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

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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 ... – PowerPoint PPT presentation

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


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

2
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 100 pm

3
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

4
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

5
Planning Phase
  • Develop and put into practice
  • Project Management Plan
  • Risk Management Plan
  • Scope Management Plan
  • Configuration Management Plan
  • Based on Offerors Proposed Project Management
    and SDLC Methodologies

6
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

7
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

8
Implementation Functional Phase II
  • COTS Financial Management System

9
Implementation Functional Phase III
  • MITA Maturity Levels
  • Addition of new system capabilities to raise
    maturity levels

10
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

11
Operations Phase
  • Operations
  • All tasks necessary to operate a certifiable
    system in accordance with Federal and State policy

12
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

13
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)

14
R-MMIS Implementation Timeline
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