- Collection:
- Georgia Government Publications
- Serial:
- A snapshot of applying for Medicaid.
- Title:
- Medicaid Management Information Systems
- Creator:
- Georgia. Department of Community Health
- Contributor to Resource:
- Georgia. Department of Community Health.
- Publisher:
- Atlanta, GA. : Dept. of Community Health
- Date of Original:
- 2008
- Subject:
- Medicaid--Claims administration--Georgia
Information storage and retrieval systems--Georgia - Location:
- United States, Georgia, 32.75042, -83.50018
- Medium:
- state government records
- Type:
- Text
- Format:
- application/pdf
- Description:
- Title from pdf caption (GALILEO, viewed Apr. 6, 2010)
- External Identifiers:
- Call Number GA C900 .S1 M46 2008
- Metadata URL:
- https://dlg.galileo.usg.edu/id:dlg_ggpd_y-ga-bc900-b-ps1-bm46-b2008-belec-p-btext
- Digital Object URL:
- https://dlg.galileo.usg.edu/do:dlg_ggpd_y-ga-bc900-b-ps1-bm46-b2008-belec-p-btext
- Language:
- eng
- Holding Institution:
- University of Georgia. Map and Government Information Library
- Rights:
-
Medicaid Management Information Systems
Background The Medicaid Management Information Systems (MMIS) comprise the various systems used for the processing, collecting, analyzing and reporting of information needed to support all Medicaid and PeachCare for KidsTM claims payment functions. In early 2007, the Georgia Department of Community Health (DCH) began the competitive procurement process to identify a fiscal agent to operate DCH's MMIS. In April of 2008, Electronic Data Systems (EDS) was awarded the contract to design, develop and implement the new MMIS system.
The MMIS consists of all federally required subsystems as specified by the Centers for Medicare and Medicaid Services (CMS) within the U.S. Federal Department of Health and Human Services. MMIS remains contemporary, compliant and market reflective.
It also positively impacts members and providers due to increased efficiency, which also helps Georgia maintain a competitive edge.
Timeline The Design Development Implementation (DDI) phase began in 2008 and is scheduled for completion in July 2010. The DDI phase addresses the Georgia specific modifications the vendor will have to make to their base MMIS computer application.
The Operational phase will run for five years after DDI is complete and will address all operational fiscal agent aspects of the Georgia Medicaid support services.
Legislative Impact
A number of MMIS projects in various states have been impacted from a time and cost perspective. For smooth implementation it is beneficial to: 1. Minimize Medicaid legislative changes that will impact the new system design, development and implementation of MMIS until after July 1, 2010 2. Be cognizant of the fiscal impact and resulting time delays if new features must be implemented in the current MMIS
Legislative changes that are mandated during the session can impact the MMIS project three ways: 1. The existing system has to be modified to accommodate any changes. This will require business and IT resources to be pulled off their assignments tied to the implementation of the new system to make changes in the current system 2. The change must also be incorporated into the new system, which could result in delays with the new system implementation 3. If we exceed the cost CMS has already approved, we will have to go back to CMS to get their approval for additional funds. The state will also incur 10 percent of any cost overruns. This may require additional state budget approval