The CompTIA’s Human Services Information Technology Advisory Group (HSITAG) and the Private Sector Technology Group (PSTG) collaborated to understand the Medicaid Management Information Systems (MMIS) industry’s readiness to provide modular solutions to State Medicaid Agencies (SMA). The PSTG and HSITAG Boards authorized the creation of the Modularity Survey Committee to canvass Health and Human Services (HHS) and MMIS vendors to determine the availability of deployment ready modules that can support SMA requirements and Centers for Medicare and Medicaid Services (CMS) standards for enhanced Federal Funding Participation (FFP). The survey set out to determine what modular solutions exist and gather information related to CMS’s stated objectives for modularity, which include increasing interoperability, reducing risk and cost, increasing speed to market, and promoting competition.
Some of the high level insights from the survey include:
- Respondents cited the lack of consistent definitions for modules as a risk to investing in modules and achieving reuse goals from state to state.
- Respondents identified procurement and acquisition requirements as significant risks in making progress toward modularity.
- Most respondents, both existing and new entrants, have more than 5,000 employees, suggesting size and scale may still be a factor for participation in the MMIS vendor market.
- Respondents reported offering modules that aligned with CMS and the Standards and Conditions for Medicaid Information Technology.
This white paper presents a synopsis of the survey findings and potential next steps to further explore the transformation to modularity. The background, methodology, survey questions and other related information are included in Appendix A. The Modularity Survey Committee thanks the respondents from the vendor community for investing their time in this survey. The market’s participation is invaluable to achieving the objectives of modularity.
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