Your MITA State Self-Assessment is the first step in modernizing your Medicaid program and maximizing your federal funding. CSG developed the MITA Framework 3.0 with the Centers for Medicare and Medicaid Services. Our experts have unequalled knowledge of what’s needed for your new MITA 3.0 SS-A.
CSG'S Expertise in Action
The New England MITA State Self-Assessment Collaborative
The New England MITA Collaborative, comprised of the New England States Consortium Systems Organization and the states of Massachusetts, New Hampshire, and Rhode Island, was established to share resources and lower the cost of developing each state’s MITA 3.0 SS-A.
A Multi-State Approach to Strategic Planning
CSG was contracted by the New Hampshire Department of Health and Human Services to facilitate completion of an SS-A for each state in the Collaborative. Our approach promoted efficiency and consistency through the sharing of resources, an integrated governance structure, and a common approach to work activities and deliverables across the states. The multi-state collaborative approach enabled CSG to leverage efficiencies across the three states, including providing the same training staff and program to deliver Business, Information, and Technical Architecture training to all agency staff. For each state, CSG developed a Concept of Operations to establish the future vision of their Medicaid program, and created a five-year roadmap to improve future MITA maturity levels, looking for intersections of the states’ roadmaps to identify opportunities for reusability. CSG also performed an assessment of each state’s ancillary MMIS systems to determine if they should be modified, incorporated into other modules or left in their current state.
The New England MITA Collaborative is the first multi-state, unified effort to collaboratively conduct MITA 3.0 SS-As. CSG is committed to this innovative effort and assuring each state’s goals are achieved.
Modular Medicaid Modernization in New Mexico
The New Mexico Human Services Department is implementing a modular MMIS to efficiently administer the State’s Medicaid program to its more than 800,000 recipients. As part of this effort, HSD is ensuring the project remains in compliance with CMS guidelines and that all RFPs for MMIS modules comply with MITA.
CSG Helps Align Modular MMIS Procurements with MITA
As the current MMIS Replacement IV&V vendor, CSG was also contracted by HSD to conduct an annual MITA 3.0 State Self-Assessment update. CSG analyzed existing MITA documentation, As-Is processes, and RFPs and produced detailed To-Be processes to enable the State to show progress in its 5-year MITA Roadmap and update its MITA SS-A package. CSG also produced To-Be processes for use in future module RFPs to illustrate the State’s vision and provide clarity for potential bidders.
New Mexico is committed to a modular Medicaid transformation in line with federal guidance. CSG is there to help assure the state achieves its HHS vision.
Ohio MITA 3.0 SS-A
The Ohio Department of Medicaid (ODM) delivers health care coverage to more than 2.7 million residents of the State. The agency is continuously working to improve the broad healthcare landscape in Ohio. In the Medicaid program, ODM is committed to the efficient utilization of taxpayer funds, and the delivery of quality services to providers and beneficiaries. ODM’s Medicaid modernization efforts include the launch of their recent MITA 3.0 SS-A project.
Looking Beyond the MMIS
ODM selected CSG to develop their MITA 3.0 SS-A, taking a broad view of the Medicaid enterprise. This effort included analyzing the core MMIS, as well as an additional 18 supporting systems. CSG provided business, information, and technical architecture training to over 120 State staff and created a Concept of Operations detailing the future vision of the State’s Medicaid program. The team then developed a roadmap for the Medicaid enterprise, enabling the State to reach a higher level of MITA maturity, and increase operational efficiency, modularity, and interoperability.
ODM is dedicated to transforming its Medicaid program to deliver superior care to Ohioans. CSG is there to support the State in this strategic transformation.
CMS and CSG: Taking MITA to the Next Level
The Medicaid Information Technology Architecture (MITA), established by the Centers for Medicare and Medicaid Services (CMS), provides a framework for states to align their Medicaid modernization efforts in order to transform program and technology domains. To take MITA to the next level, CMS turned to CSG.
