new york state replacement medicaid management information system (r-mmis) offerors conference july...

New York State Replacement Medicaid Management Information System (R-MMIS)

Offerors Conference

July 14, 2010

Schedule of Events

Written questions due by vendors:

Questions/answers posted

by NYSDOH: Proposals due by vendors:

July 22, 2010

On or about August 12, 2010

October 29, 2010 1:00 pm

Objectives

Implement a Federally certifiable R-MMIS that provides: All the functionality of the current system Enhanced functionality for:

Provider Services Pharmacy Benefit Management Dental Claim & Prior Approval Processing

HIPAA version 5010 and NCPDP D.0 EDI ICD-10 Coding System COTS Financial Management System Enterprise Technology Architecture based on MITA Standards

Project Phases

Planning Phase Implementation Functional Phase I Implementation Functional Phase II Implementation Functional Phase III Certification Phase Operations Phase System and Operational Enhancement Phase Turnover Phase

Planning Phase

Develop and put into practice: Project Management Plan Risk Management Plan Scope Management Plan Configuration Management Plan

Based on Offeror’s Proposed Project Management and SDLC Methodologies

Implementation Phases The following cut across all Implementation

Phases: Requirements Traceability and Validation System Design and Development Testing Organizational Change Management Data Conversion (just in Phase I) Operational Readiness Implementation Incumbent Transition Support

Implementation Functional Phase I

Federally Certifiable R-MMIS that meets all Federal and NYS requirements

All Current Functionality Enhanced Provider and Pharmacy Benefit

Management 5010 and NCPDP D.0 EDI ICD-10

Implementation Functional Phase II

COTS Financial Management System

Implementation Functional Phase III

MITA Maturity Levels Addition of new system capabilities to raise maturity

levels

Certification Phase

All tasks required to substantiate that the R-MMIS meets CMS requirements See RFP for Federal requirements checklist The Offeror must work cooperatively with Medicaid

Data Warehouse (MDW) contractor

Operations Phase

Operations All tasks necessary to operate a certifiable system in

accordance with Federal and State policy

System and Operational Enhancement Phase

Enhancements Maintenance and enhancement tasks performed

throughout the contract to modify the R-MMIS in accordance with new requirements and MITA-driven emerging technologies

Turnover Phase

Turnover Transition during which the R-MMIS and all related

operational and technical support activities are turned over to the Department or successor contractor(s)

R-MMIS Implementation Timeline