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General Information
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Department for this solicitation:
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Procurement
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Date Prepared:
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06/29/18
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Types:
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RFP
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Advertisement Type:
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Solicitation/Project#:
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RFP 24-16
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Solicitation/Project Title:
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MMIS Services for Electronic Data Interchange
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Description:
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A. The Commonwealth is procuring a new MMIS to replace its aging Provider Reimbursement and Operations Management Information System (“PROMISe™”). The new MMIS, known as the MMIS 2020 Platform, will provide a modular enterprise-wide system providing automated support for the Department’s programs in both the fee-for-service (“FFS”) and managed care organization (“MCO”) delivery systems, various waiver programs, the Low Income Energy Assistance Program (“LIHEAP”) and the Medical Assistance Provider Incentive Repository (“MAPIR”). The MMIS 2020 Platform will support almost three (3) million individuals who are enrolled in the Department’s programs. The system must meet all current federal and state regulations and technology standards including the Center for Medicare & Medicaid Services (“CMS”) Conditions and Standards set forth in 42 CFR §433.112, which includes the Medicaid Information Technology Architecture (“MITA”).
The Department has worked with CMS to develop a plan to transition from the current monolithic system to a modular solution. Using multiple contractors, each responsible for providing and supporting separate modular solutions, the MMIS 2020 Platform will conform to CMS’s goal of a loosely coupled service-oriented architecture (“SOA”).
Except for three (3) modules already in place, the Department will use a phased-in and agile implementation strategy to implement various modules of the MMIS 2020 Platform, aligned to Pennsylvania’s Medical Assistance (“MA”) program business operations structure. Selected Offeror(s) will provide modules capable of interfacing with the new MMIS as well as the legacy system (PROMISe™) during the transition period from the legacy system to the modular solution. A systems integrator, referred to as the System Integrator/Data Hub (“SI/DH”) contractor, will be responsible for system interoperability; each module contractor will cooperate with DHS’s Quality Assurance Program; and the entire MMIS 2020 Platform Project is subject to independent verification and validation (“IV&V”) oversight.
To achieve its vision, the Department will issue multiple RFPs to procure the new modules. The new functional modules when coupled with existing functionality will comprise the new MMIS.
Through this RFP, the Department is seeking a qualified Offeror to provide EDI services for the entire MMIS 2020 Platform. The Department will select a single contractor to be responsible for the EDI module. Additional detail is provided in Part III, Technical Submittal, of this RFP.
A block diagram of the MMIS 2020 Platform can be found in Appendix A, MMIS 2020 Platform Block Diagram; a description of the MMIS 2020 Platform Service and Module Contractors can be found in Appendix B, MMIS 2020 Platform Service Contractor and Module Description; the proposed procurement timeline can be found in Appendix C, MMIS 2020 Platform Timeline; and the Department’s MMIS 2020 Platform Governance Plan can be found in Appendix D, MMIS 2020 Platform Governance Plan of this RFP.
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Go to Solicitation Tabulations
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No Tabulations exist for RFP 24-16.
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Go to Awards
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Go to Contracts
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No Contracts exist for RFP 24-16.
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