Part 4 - Iowa Medicaid Enterprise

RFP MED-12-001 | Technical ProposalIowa Medicaid Enterprise System Service Procurement | MMIS and Core MMIS Operations• The system provides the member a complete view of their data in the system. The data accessed fromthe member profile entity shows demographics, TPL information, associated invoices, etc.• The system provides a rich user interface to show the available benefit plans and services.• The system also brings the view of a Medicaid Health Record which is built using a set ofinfrastructure services that are aggregated by the EHR data aggregator service entity.• The system allows the user to update information such as PCP.Figure 9-5. Member Perspective. Different information services are available to the member within theTeam Noridian system. Rich member self-service options ensure improved customer satisfaction.The business services available to Team Noridian and the Department are enabled through the EXACTSOA framework, described in the Technical Architecture below.Information ArchitectureThe information architecture is the least discussed aspect of the architecture. However, it is one of themost vital elements of an extensible, interoperable infrastructure. The proposed solution not only hasrobust baseline information architecture but also has the right data management strategy to manage thechanges typically associated with the health care regulations and reforms.The following section outlines key elements of the architecture of the new MMIS system components:• Conceptual data model (CDM)• Logical data model (LDM)• Data standards and dictionary• Data management strategyConceptual Data Model (CDM). The conceptual model of the new MMIS provides a holistic view ofthe subject entities and their relationships. The model has matured over the multiple iterations and hasshown the flexibility to accommodate different business delivery models, like the social service deliverymodel in the state of Washington. The conceptual model will provide the visibility of the different entitiesand their relationships.9 | 9