The Medicaid Technology Alliance is pleased to provide you with the information presented on the webinar hosted on September 21 at 1:00 EDT.

These materials were all developed with both State and Industry input and are intended to support adoption of Modularity.

 

Meeting Materials:

Webinar Recording

MTA_Deliverables Webinar_09212017

AdvMedIT_Precert MTA Briefing 09_18

Appendix 1 – Model Language and Playbook 8.22.17

MTA Governance Assessment Draft Template v.3_09122017

mta_charter_03222017

MTA_Deliverables Webinar_Draft 09202017

Poplin update 20170918 v2

State and Vendor Modularity Playbook v0.1

State and Vendor Playbook brief

Each of the below roles is in support of RI EOHHS’ use of the RIBridges system, and related to Information Technology at various levels.

A few types of backgrounds are being sought….Project Management, Business Analysis, Quality Assurance…even Data Analysis is

very helpful.   If someone possesses skills in any, or many, of those areas, we encourage the person to apply online.

 

Position Number             Title                                                                              Link

  1. 2020-10200-128      CHIEF FAMILY HEALTH SYSTEMS                      Quality Assurance Lead Role
  2. 2020-10200-129      CHIEF FAMILY HEALTH SYSTEMS                      Business Analyst
  3. 2020-10200-130      CHIEF FAMILY HEALTH SYSTEMS                       Business Analyst
  4. 2020-10200-131      INTERDEPARTMENTAL PROJECT MANAGER   UAT Project Manager
  5. 2020-10200-132      INTERDEPARTMENTAL PROJECT MANAGER   Project Manager
  6. 2020-10200-133      PROGRAMMING SERVICES OFFICER                Quality Control / Tester

The Request for Proposal includes three components to support the Medicaid Eligibility Process, as briefly outlined below:

  • Services that enable States to comply with electronic asset verification requirements – The statutory (Supplemental Appropriations Act, 2008, Pub. L. No. 110-252; Section 1940 of the Social Security Act) asset verification program (AVP) provision requires states to have a mechanism in place to verify assets for purposes of determining or re-determining Medicaid eligibility for aged, blind and disabled or long-term care Medicaid applicants or recipients. The Affordable Care Act required AVP systems to be electronic (e-AVP).
  • Services that strengthen States’ discovery of real property assets of applicants for and beneficiaries of Medicaid benefits – This tool/service will provide further automation of the business processes and improve the operational effectiveness of determining eligibility assets.
  • Services that facilitate and streamline States’ review of financial documents as part of the process to determine of Medicaid eligibility – This tool/service will provide further automation of the business processes and improve the operational effectiveness by use of data analytics and services. This service will enhance the State’s ability to make more accurate financial eligibility determinations

The link below provide details and instructions.

NESCSO RFP0 12017 Final 061917

Responses are due July 31, 2017 by 5:00 PM EDT.

The State of Vermont released a request for proposals from qualified vendors to assist the State of Vermont in conducting a comprehensive review of the State’s Health-IT Fund, Health Information Technology planning, and Vermont Information Technology Leaders (Vermont’s HIE vendor, who is written into statute). The State requires the vendor to develop a report on this evaluation which we will present as a report to the Vermont State Legislature no later than November 15, 2017.

 If you are interested in this opportunity, please follow the link: http://dvha.vermont.gov/administration/hit-evaluation-services-final.pdf.

As part of its commitment to supporting New England Health and Human Service agencies, NESCSO is sponsoring this two-day training opportunity in partnership with the Centers for Medicare and Medicaid Services (CMS). The training will be provided by experts in the field from CMS and three of our region’s public universities: the University of Massachusetts Medical School; the University of Southern Maine; and the University of New Hampshire.

Audience: The training is open to State program executives, managers, attorneys, analysts, and other staff from Health and Human Services agencies including Medicaid, Elder Services and Developmental Disabilities Services that are involved in policy development and operations for Medicaid-funded long-term care.

