2016 Medicaid Enterprise Systems Conference (MESC) The Certification Lifecycle Evolution Spectrum Session
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1 2016 Medicaid Enterprise Systems Conference (MESC) The Certification Lifecycle Evolution Spectrum Session
2 Featured Speakers Moderator: Jacques M. Barber, Capricorn Diversified Services State of West Virginia Discussion Noah Braiterman, BerryDunn Ed Dolly, State of West Virginia State of New York Discussion Helen Winchester, State of New York Linda Stella, Cognosante State of Oregon Discussion Randy Canoy, State of Oregon Randy Browning, Cognosante
3 State of West Virginia Certification
4 Certification Lifecycle Evolution Spectrum Conduct Final Detailed Design 6/17/2015 Conduct Operational Readiness 12/9/2015 Enter Certification Transformation Pilot 9/16/2014 System Go Live 1/19/2016 Conduct Final Certification 8/1/ Sep Nov 2015 Mar May Jul Sep Nov 2016 Mar May Jul 2016 Today West Virginia s collaboration with CMS facilitated Pilot entry Pilot process expedited and eased Certification by providing more opportunities for feedback earlier in process Expedited reviews required clear, concise, and consolidated evidence presentation 4
5 State of New York Implementing
6 Medicaid Enterprise Certification Lifecycle (MECL) Evolution in New York State Winter 2014 Autumn Summer 2014 NY agrees to participate in a CMS pilot program. vmecl assumes waterfall SDLC vmecl includes 7 s: Project Startup Consult Architectural Project Baseline Detailed Design Consult Final Detailed Design Operational Readiness Certification Summer 2014 CMS shares Iowa s Pilot MECL with NY as a prototype. vpilot MECL assumes waterfall SDLC vmecl includes 5 s: Planning & Startup Consult Detailed Design Consult Final Detailed Design Operational Readiness Certification NY adopts agile SDLC; recommends alternatives to the current gate review process. Acquires artifact requirements by phase and type. vpilot MECL redesigned to accommodate Agile Phased Modular vpilot MECL includes 5 s: Project Startup Consult Detailed Design Consult MES Milestone (ORR/FDDR) Certification After four, initial 3- week Sprints of DDI, NY and CMS agree to a modified Project Startup Consult. vpilot MECL fully adapted to accommodate agile and waterfall SDLC within the same design vmecl includes 3 Types of Milestone s: Project Startup Consult Operational Readiness Certification CMS releases the Final Rule, MECT 2.0, and several SMDL. vny will continue to work closely with CMS to adapt to and refine the various processes and artifacts inherent to new regulations and procedures.
7 State of Oregon Planning
8 The MECL and its relationship to a Modular Medicaid Management Information System (MMIS) Keeping the end in mind as you work through the various pieces.
9 The MECL
10 MECL and its Impact on a Modular development approach In the beginning of the MECL, states will need to decide the methodology and checklists they will use for their program. Medicaid Information Technology Architecture (MITA) Framework MMIS Subsystem State Specific approach. CMS has advised Oregon that it should leverage the services of a Strategic Technology Advisor (STA) to support its development of a strategic plan for procuring a modular MMIS. The MECL will influence the roles you have for each of the partners that will support your states Modular MMIS Procurement. Contract management- How to manage the different vendors STA Independent Verification and Validation (IV&V) Systems Integrator (SI) Others?
11 Where to Begin? Medicaid Management Information System (MMIS) PAPDfunding to support your planning efforts for a modular MMIS approach Request for Proposal (RFP) development for a Strategic Technology Advisor Define their Role MITA SS-A update Concept of Operations Five year Strategic Plan
12 Next Steps Vendor Management Contract Management State Procurement Request for Proposal (RFP) development Independent Verification and Validation (IV&V) Systems Integrator (SI) Advance Planning Documents (APD) Development and Funding Support
13 Thank you for attending QUESTIONS?
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