2016 medicaid enterprise systems conference (mesc) · 2016 medicaid enterprise systems conference...

2016MedicaidEnterpriseSystemsConference(MESC)

TheCertificationLifecycleEvolutionSpectrumSession

FeaturedSpeakers

• Moderator:– JacquesM.Barber,CapricornDiversifiedServices

• StateofWestVirginiaDiscussion– NoahBraiterman,BerryDunn– EdDolly,StateofWestVirginia

• StateofNewYorkDiscussion– HelenWinchester,StateofNewYork– LindaStella,Cognosante

• StateofOregonDiscussion– RandyCanoy,StateofOregon– RandyBrowning,Cognosante

StateofWestVirginiaCertification

CertificationLifecycleEvolutionSpectrum

• WestVirginia’scollaborationwithCMSfacilitatedPilotentry• PilotprocessexpeditedandeasedCertificationbyprovidingmore

opportunitiesforfeedbackearlierinprocess• Expeditedreviewsrequiredclear,concise,andconsolidated

evidencepresentation

4

2014 2016

Today

Sep Nov 2015 Mar May Jul Sep Nov 2016 Mar May Jul

EnterCertificationTransformationPilot9/16/2014

ConductFinalDetailedDesignReview6/17/2015

ConductOperationalReadinessReview12/9/2015

SystemGoLive1/19/2016

ConductFinalCertificationReview8/1/2016

StateofNewYorkImplementing

MedicaidEnterpriseCertificationLifecycle(MECL)Evolution inNewYorkState2014- 2016

Summer2014

NYagreestoparticipateinaCMSpilotprogram.

vMECLassumeswaterfallSDLC

vMECLincludes7Reviews:

• ProjectStartupConsult

• ArchitecturalReview

• ProjectBaselineReview

• DetailedDesignConsult

• FinalDetailedDesignReview

• OperationalReadinessReview

• CertificationReview

vPilotMECLassumeswaterfallSDLC

vMECLincludes5Reviews:

• Planning&StartupConsult

• DetailedDesignConsult

• FinalDetailedDesignReview

• OperationalReadinessReview

• CertificationReview

Winter2014

NYadoptsagileSDLC;recommendsalternativestothecurrentgatereviewprocess.Acquiresartifactrequirementsbyphaseandtype.

vPilotMECLfullyadaptedtoaccommodateagileand waterfallSDLCwithinthesamedesign

vMECLincludes3TypesofMilestoneReviews:

• ProjectStartupConsult

• OperationalReadinessReview

• CertificationReview

vNYwillcontinuetoworkcloselywithCMStoadapttoandrefine thevariousprocessesandartifactsinherenttonewregulationsandprocedures.

Summer2014

CMSsharesIowa’sPilotMECLwithNYasaprototype.

vPilotMECLredesigned toaccommodate

• Agile• Phased• Modular

vPilotMECLincludes5 Reviews:

• ProjectStartupConsult

• DetailedDesignConsult

• MESMilestoneReview(ORR/FDDR)

• CertificationReview

Autumn2015

Afterfour,initial3-weekSprintsofDDI,NYandCMSagreetoamodifiedProjectStartupConsult.

2016

CMSreleasestheFinalRule,MECT2.0,andseveralSMDL.

StateofOregonPlanning

TheMECLanditsrelationshiptoaModularMedicaidManagementInformationSystem

(MMIS)

Keepingtheendinmindasyouworkthroughthevariouspieces.

TheMECL

MECLanditsImpactonaModulardevelopmentapproach• InthebeginningoftheMECL,stateswillneedtodecidethe

methodologyandcheckliststheywillusefortheirprogram.– MedicaidInformationTechnologyArchitecture(MITA)Framework– MMISSubsystem– StateSpecificapproach.

• CMShasadvisedOregonthatitshouldleveragetheservicesofaStrategicTechnologyAdvisor(STA)tosupportitsdevelopment ofastrategicplanforprocuringamodularMMIS.

• TheMECLwillinfluence therolesyouhaveforeachofthepartnersthatwillsupportyourstatesModularMMISProcurement.

• Contractmanagement- Howtomanagethedifferentvendors– STA– IndependentVerificationandValidation(IV&V)– SystemsIntegrator(SI)– Others?

WheretoBegin?

• MedicaidManagement InformationSystem(MMIS)PAPD-fundingtosupportyourplanningeffortsforamodularMMISapproach

• RequestforProposal(RFP)development foraStrategicTechnologyAdvisor– DefinetheirRole– MITASS-Aupdate

• ConceptofOperations• FiveyearStrategicPlan

NextSteps

• VendorManagement– ContractManagement

• StateProcurement

• RequestforProposal(RFP)development– IndependentVerificationandValidation(IV&V)– SystemsIntegrator(SI)

• AdvancePlanningDocuments (APD)– DevelopmentandFundingSupport

QUESTIONS?Thankyouforattending