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.
- The update contains a request for prior approval of continued and new efforts in our transition program over the next two years and enhanced FFP as noted in the IAPDU.
- New requests for the FX transition program included in the IAPDU are:
- FXPA office space
- Additional State Staff
- IS/IP Module Systems Integration (MI)
- Pharmacy Benefits Management
- Organizational Change Management
- Testing Center of Excellence
- Third Party Liability Module
State Fiscal Years: The approval covers activities from June 6, 2022 until September 30, 2024 and will be contingent on State budget authority for each fiscal year in that timeframe.
IAPDUCMS Approval
- Updates on Activities for:
- Professional Services Support
- FX Infrastructure
- FX FMMIS Resolution
- Remaining Functional Modules
State Fiscal Years: July 1, 2020 - June 30, 2021
Annual APDUCMS Approval
- Planned Activities for:
- Professional Services Support
- FX Infrastructure
- FX FMMIS Resolution
- Remaining Functional Module
State Fiscal Years: 2nd quarter 2020/2021 – 2nd quarter 2021/2022
IAPDCMS Approval
- Updated planning activities
- Adjusted requested federal dollars
State Fiscal Years: No change
PAPD UpdateCMS Approval
- Planning activities for modular transition for Phase II
- Building infrastructure solicitations, including System Integrator or Enterprise Data Warehouse
State Fiscal Years: 2017 – 2020
PAPDCMS Approval
- Procure the services of an Independent Verification and Validation (IV&V) Services
State Fiscal Years: 2017 – 2021
IAPDCMS Approval
- 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
State Fiscal Years: 2014 – 2022
IAPDCMS Approval
- Progress of PAPDU activities
- Revised dates of milestones
- Solicitation plans for the MMIS (including a System Integrator), Fiscal Agent and DSS
Total Request: $34,049,860
State Fiscal Years: 2014 – 2022
IAPDCMS Request for Additional Information
CMS Disapproval
- Increase PMO tasks and costs
- Remove testing vendor from planning
- Add Subject Matter Expert contract
Increase: $11,707,878
State Fiscal Years: No change
APD UpdateCMS Approval
- 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
State Fiscal Years:2014 – 2018
PAPDCMS Approval