Curriculum: Over the course of the training, university and CMS experts will deliver content and facilitate discussions related to Medicaid long-term services and supports including eligibility, services, and delivery systems. For the purposes of the training, LTSS refers to the diverse range of Medicaid-funded services provided to support the well-being of people across the whole continuum of care from community-based interventions to institutional care. This training will include the opportunity for participants to have state-specific issues addressed by the experts as well as ample time for information sharing between states.

Sponsorship: NESCSO will cover travel and lodging expenses for up to 5 staff from each state to attend the training.

Location and Timing: The training will be held beginning at 10:00 a.m. on June 14th and running through to 3:30 p.m. on June 15th.  The training will be at the Hilton Garden Inn Worcester, 35 Major Taylor Blvd., Worcester, MA 01608. Driving Directions

Click Here for the Travel Reimbursement Forms:

nescso-nonemployee-travel-reimbursement-form-ltss-june-2017

umw-9-2017

Should you have any questions please contact Patricia McKnight at 978.621.0282 or patricia_mcknight@yahoo.com

In this Issue

This month’s newsletter is divided into three main areas: The State’s Corner, Cohort Recap, and MITA Governance Board.

Know others who may be interested? The MMIS Newsletter distribution list continues to grow, and we would love to add even more. To be added to the distribution list, click here. If you have general feedback, questions, or would like to contribute future news articles, please send your email to the MMIS program mailbox: MMIS_MES_Certification@cms.hhs.gov

Click here for the full newsletter: https://content.govdelivery.com/accounts/USCMSMEDICAID/bulletins/17ad76c

The historic Facing Addiction in America: The Surgeon General’s Report on Alcohol, Drugs and Health will be officially released on Thursday November 17th during an event in Los Angeles.  This is the first-ever full SG report on substance misuse.

SAMHSA colleagues led the creation/content of the report, and the SG’s office has authorized us to provide you with the attached flyer and this powerful short teaser video: https://www.youtube.com/watch?v=J3Q4FNar-PM&feature=youtu.be.

Addiction is a major public health crisis in America, but we have the tools to end this crisis. Learn more about how we can face addiction in America from U.S. Surgeon General’s new landmark report on alcohol, drugs, and health. http://addiction.surgeongeneral.gov/ #FacingAddiction

Join the release of landmark Surgeon General’s Report on Alcohol, Drugs & Health on November 17th at 4:00 pm ET at http://bit.ly/2fRCiU3 #FacingAddiction

 

On behalf of NESCSO and its member states, the University of Massachusetts is soliciting responses from entities that offer software tools to facilitate the review of bank and other financial documents for the purpose of helping states assess a person’s eligibility for Medicaid-Funded Long-Term Services and Supports.  Through this RFI, the University is seeking information from entities with experience automating the review of bank and financial documents.

Please follow the link to the online posting: https://www.commbuys.com/bso/external/bidDetail.sdo?docId=BD-17-1109-UMMS-UMMS-10487&external=true&parentUrl=bid

About NESCSO

The New England States Consortium Systems Organization (NESCSO) is a non-profit corporation organized by the New England state health and human service (HHS) agencies and the University of Massachusetts Medical School. NESCSO’s Board is composed of the member states’ HHS secretaries or their designees. NESCSO’s mission is to foster communication and collaboration among its members through information sharing and joint projects. NESCSO seeks to support the needs of the state HHS Secretaries by providing a framework for knowledge exchange in order to maximize policy, program and cost effectiveness.

Annually NESCSO convenes the Medicaid Enterprise Systems Conference and markets “MAGI in the cloud” for states to use in determining income eligibility under the Affordable Care Act.

 About the University of Massachusetts Medical School

The University of Massachusetts Medical School, one of five campuses of the University system, is comprised of the School of Medicine, the Graduate School of Biomedical Sciences, the Graduate School of Nursing, a thriving research enterprise and an innovative public service initiative, Commonwealth Medicine. Its mission is to advance the health of the people of the Commonwealth through pioneering education, research, public service and health care delivery with its clinical partner, UMass Memorial Health Care. In doing so, it has built a reputation as a world-class research institution and as a leader in primary care education. The Medical School attracts more than $249 million annually in research funding, placing it among the top 50 medical schools in the nation. Commonwealth Medicine provides a wide range of care management and consulting services to government agencies and health care organizations.

