MMIS Re-Bid Project Human Services Department August 24, 2011
Current Project Status • Project Scope: • ReBid Medicaid State Fiscal Agent contract • Include Enhancements to meet federal requirements or improve functions • Include operational activities required of fiscal agent • Procurement proceeding with proposal evaluations. • Selection has not been finalized or disclosed – estimated award date in Sep/Oct 2011 with contract by Nov/Dec 2011 • Goal: • Request PCC approval to move to Planning Phase to enable HSD to finalize, select, and contract Medicaid State Fiscal Agent.
Background • Medicaid State Fiscal Agent: • Outsourced program operations which include wide range of administrative tasks. • Supports payment and operational services for Medical Assistance Division. • Services range from direct service support (MiVia) to hosting Omnicaid payment application.
Objectives • Project objective: Successful solicitation of medicaid state fiscal agent contract, implementation of enhancements, and transition to operations. • Four phases: Procurement, Transition, Enhancements, and Operations. • Currently in procurement.
Project Approach NM Medicaid • CMS requires HSD to periodically open State Fiscal Agent contract to bid • CMS approved funds to support Four Phases with federal match rate:
Required EnhancementsChanges required to meet CMS requirements.
Optional EnhancementsChanges that may improve operational functions but are not necessary to meet CMS requirements.
Schedule The procurement schedule is primarily dependent upon the completion of evaluation committee reviews and federal approvals. The schedule below is only a general estimate based on current information. The schedule has been revised as required to meet procurement process requirements.
Certification • Funding request for this phase tied to IV&V services. • Funding will be determined after procurement award. • Overall funding will be reviewed by CMS for federal match amounts.
Summary • The Medicaid State Fiscal Agent procurement is still in progress. • The Department requests approval to move from Initiation Phase to Planning Phase in order to begin contracting after an award.