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Thursday, April 5 • 4:00pm - 5:00pm
Track 1: Vendor Module Pre-certification Program Updates from the Pilot

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In 2016 CMS announced a vision for accelerating the move toward modularity and reuse, and facilitate lower-risk, more cost- effective, and technically successful IT solutions for Medicaid IT, that involved Vendor submission of modules for “Precertification”. Precertification was envisioned as a separate, vendor-facing process with unique precertification criteria. Once precertified, that solution will be added by CMS to a list on Medicaid.gov that the states can leverage for purchasing decisions for their Medicaid Enterprise. CMS launched a Vendor Precertified Module Pilot in October 2017 that was designed to not only support acceleration toward modularity, reuse and innovation but to consider how MMIS certification could be streamlined with the use of precertified modules. This presentation provides an overview of the Pilot and will include discussions on vendor experience, the evaluation process, lessons learned, and future developments.

Speakers
avatar for Robyn Ballard

Robyn Ballard

Senior Technical Solutions Manager, Optum
Robyn Ballard is a Technical Solution Manager with Optum State Government Solutions.  For the last 3 years, Robyn has been in Program and Product Management for MMIS modernization efforts.  Her particular focus is Provider and Care Management solutions which are modules of the Optum... Read More →
avatar for Alison Barnett

Alison Barnett

CMS Certification Lead, Change Healthcare Pharmacy Solutions (CHPSI), formerly Good Health Systems
Alison Barnett is one of the CMS Certification Leads for Change Healthcare Pharmacy Solutions Incorporated (CHPSI). Alison spent the last 18 years of her career working in various aspects of pharmacy benefits management, specifically for Medicaid clients. She spent 13 years working... Read More →
avatar for Clyneice Chaney

Clyneice Chaney

MITRE
Clyneice Chaney is a Principal Systems Engineer with MITRE who has over 30 years of testing, quality management, and process improvement experience with broad based knowledge in software and systems engineering topics including: project management, organizational change/process reengineering... Read More →
avatar for Carl Engel

Carl Engel

CEO/Chief Architect, Elyon Enterprise Strategies
avatar for Eugene Gabriyelov

Eugene Gabriyelov

Technical Director, CMCS/CMS
Eugene Gabriyelov is currently a Technical Director at the Centers for Medicare and Medicaid Services within the Division of State Systems. His duties include oversight of MMIS system certifications, certification process improvement, MITA and MITA Governance, and supporting states... Read More →
avatar for Elizabeth Reed

Elizabeth Reed

Program Manager, CSRA State and Local
Ms. Reed is a CSRA health care program manager with 22 years of experience who has lead diverse healthcare projects for federal, state, and commercial organizations.  She has directed complex projects from concept to fully operational status. Ms. Reed successfully managed the North... Read More →
avatar for Dave Rice

Dave Rice

MRx IT Solutions Owner, Magellan Medicaid Administration,
Dave Rice is the Government IT Solutions Owner for Magellan Rx where he has been involved with five MECT 2.x Certifications; four in process and one for which certification was granted.  He has also lead Magellan’s most recent MITA Vendor Self-Assessment and played a management... Read More →
avatar for David Tamayo

David Tamayo

Managing Principal & Regulated Programs and Solutions, MedImpact Healthcare Systems, Inc.
David Tamayo is a Managing Principal in the Government Programs and Services division of MedImpact.  MedImpact is a pharmaceutical benefit management (PBM) that administers prescription drug plans for Medicaid and Medicare managed care organizations, self-insured employer benefit... Read More →


Thursday April 5, 2018 4:00pm - 5:00pm PDT
Tubman (3rd Floor)