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FOR IMMEDIATE RELEASE

September 19, 2016

Contact: Jennifer Rosinski

508-421-5869

Jennifer.rosinski@umassmed.edu

 

 For the first time, a regional effort is underway to analyze the cost of dispensing prescriptions to Medicaid beneficiaries. The New England States Consortium Systems Organization (NESCSO), a non-profit organized by the health and human service agencies of the New England states and UMass Medical School, has partnered with the accounting firm of Myers and Stauffer LC to survey pharmacies in the region.

State Medicaid agencies are being directed by the federal Centers for Medicare and Medicaid Services (CMS) to review the way they pay pharmacies for dispensing medications. New rules released in January require states to adopt fee-for-service pharmacy payment policies designed to pay pharmacies for the cost of acquiring the drugs as well as an additional professional dispensing fee. The results of this New England survey will help each state’s Medicaid program determine an appropriate professional dispensing fee.

Surveys are being distributed to Medicaid-enrolled pharmacies across New England in early September. Pharmacies will have approximately four weeks to complete the survey and return it to Myers and Stauffer. Independent pharmacies will receive surveys in the mail and most chain pharmacies will coordinate survey distribution through corporate or regional offices. Pharmacies will be able to learn more about the surveys by signing up for telephone and webinar presentations.

Submitted surveys will be reviewed and analyzed by Myers and Stauffer. A report and presentation of the survey results will be shared with NESCSO and participating state Medicaid programs.

NESCSO is managing and contracting this regional project through its relationship with UMass Medical School’s Commonwealth Medicine division on behalf of the departments of health and human services within New England.

About NESCSO

The New England States Consortium Systems Organization (NESCSO) is a non-profit corporation organized by the New England state health and human service (HHS) agencies and the University of Massachusetts Medical School. NESCSO’s Board is composed of the member states’ HHS secretaries or their designees. NESCSO’s mission is to foster communication and collaboration among its members through information sharing and joint projects. NESCSO seeks to support the needs of the state HHS Secretaries by providing a framework for knowledge exchange in order to maximize policy, program and cost effectiveness.

Annually NESCSO convenes the Medicaid Enterprise Systems Conference and markets “MAGI in the cloud” for states to use in determining income eligibility under the Affordable Care Act.

About Myers and Stauffer LC

Myers and Stauffer LC is a Certified Public Accounting firm with 18 offices nationwide and over 700 employees. The firm is strongly focused on assisting government health care agencies with audit, rate-setting, program integrity, consulting and other support services. Since the late 1970’s, Myers and Stauffer has performed over 100 Medicaid pharmacy cost of dispensing surveys in more than 20 states. The firm is also a leader in assisting state Medicaid programs with pharmacy reimbursement based on actual acquisition cost. In addition to working with state Medicaid programs directly on actual acquisition cost reimbursement, Myers and Stauffer has been the contractor to CMS since 2011 to develop and maintain the National Average Drug Acquisition Cost (NADAC) benchmark.

About the University of Massachusetts Medical School

The University of Massachusetts Medical School, one of five campuses of the University system, is comprised of the School of Medicine, the Graduate School of Biomedical Sciences, the Graduate School of Nursing, a thriving research enterprise and an innovative public service initiative, Commonwealth Medicine. Its mission is to advance the health of the people of the Commonwealth through pioneering education, research, public service and health care delivery with its clinical partner, UMass Memorial Health Care. In doing so, it has built a reputation as a world-class research institution and as a leader in primary care education. The Medical School attracts more than $249 million annually in research funding, placing it among the top 50 medical schools in the nation. Commonwealth Medicine provides a wide range of care management and consulting services to government agencies and health care organizations.

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