Medicaid Information Technology Architecture State Self-Assessment and Related Services

The Vendor is required to provide develop the next Medicaid information technology architecture (MITA) state self-assessment and provide a saas solution prepared to pivot to as needed--the state wants to be able to produce SS-A, identify maturity, and track progress against the MITA roadmap.
- Medicaid management information system (MMIS) system assessment
• Review the latest state self-assessment (SS-A)
• Upload state latest SS-A into the MITA tool
• Year 1 is a full MITA SS-A and remaining years are updates
• Business architecture (BA) SS-A – as-is and to be assessments
• Validate the as-is level of maturity for each MITA business areas and business processes using MITA business capability matrix (BCM)
• Work with the fiscal agent, state SMES, and other system vendors to understand the MMIS systems business architecture and how individual MITA business processes map to the MMIS system software modules and vice versa
• Become familiar with the operational MMIS system by accessing the user acceptance testing (UAT) environment, system documentation (RLINK), operational documentation to determine the as-is levels of maturity for each business process as measured against the BCM
• Complete the as-is business architecture (BA) scorecard
• Create a MITA business capability matrix (BCM) business process (BP) analysis score summary
• Work with the state and fiscal agent to establish goals and objectives for each business area and business process to determine to-be levels (capabilities, priorities, and dependencies) that are feasible within the constraints of the current the MMIS system architecture
• Identify the to-be levels of maturity and timeframes; complete the to-be BA scorecard and fill in the as-is and to-be levels on the business architecture profile
• The BA assessment must contain the associated artifacts identified in the SS-A companion guide
• Information architecture (IA) SS-A – as-is and to-be assessments
• Use the MITA bpm and information capability matrices (ICMS), to evaluate the AS-IS IA environment for each of the ten business areas with a focus on secure and consistent data throughout the state, assess each of the four information capabilities: data management strategy (DMS), conceptual data model (CDM), logical data model (LDM), and data standards
• Assign an AS-IS IA level of maturity for each business area
• Complete the AS-IS IA scorecard
• Work with the state and the fiscal agent to establish IA goals and objectives for each business area and business process to create a to-be view
• Identify the to-be levels of maturity and timeframes; complete the to-be IA scorecard and fill in the as-is and to-be levels on the architecture profile
• The IA assessment must contain the associated artifacts identified in the SS-A companion guide
- MITA/MMIS concept of operation
• Include all related MMIS systems (data warehouse and decisions support system, eligibility system, electronic visit verification system, pre-admission screening and resident review, asset verification system, etc.)
• Provide high-level business workflows
• Coo must contain the associated artifacts identified in the SS-A companion guide
- General system technical requirements
• The solution shall be a vendor hosted system
• The solution shall support online, browser-based web capabilities with no client component download(s) for all authorized users
• Maintain target uptime for the hosted service at 95% availability to all users
• Ensure the provision of appropriately sized servers and backup servers, technical support personnel, systems security and disaster recovery procedures to support a day recovery point objective (RPO) and a five (5) business day recovery time objective (RTO)
• Ensure the hosting environment is within the united states and no offshore staffing supporting this SaaS solution
• Ensure the browser support includes at minimum, Microsoft edge, google chrome, and Firefox
- SaaS tool implementation
• Complete customization, set-up, and overall management of the tool to facilitate successful MITA SS-A completion and all state requirements
• Upload the entire previous state SS-A (s)
• Continued maintenance and operations services for the SaaS tool.