MA

Colorado releases long-anticipated MMIS RFP

Published: January 22, 2013

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The state of Colorado released a request for proposals (RFP) last week for a core Medicaid management information system (MMIS) and supporting services. The state’s overall project goal is to replace its legacy MMIS with a solution that is flexible, adaptable and incorporates business intelligence and analytics tools that will enhance data reporting capabilities.
 
Colorado’s current MMIS, which is based on a 1970’s general design, is more than 20 years old, with components more than 30 years old. The antiquated system has forced the state to develop workaround processes in order to accommodate inadequacies.
 
The Colorado Medicaid Management Innovation and Transformation (COMMIT) Project, a term coined by the state’s Department of Health Care Policy and Financing, is a statewide initiative to redefine business processes for the Medical Assistance program. The department will be “pursuing solutions that combine excellence and innovation in technology, business operations, and system implementation.” 
 
Additional goals outlined by the department include improving workflow management through implementation of automated solutions that support the establishment of work queues; providing a real-time electronic case management system with centralized access to clients, providers, claims and case management data; and obtaining flexibility to create and modify health plans within the system, through a rules-driven design that can easily configure services.
 
Colorado plans to release solicitations this year for pharmacy benefit management system services, business intelligence and data analytics services, and independent verification and validation-related services.
 
GovWin IQ subscribers can read further about the project here. Non-subscribers can gain access with a GovWin IQ free trial.