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Leading Large-Scale Change with the MITA Framework: A New Approach for Medicaid Initiatives

This article discusses the MITA Framework's role in driving large-scale change within Medicaid initiatives. Lorrie Scardino explores the framework's foundational principles that advocate for increased maturity in state Medicaid programs. It emphasizes the necessity of evolving methodologies—Analyze, Configure, Deploy—while highlighting the importance of business-driven processes. The article reviews the evolution of MITA processes, the need for modern approaches to system design, and offers actionable recommendations to engage stakeholders and update governance models for successful implementation.

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Leading Large-Scale Change with the MITA Framework: A New Approach for Medicaid Initiatives

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  1. Leading Large-scale Change with the MITA Framework The Case for Analyze, Configure and Deploy Methodologies Lorrie Scardino

  2. The Two Faces of MITA • Framework • Business-driven construct to increase maturity of Medicaid • Initiative • National movement to apply principles and implement change • MITA

  3. State Self-Assessment Then and Now

  4. Downstream RFPs, Contracts, Solution Deployment Plans, Certification Artifacts MECT Checklists MITA 3.0 Assures Linkage between SS-A and Downstream Activities Scorecard Scorecard 4

  5. Seven Conditions Make Custom Systems Obsolete

  6. Custom Systems Require DD&I Methodologies

  7. Commercial Solutions Require New Approaches

  8. The MITA-aligned Methodology • Analyze • Configure • Deploy • Design • Develop • Implement

  9. Focus on Business Needs

  10. Recommendations • Next Week • Change the conversation • Thirty Days • Establish project principles • Engage advocates • Socialize new approach • Long-term • MITA-cize RFPs • Revise methodologies • Update governance model

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