New York State Replacement
Medicaid Management
Information System (R-MMIS)
Offerors Conference
July 14, 2010
Schedule of Events
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Written questions due by
vendors:
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July 22, 2010
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Questions/answers posted
by NYSDOH:
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On or about August 12, 2010
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Proposals due by vendors:
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October 29, 2010 1:00 pm
Objectives
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Implement a Federally certifiable R-MMIS that provides:
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All the functionality of the current system
Enhanced functionality for:
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Provider Services
Pharmacy Benefit Management
Dental Claim & Prior Approval Processing
HIPAA version 5010 and NCPDP D.0 EDI
ICD-10 Coding System
COTS Financial Management System
Enterprise Technology Architecture based on MITA Standards
Project Phases
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Planning Phase
Implementation Functional Phase I
Implementation Functional Phase II
Implementation Functional Phase III
Certification Phase
Operations Phase
System and Operational Enhancement Phase
Turnover Phase
Planning Phase
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Develop and put into practice:
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Project Management Plan
Risk Management Plan
Scope Management Plan
Configuration Management Plan
Based on Offeror’s Proposed Project Management
and SDLC Methodologies
Implementation Phases
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The following cut across all Implementation
Phases:
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Requirements Traceability and Validation
System Design and Development
Testing
Organizational Change Management
Data Conversion (just in Phase I)
Operational Readiness
Implementation
Incumbent Transition Support
Implementation Functional Phase I
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Federally Certifiable R-MMIS that meets all
Federal and NYS requirements
All Current Functionality
Enhanced Provider and Pharmacy Benefit
Management
5010 and NCPDP D.0 EDI
ICD-10
Implementation Functional Phase II
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COTS Financial Management System
Implementation Functional Phase III
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MITA Maturity Levels
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Addition of new system capabilities to raise maturity
levels
Certification Phase
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All tasks required to substantiate that the RMMIS meets CMS requirements
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See RFP for Federal requirements checklist
The Offeror must work cooperatively with Medicaid
Data Warehouse (MDW) contractor
Operations Phase
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Operations
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All tasks necessary to operate a certifiable system in
accordance with Federal and State policy
System and Operational Enhancement Phase
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Enhancements
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Maintenance and enhancement tasks performed
throughout the contract to modify the R-MMIS in
accordance with new requirements and MITA-driven
emerging technologies
Turnover Phase
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Turnover
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Transition during which the R-MMIS and all related
operational and technical support activities are turned
over to the Department or successor contractor(s)
R-MMIS Implementation Timeline