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