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The Department of Health Care Policy and Financing is conducting a procurement process to replace its Medicaid Management Information System. With assistance from Public Knowledge, LLC, the Department has created several documents related to the reprocurement. This reprocurement process will redefine systems and business processes for the Colorado Medicaid program. The overall goal is to replace the legacy MMIS and Fiscal Agent services with a service delivery model that is both flexible and adaptable, with Business Intelligence and Analytics tools that will provide easy access to data and comprehensive reporting.
MMIS documentation and other reference documents related to this procurement process can be found below.
In preparation of the MMIS procurement, the Department conducted an assessment of Medicaid Management Information System (MMIS) and Fiscal Agent services procurements in other states. The purpose of this report was to provide a snapshot of the current environment for the wide range of MMIS solutions across states. These reports include 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 reports also presented options for the Department to consider for the MMIS procurement, as well as a final recommendation based on a facilitated alternatives analysis process.
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. 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.
MITA State Self-Assessment Report
Hewlett Packard (HP) was awarded the contract for the new Medicaid Management Information System (MMIS). Below are the pages of the technical proposal submitted for the Core MMIS and Supporting Services RFP.
If you would like to provide comments or feedback, or if you would like to sign up for email alerts related to the Procurement, contact us by email at RFPQuestions@hcpf.state.co.us.