Will Your State Deliver a Modernized Medicaid Program by 2014?
Duration: 60 minutes
In November 2010 the Centers for Medicare and Medicaid Services proposed a rule to amend the definition of Mechanized Claims Processing and Information Retrieval Systems to include systems used for eligibility determination, enrollment, and eligibility reporting activities. As a result all State Medicaid Management Information Systems will be required to meet defined standards and conditions in terms of timeliness, accuracy, efficiency and integrity by January of 2014. States that meet these requirements will qualify for enhanced federal matching rates – 90% of the development/deployment cost, and 75% of the cost going forward.
As part of this mandate States are required to implement a modular, flexible approach to systems development to ensure they build a seamless customer experience. To quote from the proposed rule:
Use of a modular, flexible approach to systems development, including the use of open interfaces and exposed application programming interfaces; the separation of business rules from core programming; and the availability of business rules in both human and machine readable formats.
Attend this webcast to learn how Deloitte and IBM are partnering to develop a rules-based solution for a New England State to enable them to meet these requirements. As a result, the State will be able to manage their business rules in a natural language format separate from their IT systems, sustaining greater flexibility and responsiveness.
Key topics covered:
The implications of the mandate on your State's current system
How Deloitte and IBM scoped the issues and developed a strategy to solve the problem
How a flexible decision management solution can be applied in your state to ensure you are ready by 2014