The Georgia Department of Community Health provides Medicaid coverage for more than 2 million Georgians. The agency is executing a Medicaid Enterprise System Transformation program that includes the multi-year agile implementation of a modular Medicaid system that will improve the customer experience; provide flexibility for changes in technology, program, and policy; and enable data-driven decision making.
IV&V by CSG SM
DCH contracted with CSG to provide proactive, full life-cycle IV&V services across the enterprise and for individual modules including Provider Services, Claims and Financial Management, Pharmacy Benefits Management, and Third Party Liability. The CSG team observes meetings, reviews deliverables and documentation at both the enterprise and modular levels, and conducts interviews to inform monthly dashboard reports evaluating project health. We assess aspects of the project including project progress, operational readiness, organizational change management, vendor and resource management, and governance to identify risks and recommend mitigation strategies.
