PG03 Manage Rate Setting Modified rates must be Interoperability Condition Use MITA standards and available for each interfaces to increase efficiency program covered by and consistency; publish rates Medicaid online (with appropriate security) for evaluation by related agencies and entities PG04 Develop Agency Goals Process is initiated by Business Results Condition Automate research steps and Initiatives regularly scheduled (whenever possible) so that reviews and ad-hoc execution coincides with needs scheduled reviews PG05 Develop and maintain Process utilizes input Business Results Condition Adhere to current MITA program policy from Federal and State standards and interfaces to agencies, and interacts increase efficient data sharing with multiple external and communication agencies PG05 Develop and maintain Changes in policy must Industry Standard Condition Implement a formal monitoring program policy be communicated to process to ensure adherence to MCOs policy changes PG06 Maintain State Plan Process utilizes input Business Results Condition Modify interfaces to utilize open from State agencies and architecture (SOA, Enterprise feedback from CMS Service Bus, MITA standard interface formats) PG07 Formulate Budget Process utilizes input Business Results Condition Modify interfaces to utilize open from State agencies architecture (SOA, Enterprise (Cabinet, DMS and the Service Bus, MITA standard Office for interface formats) Governor’s Policy and Management GOPM), along with PricewaterhouseCoopers (PwC))
PG03 Manage Rate Setting Modified rates must be available for each program covered by Medicaid Interoperability Condition Use MITA standards and interfaces to increase efficiency and consistency; publish rates online (with appropriate security) for evaluation by related agencies and entities PG04 Develop Agency Goals and Initiatives Process is initiated by regularly scheduled reviews and ad-hoc needs Business Results Condition Automate research steps (whenever possible) so that execution coincides with scheduled reviews PG05 Develop and maintain program policy Process utilizes input from Federal and State agencies, and interacts with multiple external agencies Business Results Condition Adhere to current MITA standards and interfaces to increase efficient data sharing and communication PG05 Develop and maintain program policy Changes in policy must be communicated to MCOs Industry Standard Condition Implement a formal monitoring process to ensure adherence to policy changes PG06 Maintain State Plan Process utilizes input from State agencies and feedback from CMS Business Results Condition Modify interfaces to utilize open architecture (SOA, Enterprise Service Bus, MITA standard interface formats) PG07 Formulate Budget Process utilizes input from State agencies (Cabinet, DMS and the Governor’s Office for Policy and Management GOPM), along with PricewaterhouseCoopers (PwC)) Business Results Condition Modify interfaces to utilize open architecture (SOA, Enterprise Service Bus, MITA standard interface formats)