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
Total (net) Request: $316,365,264
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.
Solicitation plans for the MMIS (including a System Integrator), Fiscal Agent and DSS
CMS requested additional information and required the Agency to remove the system integrator services from the solicitation. The Agency decided to re-plan the procurement from the beginning to more aligned with CMS modularity requirements. CMS issued a disapproval of the IAPD.