture (MITA) as a framework to assist states with improving the operation of their Medicaid programs. A State Self-Assessment (SS-A) documenting the State’s maturity level for each defined business process is a prerequisite for requesting enhanced federal funds to improve the Medicaid enterprise. Public Knowledge completed this SS-A, in collaboration with the Department of Health Care Policy and Financing. This assessment is based on MITA Framework 2.01, released by CMS in 2009. It is focused on a review of the Business Architecture presented in the framework. It identifies the current “As Is” capabilities of the Colorado Medicaid program, assesses the future “To Be” level of capability, and provides a roadmap for achieving the future maturity level.