Human Services Department
MMIS Replacement (MMISR)
Project Planning Phase
An HSD initiative to replace the Medicaid Management Information System (MMIS)
May 21, 2014
Julie Weinberg, NM HSD MAD Director & Executive Business Owner
Sean Pearson, NM HSD CIO & Executive Technology Owner
Dan Clavio, MAD Operations Manager & Business Owner
Chuck Boudreaux, HSD IT Project Manager
MMIS Replacement Project
Contents
• Project Summary
• Project Objectives/Benefits
• Project Status since Initiation
• Planning Phase Funding/Budget
• Planning Activities
• Estimated Timeline
• Planning Certification Request
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MMIS Replacement Project
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Project Summary
Planning Phase for MMIS System Replacement (MMISR)
• Current MMIS will not be CMS compliant in 2019.
• Required by Federal CMS to operate in compliance with CMS Seven
Standards and Conditions.
• Required by CMS to align with the Medicaid Information Technology
Architecture (MITA 3.0) and increase its “MITA maturity” over time.
• The solution will address the challenges of ongoing
changes in the technology and healthcare fields.
• Support for high-cost & long-term project (5+ years).
• Planning Phase will determine most effective solution.
MMIS Replacement Project
Project Objectives / Benefits
Objectives:
• Perform a State Self-Assessment (SS-A) per CMS
requirements (MITA).
• Research Federal and State requirements for the
replacement system.
• Support the writing and execution of the System
Integrator and IV&V RFPs and Contracts.
Benefits:
• CMS / MMIS Compliance.
• Efficient and effective replacement process.
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MMIS Replacement Project
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Project Status Since Initiation
Initiation Activity
Status
PCC Initiation
Completed December 18, 2013
State Funding Request
HSD / MAD Funding of $200,000
Federal Funding
Participation (Match)
FFP at 90% = $1,800,000
Project Management
Office (PMO) for both
CSESR & MMISR
Contract negotiations complete; Contract estimate
complete 6/15/2014; PMO start 7/1/2014
MMIS Replacement Project
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Planning Phase Funding/Budget
SFY16 Estimate
Amount
New Mexico Legislature (will be requested)
Federal Funding Match (CMS)
Total Estimated for SFY16
$ 400,000
$ 3,600,000
$ 4,000,000
MMIS Replacement Project
Planning Activities
Activities
Est. Date
PMO Contract (for CSESR & MMISR) Completed
6/15/2014
PMO Contractor Starts
7/1/2014
Master Project Schedule Draft Completed
8/31/2014
Project Management Plan (Updated along with other
Project Plans) Updated
9/30/2014
Medicaid Information Technology State Self Assessment
Completed (MITA SS-A) Completed
2/28/2015
MMISR Project Planning and IAPD Activities Completed
04/30/2015
RFP Development and Procurement Support, Systems
Integrator Contract Completed
3/31/2016
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MMIS Replacement Project
MMIS Replacement - Schedule Overview
Q1 Q2 Q3 Q4
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4
PMO
RFP
MMIS PMO
Start
Q1 Q2 Q3 Q4
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4
Q1 Q2 Q3 Q4
Integrator
Contract
Planning
Requirements
Requirements
Review
Detailed Design
Review
Design
Development
Test
Review
Testing
Operational Readiness Review
Impl.
MMIS Certified by CMS
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MMIS Replacement Project
Planning Certification Request
• HSD Requests PCC Certification of $2,000,000 for
Planning in SFY15.
SFY15
Amount
New Mexico Legislature (Laws of 2014, CM 63, Sect 4)
$
Federal Funding Participation (Match by CMS)
$ 1,800,000
Total for SFY15
$ 2,000,000
200,000
MMIS Replacement Project
Thank You
• Questions?
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