Case Studies

HUMAN SERVICES

Mississippi Integrated Eligibility Solution (MIES) – Governance and Feasibility Study, Mississippi Division of Medicaid (DOM)

The Problem:

Mississippi Department of Medicaid (DOM), Department of Human Services (MDHS) and the Mississippi State Department of Health (MSDH) wanted to develop shared eligibility system Health and Human services programs by utilizing the business and technical capabilities provided by the new automated Medicaid eligibility system implemented as part of ACA. Due to constraints of the ACA 90/10 Rule and OMB A-87 framework, DOM determined that it is imperative to conduct a feasibility study to identify solution alternatives to the existing system and costs and outline a roadmap moving forward for the implementation of shared eligibility service.

xFusion provided Business and Technical Architecture and Analysis services to develop a Governance and Feasibility Study (GFS) for a Mississippi Integrated Eligibility Solution (MIES).

SERVICES PROVIDED

The following services are provided by xFusion.

  • Analysis of Business Process and existing Medicaid and legacy SNAP/TANF eligibility and case management systems for the DOM and Mississippi Department of Human Services (MDHS)
  • Architecture analysis and feasibility study for the modernization of SNAP/TANF systems as an integrated eligibility system for Medicaid, SNAP and TANF
  • Architecture analysis and feasibility of the modernization of SNAP/TANF systems including MITA alignment that satisfies CMS Seven Standards and Conditions for extended federal funding
  • Identified and defined Alternative Architectures, performed Architectural Assessment of each of the alternatives
  • Defined to-be business process and system architecture
  • Information Architecture analysis of DOM and MDHS interface partners and data exchanges
  • Estimation of Federal Financial Participation (FFP) reimbursement analysis for each architectural alternative.
OUTCOME

Successfully completed the Architecture Analysis and Feasibility Study for the modernization of SNAP/TANF systems as an integrated eligibility system for Medicaid, SNAP and TANF; Architecture and cost assessment and Federal Financial Participation (FFP) reimbursement analysis for each architectural alternative was performed; A comparison report was established to compare each of the alternatives as part of the feasibility study report.