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

New York State Replacement Medicaid Management Information System (R-MMIS). Offerors Conference July 14, 2010. 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 1:00 pm.

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

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

  2. 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 1:00 pm Schedule of Events

  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 Offeror’s 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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