CSG knows MITA 3.0
CMS selected CSG to provide project management and subject matter expertise in the development of MITA Framework 3.0. CSG incorporated ACA, HITECH, CCIIO, and other regulations into MITA 3.0. Our team developed the MITA 3.0 Business, Information, and Technology Architecture updates, and enhanced the Concept of Operations, Maturity Model, and other key Framework artifacts.
The CSG team also provided MITA 3.0 training to federal, state, and industry groups including the CMS Central and Regional Offices, the National Medicaid EDI Healthcare (NMEH) Workgroup, the State Technical Advisory Group (S TAG), and the Technical Architecture Committee (TAC).
No one knows MITA 3.0 better than CSG.
MITA 3.0 and the Indiana Enterprise
The Indiana Family and Social Services Administration (FSSA) develops, finances, and administers programs to provide healthcare and other social services to over one million people. These programs support thousands of healthcare providers throughout the State. In order to provide the most effective support to the people it serves, FSSA launched several major initiatives to modernize its healthcare and human services programs and systems.
Applying MITA to the Broader Enterprise
CSG supported these strategic initiatives by conducting an enterprise-wide MITA 3.0 SS-A. The SS-A effort addressed the Office of Medicaid Policy and Planning and the Divisions of Aging, Disability and Rehabilitative Services, Mental Health and Addiction, Healthcare Strategies and Technology, and Family Resources. Leveraging our industry-leading tool, TeamCSGSM MITA 3.0 SS-A, CSG defined the As-Is and To-Be MITA maturity levels, incorporating CMS’ Conditions and Standards for Medicaid IT; conducted a gap analysis; and provided a roadmap with recommendations for maximizing federal funding and increasing MITA maturity levels.
FSSA is making a strategic investment in the State's HHS programs to efficiently meet the needs of the people who depend on them. CSG is here to help.
The Florida SS-A: Stepping Up to MITA 3.0
The MITA Framework 3.0 expands MITA enterprise architecture principles to foster business, information, and technology transformation across state Medicaid enterprises and beyond. MITA 3.0 incorporates new guidance on legislative initiatives, coding changes, and transaction set mandates, including the ACA, ARRA, HITECH, 5010, NCPDP, HIPAA, and ICD-10.
MITA 3.0 by CSG
The Florida Agency for Health Care Administration (AHCA) was the first state to produce a MITA SS-A that encompassed the guidelines of MITA 3.0. Building on the results of CSG’s previous MITA v2.01 SS-A for AHCA, and applying our expertise as an author of MITA 3.0, we efficiently produced a complete high-quality MITA 3.0 SS-A. MITA 3.0 expands the MITA Business Architecture to cover ten business areas and 80 business processes. The MITA 3.0 Information Architecture includes enhanced health information data standards from organizations such as ONC, NwHIN, and NIEM. The MITA 3.0 Technical Architecture reflects technological advancements such as business rules engines, cloud computing concepts, and emerging standards. AHCA’s SS-A incorporates MITA 3.0 guidelines and tools, including checklists, scorecards, profiles and templates. The AHCA SS-A also addresses the Seven Conditions and Standards to support compliance with enhanced funding requirements.
Together, AHCA and CSG are advancing Florida's Medicaid program to better serve the people who depend on it.
Medicaid Modernization in Minnesota
The Minnesota Department of Human Services (DHS) had been operating its current MMIS for over 20 years. In order to improve interoperability between systems and agencies, DHS launched a major initiative to modernize its MMIS within a common framework Service Oriented Architecture.
MMIS Strategy and Planning by CSG
Minnesota selected CSG to provide strategy and planning services for its MMIS modernization effort, including conducting their MITA 3.0 State Self-Assessment. CSG completed an alternatives assessment, feasibility study, and cost-benefit analysis to identify requirements and support buy/build decision making. CSG also developed an MMIS Modernization Roadmap for aligning the MMIS modernization effort with other State systems and technologies. The roadmap is built on a collaborative approach to integrate MMIS, Health Insurance Marketplace, and integrated eligibility systems. CSG also produced an Implementation Advance Planning Document (IAPD) to obtain federal funding for the project.
Minnesota DHS is committed to excellence in service delivery and efficient government. CSG is there to help the State achieve its objectives.