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FX History

The Agency is adapting to the changing landscape of health care administration and increased use of the Centers for Medicare and Medicaid Services (CMS) Medicaid Information Technology Architecture (MITA) to improve the administration and operation of the Florida Medicaid Enterprise.

The Florida Medicaid Management Information System (FMMIS) has historically been the central system within the Florida Medicaid Enterprise; functioning as the single, integrated system for claims processing and information retrieval. As the Medicaid program has grown more complex, the systems needed to support the Florida Medicaid Enterprise have grown in number and complexity.

The Medicaid Enterprise System (MES) Procurement Project was re-named Florida Health Care Connections (FX) in the Summer of 2018. FX is a multi-year transformation to modernize the current Medicaid technology using a modular approach, while simultaneously improving overall Agency functionality and building better connections to other data sources and programs.

As part of this transformation, the Agency submits an Advance Planning Document (APD) to CMS, which provides the data required to determine if Federal Financial Participation (FFP) is authorized – with the appropriate match rate – for the acquisition of automated data processing equipment and services. The timeline below provides information about the APDs the Agency has submitted to CMS and their respective response.

Summary:
  • Planned Activities for:
    1. Professional Services Support
    2. FX Infrastructure
    3. FX FMMIS Resolution
    4. Remaining Functional Module
Total (net) Request: $186,489,881.00 total computable of the APD (federal and state shares) approval

State Fiscal Years: 2nd quarter 2020/2021 – 2nd quarter 2021/2022

IAPD
CMS Approval
Summary:
  • Updated planning activities
  • Adjusted requested federal dollars
Total (net) Request: $64,154,867

State Fiscal Years: No change

PAPD Update
CMS Approval
Summary:
  • Planning activities for modular transition for Phase II
  • Building infrastructure solicitations, including System Integrator or Enterprise Data Warehouse
Total Request: $65,538,156

State Fiscal Years: 2017 – 2020

PAPD
CMS Approval
Summary:
  • Procure the services of an Independent Verification and Validation (IV&V) Services
Total Request: $7,849,964

State Fiscal Years: 2017 – 2021

IAPD
CMS Approval
Summary:
  • Continue planning activities, including Independent Validation and Verification services vendor
  • Procure the services of a Strategic Enterprise Advisory Services vendor to assist the Agency in implementing the Florida Procurement Strategy
  • Florida Procurement Strategy embedded in the IAPD
Total Request: $34,049,860

State Fiscal Years: 2014 – 2022

IAPD
CMS Approval
Summary:
  • Progress of PAPDU activities
  • Revised dates of milestones
  • Solicitation plans for the MMIS (including a System Integrator), Fiscal Agent and DSS
CMS requested additional information and required the Agency to remove the system integrator services from the solicitation. The Agency decided to re-plan the procurement from the beginning to more aligned with CMS modularity requirements. CMS issued a disapproval of the IAPD.

Total Request: $34,049,860

State Fiscal Years: 2014 – 2022

IAPD
CMS Request for Additional Information
CMS Disapproval
Summary:
  • Increase PMO tasks and costs
  • Remove testing vendor from planning
  • Add Subject Matter Expert contract
Total Request: $28,489,405

Increase: $11,707,878

State Fiscal Years: No change

APD Update
CMS Approval
Summary:
  • Determine method of MMIS, Fiscal Agent and DSS turnover or replacement
  • Consultant contract to assist the Agency in research and method of procurement
  • Establish a Project Management Office (PMO)
  • Procure an Independent Validation and Verification (IV&V) vendor
Total Request:$16,781,530

State Fiscal Years:2014 – 2018

PAPD
CMS Approval