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New York State Replacement Medicaid Management Information System (R- MMIS) Offerors Conference July 14, 2010

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Page 1: New York State Replacement Medicaid Management Information System (R-MMIS) Offerors Conference July 14, 2010

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

Offerors Conference

July 14, 2010

Page 2: 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

Page 3: New York State Replacement Medicaid Management Information System (R-MMIS) Offerors Conference July 14, 2010

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

Page 4: New York State Replacement Medicaid Management Information System (R-MMIS) Offerors Conference July 14, 2010

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

Page 5: New York State Replacement Medicaid Management Information System (R-MMIS) Offerors Conference July 14, 2010

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

Page 6: New York State Replacement Medicaid Management Information System (R-MMIS) Offerors Conference July 14, 2010

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

Page 7: New York State Replacement Medicaid Management Information System (R-MMIS) Offerors Conference July 14, 2010

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

Page 8: New York State Replacement Medicaid Management Information System (R-MMIS) Offerors Conference July 14, 2010

Implementation Functional Phase II

COTS Financial Management System

Page 9: New York State Replacement Medicaid Management Information System (R-MMIS) Offerors Conference July 14, 2010

Implementation Functional Phase III

MITA Maturity Levels Addition of new system capabilities to raise maturity

levels

Page 10: New York State Replacement Medicaid Management Information System (R-MMIS) Offerors Conference July 14, 2010

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

Page 11: New York State Replacement Medicaid Management Information System (R-MMIS) Offerors Conference July 14, 2010

Operations Phase

Operations All tasks necessary to operate a certifiable system in

accordance with Federal and State policy

Page 12: New York State Replacement Medicaid Management Information System (R-MMIS) Offerors Conference July 14, 2010

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

Page 13: New York State Replacement Medicaid Management Information System (R-MMIS) Offerors Conference July 14, 2010

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)

Page 14: New York State Replacement Medicaid Management Information System (R-MMIS) Offerors Conference July 14, 2010

R-MMIS Implementation Timeline