Part 4 - Iowa Medicaid Enterprise

RFP MED-12-001 | Technical ProposalIowa Medicaid Enterprise System Service Procurement | MMIS and Core MMIS OperationsIndustry Standards ConditioneCAMS system is compliant with: 1) the Health Insurance Portability and Accountability Act (HIPAA) of1996, Public Law 104-19, Title II, Sections 261-264; 2) the HIPAA Administrative and SimplificationProvisions for Privacy (2002) and Security (2003), Code of Federal Regulations (CFR) 45, parts 160, 162,and 164); 3) the Health Information Technology for Economic and Clinical Health (HITECH) Act of2009 (enacted as part of the American Recovery and Reinvestment Act of 2009); 4) standards adopted bythe Secretary under Section 1104 of the Patient Protection and Affordable Care Act(PPACA); and 5)standards and protocols adopted by the Secretary under section 1561 of the Affordable Care Act. TeamNoridian's processes ensure all systems and services related to this procurement, including transactions,common identifiers, and privacy and security standards continue to remain in compliance as stipulated inlegislation or other regulatory requirements.Identification of Industry Standards. Team Noridian with work with IME to identify all industrystandards relevant to the scope and purpose of their project and produce development and testing plans toensure full compliance. We will have risk and mitigation strategies in place to address potential failures tocomply with the standards.Incorporation of Industry Standards in Requirements, Development, and Testing Phases. eCAMSprovide Web-based user interface that requires no desktop software except the standard version webbrowser and complies with recognized usability standards such as the American Disabilities Act (ADA),Older Americans Act and the Rehabilitation Act Section 508 Subpart B Section 1194.21. It providescertain usability functions, such as the ability to alter font size and colors to improve readability, whichindividuals who require assistance can leverage. The eCAMS screens have been validated usingcompliance testing tools.Leverage ConditionTypically, in the state infrastructure, the MMIS solution is comparatively a huge investment and providesa lot of infrastructure and tools and enterprise services. The resources and software investments made forthe MMIS solution can be leveraged by the IME divisions and the other state agencies. eCAMS is a SOAbasedsystem. Facilitated by EXACT's integration services, eCAMS SOA capabilities are bi-directional, itis equally easy to expose the services built in eCAMS to external system as is to consume services fromexternal agencies. eCAMS portfolio of business and technical services enable our solution to supportbusiness processes more effectively. Through the EXACT SOA framework, eCAMS services enableeCAMS to provide access to business process areas, to functions within the overall MMIS application,and to be interfaced via EXACT Integration Services with external components to facilitate exchange ofinformation from external agencies and entities as may be required. The new MMIS will provide IMEwith several options to leverage existing investments in legacy applications:• Use outbound interfaces to provider data to external applications that need MMIS data to operate. Forexample: Operational Data Store (DSS), data warehouse, and External Agencies.• Use inbound interface options to accept data from external applications that hold key data for MMISneeds, such as external eligibility systems and data from other State agency applications.• Use EXACT's Integration Services and orchestration services to provide services and consumeservices from legacy applications.• Use EXACT's orchestration and rules services to create business processes with external systems thatsupport eCAMS interoperability options.Multi-State Efforts and Availability for Reuse. eCAMS solution is in use in multiple states. Thefeatures that are available out-of-the box in the base product have been built and enhanced with eachimplementation. eCAMS solution is the very example of the solutions developed with contribution fromother states. Team Noridian will facilitate sharing of the project artifacts such as SDLC deliverables,9 | 18