DHS Systems Modernization:
What does it mean to us?
October 10, 2016
Chris Lancrete
Jen Muehlhausen
Topics
• MN Department of Human Services’ plans for
an Integrated Service Delivery System
• Hennepin County role in shaping this work
• Analysis of County-Provider business
architecture
• Opportunities for collaboration and creation of
a person-centered service environment
Current DHS systems environment
 METS: MN Eligibility Technology System for MNsure
 MAXIS: Eligibility for Cash (MFIP), SNAP (food stamps), MA for
cases not on METS
 MEC²: Eligibility and Payment for Child Care Assistance
 PRISM: Child Support Enforcement collection/payment
 SSIS: Social Services Information System, case management
 MnCHOICES: Assessment for long term services
 MMIS: Medicaid Management Information System, pays Health
Care providers and managed care plans
 MN-ITS: Connection point for health care providers to check
eligibility, request service authorization, and submit claims
DHS Modernization
Vision: Technology enhancements to support a people-centered integrated
human services delivery system in which policy, people, processes and
technologies are aligned.
Four modernization initiatives:
 MNsure IT System (METS): Single portal for health care coverage; first
step in modernizing health care eligibility.
 Integrated Services Delivery System (ISDS): Establishes an integrated,
people-centered service delivery system; encompasses several major
business processes: eligibility, assessment, enrollment, and case
management.
 MMIS: Modernizes payment and provider management for health care.
 Direct Care and Treatment: Supports a twenty-first century, peoplecentered care environment, including integrated electronic health records.
DHS presentation 9 24 15
• People-centered, inclusive and
empowering to the receivers and
givers of human services
• Integrated across program and
service domains (assistance
programs, child support, social
services)
• Large, multi-year effort
ISDS implementation timeline
2016
2017
2018
2019
2020
2021
2022
Foundational Work
•
•
•
•
•
•
Infrastructure
Data & Document management
Triage & Referral
Licensing
SMRT
Other uses for base system
Move programs from legacy systems to
ISDS
•
•
•
•
Assistance programs: Cash, SNAP, Child Care
Child Support
Child & Adult Social Services
Health Care eligibility (includes merging with MNsure eligibility system)
ISDS Access Points
Citizen
(IBM-Cúram platform)
Citizen
Portal
State
Agencies
Community Based
Organizations
Data, Cases,
Rules, Workflow,
Security
Worker
Portal
Provider &
MDT Portal
Multi-Disciplinary
Teams
Counties
Service
Providers
Triage & Referral
• Front door to integrated services via a simple
assessment of needs
• Will match clients to appropriate agency and
community resources
• Hennepin and Dakota partnering with DHS to
develop first phase
• Will utilize Worker, Citizen, and eventually Provider
portals of the ISDS
• Future vision: partner agencies receive and
respond to referrals online, and coordinate their
activities with other providers and case workers
Shared State/County vision
The ISDS needs to support this vision for service delivery:
Through its relationships, systems, and methods,
Minnesota will form a human services environment
where contributing organizations and people are able to
work together with a common purpose: to improve the
health, safety, economic and social stability of
Minnesota communities, families and individuals.
Planning for these changes
• Understand our business relationships around
Providers and Partners, by documenting
–
–
–
–
How a client gets connected to provider services
Who works with providers and what are those processes
What technologies, or manual processes, are used
What types of agreements do we have with providers and
how are they managed
– What is the funding stream for each provider
– Who are our partners who work with these same providers
• Set up a steering committee to help us validate our
findings and determine our priorities
Understanding how we work with
Human Service Providers
Business architecture is defined as "a
blueprint of the enterprise that provides a
common understanding of the organization and
is used to align strategic objectives and tactical
demands."
Human Service Delivery Model
Maintain
Case
Mandated
Referral
Staff
Staff
System
System
Close
Case
Measure
Outcomes
System
Program
Team
System
Funder
Close
Case
Intake
Individual
or
Family
Triage & Needs
Assessment
Apply For
Services
NO
Determine
Eligibility
Eligible for
Services?
Issue
Benefits or
Services
Support
Service
Assessment
Authorize
Service
Find
Provider
Referral
Community
Agency
Reimburse
Hennepin
Reconcile
YES
Create
Case
Outreach
System
Accounting
Staff
ReAuthorize
Community
Agency
Communication
Approve?
NO
Research
Provide
Services
Track
Services
YES
System
Auditing
Jen Muehlhausen, October 2, 2016
Program System
Management
Admin Staff
Provider
CPTS
Monitor
Provider
Performance
Measures
Invoice
Pay Provider
System
System
What we are learning
• There are many opportunities
– Manual processes = efficiencies to be
gained
– Forms
– Lack of integration
• We need better data
– Need to dynamically address changes in
our populations we serve.
What does our future look like?
• Online collaborative tools
• Fewer manual processes
• Greater involvement of individuals and
families in planning and managing services
• Tighter relationships between health and
human service community
Questions for you
• What is your top concern?
• Are there things going on in the provider
community that we should be aware of?
• Would you like to participate in new
county provider technology initiatives?
Any Questions?
Thank you!