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Part 4 - Iowa Medicaid Enterprise

Part 4 - Iowa Medicaid Enterprise

Part 4 - Iowa Medicaid Enterprise

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RFP MED-12-001 | Technical Proposal<strong>Iowa</strong> <strong>Medicaid</strong> <strong>Enterprise</strong> System Service Procurement | MMIS and Core MMIS Operationsa baseline set of high quality governance documents (Risk Management Plan, Change Control Plan,and Issue Resolution Process). In January 2009, the Governor awarded the Michigan <strong>Medicaid</strong>Program Office the Director’s Best Choice Award for most successfully run project in the state.• CNSI has assisted many state agencies with planning, designing, and implementing efficient datacentricsolutions through its in-depth knowledge of Oracle, Sybase, and Microsoft SQL Serverproducts and key business processes. CNSI’s offerings included application implementation, datawarehousing/decision support, performance tuning and capacity planning strategies for databasemanagement, training, maintenance, security support, and enterprise-scalable solutions.• CNSI is known for its ability to work collaboratively with its customers in developing leading-edgesolutions for the government health care industry.Both members of Team Noridian recognize the importance of working together to achieve the bestoutcomes for all of the users of <strong>Iowa</strong>'s <strong>Medicaid</strong> program including the Department, the IME contractors,other state agencies, the providers, and the member community. This approach is at the core of ourbusiness values and has proven to be a successful approach throughout all of our lines of business. Wehave and will continue to work with the Department and the IME contractors towards the common goal ofimproved performance, processes, and services. We will capitalize on our successes and lessons-learnedin building successful relationships with all of the entities involved in the IME.7.1.4 Interfaces with IME Professional Services Units, State Entities, and DataSystems/File TransfersRFP Section 5.1, Requirements d through f, and oTeam Noridian understands the need to interface with the IME professional services units, the DataWarehouse/Decision Support System (DW/DSS), the call center system, and other state systems toperform its responsibilities as the MMIS and Core MMIS operations contractor. These interfaces includeboth person-to-person interactions and automated data or file transfers, including authorized onlineupdates to the IME data systems.As described in the previous subsections, as the current MMIS Core contractor, we regularly meet andcollaborate with the different IME professional services units to exchange ideas, discuss and resolve issues,design and develop system enhancements and changes, and explore areas for performance improvementthroughout the agency and will continue to do so as Team Noridian. Additionally, we interact with theDW/DSS manager and staff and will provide a primary contact, with experience in preparing queries andreports, for developing queries and requesting assistance from the DW/DSS system manager.As the MMIS Core operations contractor, we also interface with state entities including:• Division of Data Management. Through meetings, e-mail, and phone calls to discuss data extractsand data pulls, project responsibilities, and collaboration on solutions to issues.• Department of Administrative Services Information Technology Department. Through meetings,e-mail, and phone calls to discuss mainframe problems and solutions (including access), schedule filetransfer jobs, backups, and space (disk volume) issues.• Eligibility Support Team. We interface with this team through the same mechanisms as above tocoordinate on projects or requested changes and issues.• <strong>Iowa</strong> Health Information Network (IHIN). If needed, we interact with IHIN to discuss issues,changes, and possible projects to improve performance and efficiencies throughout the IME.Team Noridian brings experience in multiple systems integration and business processes in support oflarge-scale health care operations. In fact, systems integration is a Team Noridian core competency as wehave demonstrated our ability to work with multiple claims processing and ancillary supporting systemswhile effectively integrating and enhancing their functionality to support our operational excellence. Our7 | 6

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