Reporting and Analytics Quality Assurance Medication Therapy Management Financial Management Management of State and CMS Drug Rebate Programs Support of Multistate Supplemental Rebate Consortium 340B Program Management Additional Services: GMC 2017 Considerations Project Objectives and Goals The State has identified several business drivers for the procurement of QA/IV&V services to support the Medicaid Projects. These drivers include: Implement QA/IV&V within a coordinated QA/IV&V approach established to assure the HSE Program objectives are achieved. Ensure QA/IV&V activities for the Medicaid projects procurements complement the HSE Program approach which assesses quality at both the Program level and within the respective Projects to assure program objectives are achieved. Coordinate with other entities providing QA/IV&V to limit duplication of effort and share critical information. Maintain/Secure funding from the CMS through adherence to Federal regulations. Demonstrate compliance with CMS requirements by proactively assessing the Medicaid Projects and its deliverables against the criteria specified within the Medicaid Enterprise Certification Toolkit (MECT) checklists, the Seven Conditions and Standards and MITA 3.0 framework during execution of the DDI effort as opposed to upon completion. This assures early identification of non-compliance allowing the State to take corrective actions as needed to maintain/secure federal funding. CMS provides funding to support the development and operation of the State’s MMIS at 75-percent to 90-percent when specific criteria are met. Provide independent, objective guidance and expertise to assure Medicaid Projects success and decrease implementation risks. Gain perspective and recommendations on the health of the Medicaid Projects and associated deliverables from an experienced, neutral third party to assure the development of the solution is managed in accordance with practices that reduce risk and support achievement of the stated project objectives. Leverage assessments and deliverable reviews to ensure end users’ practice needs drive the system NOT technology.
Reporting and Analytics Quality Assurance Medication Therapy Management Financial Management Management of State and CMS Drug Rebate Programs Support of Multistate Supplemental Rebate Consortium 340B Program Management Additional Services: GMC 2017 Considerations Project Objectives and Goals The State has identified several business drivers for the procurement of QA/IV&V services to support the Medicaid Projects. These drivers include: Implement QA/IV&V within a coordinated QA/IV&V approach established to assure the HSE Program objectives are achieved. Ensure QA/IV&V activities for the Medicaid projects procurements complement the HSE Program approach which assesses quality at both the Program level and within the respective Projects to assure program objectives are achieved. Coordinate with other entities providing QA/IV&V to limit duplication of effort and share critical information. Maintain/Secure funding from the CMS through adherence to Federal regulations. Demonstrate compliance with CMS requirements by proactively assessing the Medicaid Projects and its deliverables against the criteria specified within the Medicaid Enterprise Certification Toolkit (MECT) checklists, the Seven Conditions and Standards and MITA 3.0 framework during execution of the DDI effort as opposed to upon completion. This assures early identification of non-compliance allowing the State to take corrective actions as needed to maintain/secure federal funding. CMS provides funding to support the development and operation of the State’s MMIS at 75-percent to 90-percent when specific criteria are met. Provide independent, objective guidance and expertise to assure Medicaid Projects success and decrease implementation risks. Gain perspective and recommendations on the health of the Medicaid Projects and associated deliverables from an experienced, neutral third party to assure the development of the solution is managed in accordance with practices that reduce risk and support achievement of the stated project objectives. Leverage assessments and deliverable reviews to ensure end users’ practice needs drive the system NOT technology.
vt-mmis-ivv-rfp-narrative-v6-09.10.14.docx