Medicaid Information Technology Architecture MITA

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Medicaid Information Technology Architecture
(MITA)

• Impact on Improving Quality of Care and Lowering
  Care Costs for Long Term Care Providers,
  Patients, and Payers

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Medicaid IT Architecture and Improvements to
Long Term Care Quality and Costs

• This Presentation Addresses
• What is MITA?
• How does MITA apply to Long Term Care?
• How does MITA relate to other topics presented by
  this panel?
• What does it mean to you?

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What Is MITA?

• MITA Is a CMS Initiative and IT Framework
• Seeks to Improve Medicaid Program Outcomes and
  Administrative Efficiencies
• Provides a Vision for the Future and a Roadmap
  for a Realistic Transition
• MITA Is a Business-Driven Methodology

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MITA Is an Initiative and an IT Framework

• The MITA Initiative Is a Collaboration of States,
  CMS, Vendors later, other stakeholders
• Governance Teams
• Alignment with ONC, FHA, other agencies
• As an IT Framework, MITA Provides Guidelines for
  Business and IT Transformation
• Models to follow
• Repository of re-usable components

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Improve Medicaid ProgramQuality and Costs

• MITA Business Areas and Business Processes
  Provide Common Vocabulary and Point of Departure
• Uses a Maturity Model to Chart Course of
  Improvements
• CMS Encourages States to Implement Improvements

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MITA Business Process ModelMajor Business Areas
Provider Management
Program Management
Member Management
Operations Management
Care Management
Quality Management
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Beneficiaries are pre-enrolled based on clinical
and administrative data shared across programs
and State boundaries.
Beneficiaries enroll at any location for all
benefit plans. Treatment is coordinated. Programs
share business services and data.
Beneficiaries enroll at multiple locations for
different benefit plans. Treatment is not
coordinated across programs.
Maturity Model
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• Timeliness of the results
• Data accuracy and accessibility
• Ease of performance efficiency
• Cost effectiveness
• Quality of process results
• Value to the stakeholders

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How Does MITA Apply to Long Term Care?

• MITA Addresses the Payers Enterprise
• Providers and Patients Accrue Benefits
• Use Case Illustrates Benefits to All Stakeholders

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Secure Interoperability and Information Exchange
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How Does MITA Relate to Other Topics Presented by
this Panel?

• Business Case Interoperable HIT
• Pay for Performance How to Measure
• Convergence with National Goals
• ROI Maturity Model Outcomes
• Raising Quality of Care Lowering Costs

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What Does MITA Mean to You?

• Were All in This Together
• LTC Providers
• LTC Clients
• Payers

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More Information on the Medicaid IT Architecture

• CMS MITA Website
• http//www.cms.hhs.gov/MedicaidInfoTechArch
• Access CMS MITA Information from the FOX Web
  Page
• http//www.foxsys.com