New York developing Medicaid Enterprise Systems roadmap
New York – The state’s Department of Health (DOH) released a request for information (RFI) to aid the agency in creating a Medicaid Enterprise Systems roadmap.
Upon completion, the roadmap will serve as a guide for the department’s design, development, and implementation of Medicaid enterprise systems, including procurement of management information systems, eligibility and enrollment modules, and supporting services.
The DOH’s Office of Health Insurance Programs (OHIP) is the single state agency responsible for the administration of the New York State (NYS) Medicaid program to approximately 6 million beneficiaries.
The NYS Medicaid Program comprises three major systems and several smaller ancillary systems. The three major legacy systems are the:
- Legacy Medicaid Management Information System (eMedNY).
- New York State Health Insurance Exchange (NYSOH).
- Medicaid Data Warehouse (MDW).
Executing changes in the systems is a lengthy process, coordinated across large, independently managed vendors. Each of these major systems physically resides in different data centers, independently operated by the associated contractor. The contracts supporting all three of these systems are nearing the end of their contract term and will need to be replaced via competitive procurement within the next three to five years.
DOH officials may be interested in viewing presentations from vendors who have indicated they have a demo of an approach and solutions. Meetings with these vendors are likely to be scheduled in December or January 2022.
The deadline for RFI responses is 5 p.m. ET June 14.