Notes
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Outline
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Medicaid IT Architecture (MITA)  Overview



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Agenda
  • What is MITA?
  • MITA Transformation Blueprint
  • MITA Framework Overview
  • MITA Implementation
  • Summary
  • Questions and Discussion
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What is MITA?
  • MITA is a Plan to transform Medicaid
  • MITA is a Framework
  • MITA is an Architecture
  • MITA is a collaborative Process
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MITA Foundation Elements
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MITA Goals
  • Develop seamless and integrated systems that effective communicate to achieve common Medicaid goals
  • Promote an environment which supports rapid response to changes
  • Incorporate enabling technologies that are aligned with Medicaid business processes and technologies
  • Provide data that is timely, accurate, and easily accessible to support improved health care management and program administration
  • Provide performance measurement for accountability and planning
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MITA Philosophy and Core Concepts
  • Business Driven Design
  • Collaborative Approach between CMSO and States makes it All Work
  • Commonality and Differences Co-Exist
  • Standards First
  • Built-in Security and Privacy
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MITA Transformation Blueprint
  • Define MITA Challenges and Mandates for Change
  • MITA Strategic Direction
  • Define MITA Architecture Models
  • Define Procedures and Guidelines
  • Define MITA Solution Sets
  • Initiate Transition to new MITA Framework via the Advance Planning Document (APD) process



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The MITA Life-Cycle
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The MITA Architecture is a Framework
 for States
  • Enables Customization to Individual State Needs
  • Encourages Reuse to Lower Implementation Cost and Risk
  • Designed to Fit with the Overall Advance Planning Process
  • Provides Common Core Business Processes that are Adaptable and Extensible
  • Addresses Key Concerns such as: Interoperability, Security and Privacy, Data Sharing
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Stages of Medicaid Business Transformation
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Conceptual Technical Architecture Diagram
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The MITA Architecture is a Service-Oriented Architecture
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 Logical Level Interoperability Model-
Data Sharing and Coordination Architecture
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MITA Maturity Model for States
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Example of Business Capabilities
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MITA Capability Matrix – Sample Entries
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MITA Implementation Planning
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Implementing MITA
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Collaborative Approach
Portfolio Definition
  • Portfolios are subject areas relevant to MITA
    • Allows MITA to grow and develop in accordance with state needs through the efforts of the working groups
    • The MITA team is developing an initial set of solution sets for the portfolios
  • Working groups will be formed around portfolios
    • The working groups will further develop, create, enhance and detail these products and solutions.
  • Examples of portfolio working groups
    • Several states working together on a problem or project
    • Several state agencies working together on a problem or project
    • Multi-OPDIV interface specification development
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MITA Portfolios
  • 1. Performance Measurement
  • Common metrics that will enable comparisons, and models that will relate program changes with results


  • 2. Business Area Improvement
  • Common business process definitions


  • 3. Security and Privacy
  • Common policies, mechanisms, and agreements


  • 4. Data Sharing Coordination
  • Collaborative agreements and harmonized data standards with non-Medicaid organizations (e.g. public health, etc.)


  • 5. Adaptability and Extensibility
  • Utilities that can be tailored (adapted) or added to (extended)


  • 6. Data Management
  • Medicaid data standards, data structure and taxonomy, and metadata description standards and solutions


  • 7. Interoperability
  • Mechanisms for system to system and person to system communications


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Summary
  • MITA is a Business-driven Architecture Framework


  • Promotes reuse via a service oriented architecture and standards


  • Includes processes and guidelines to enable consistent implementation


  • Reduces implementation cost and risk by fostering collaboration


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Questions and Discussion