The Medicaid Technology Alliance

Date: 11.30.2016 | HITC Editor

The Medicaid Technology Alliance: Implementing the Final 90/10 MMIS Regulation

Medicaid Modernization, Modularity and MMIS Procurement | Track (1)   

Project/associated implementation Description: In December 2015, the Centers for Medicare and Medicaid Services (CMS) issued the Mechanized Claims Processing and Information Retrieval Systems (90/10) Final Regulation. The new rule not only makes the availability of enhanced funding for eligibility and enrollment (E&E) and Medicaid Management Information Systems (MMIS) permanent, but it also allocates additional funding for commercial off-the-shelf solutions (COTS) and software as a service (SaaS) modular products rather than complete systems, which provides an opportunity for new technology vendors to enter the Medicaid technology space.


There are significant questions from states, vendors, and consultants regarding how to effectively implement and meet the requirements of the rule including: how to develop new procurement vehicles, how to effectively define the business and technical components of the modules, the requirements that will be needed for better interoperability and re-use between services and products, API development, module pre-certification, opportunities for new product vendors, and more. Given these needs and a desire not to compete with existing efforts, many feel there is a need for a higher-level strategic discussion regarding how to meaningfully and efficiently advance these concepts. 

In 2016, Leavitt Partners, NESCSO, and CMS convened multiple state, vendor, and consulting representatives to discuss the formation and next steps for a Medicaid Technology Alliance. The goals of the meetings were to: discuss common challenges in moving towards modular technology adoption, how to organize around key themes and workgroups, and determine a vision for the future of Medicaid technology.

This presentation will provide an update on the Alliance’s progress to date, how other states and interested parties can get involved, and describe the alliance’s vision for the future.

Target Audience for Discussion Group: State Medicaid technology leadership, State Medicaid Directors, Medicaid technology vendors, and consultants


Proposed Speaker Candidates:

Ryan Howells, Principal, Leavitt Partners
Jess Kahn, Director Data of Data and Systems Group, CMS
Julie Boughn, Audacious Inquiry, LLC; former Deputy Director, Center for Medicaid and CHIP, CMS
Charlene Frizzera, Senior Advisor, Leavitt Partners; former Acting Administrator for CMS
Frederick Isasi, National Governors Association
Chris Underwood, Director, Health Information Office, Colorado Department of Health Care Policy and Financing – HCPF
Stuart Fuller, Chief Information Officer, Montana Department of Public Health and Human Services
Tom Jordan, Chief Information Officer, State of New Jersey
Sarah Miller, Chief Operating Officer for Technology, Oregon Department of Human Services


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