Modular Procurement Support and IV&V for Kentucky’s Medicaid Enterprise

The Kentucky Cabinet for Health and Family Services (CHFS) is responsible for overseeing the Commonwealth’s Medicaid program. In order to more efficiently administer services to its 1.2 million recipients, CHFS is modernizing its Medicaid Enterprise Management System (MEMS) using a modular procurement strategy.

Modular Procurement Support and IV&V Services

CHFS selected CSG to provide IV&V services from procurement support through the system development life cycle until final system certification. CSG reviews and provides feedback on modular RFPs, developed a Procurement Integrity Plan, and updated the Commonwealth’s MITA SS-A to align with the new RFPs and Concept of Operations. We validate that CMS certification requirements and artifacts are included in procurements, make recommendations for any gaps identified, and employ a Requirements Traceability Matrix to monitor adherence to requirements throughout the SDLC.

CSG helps CHFS navigate CMS certification processes, including achieving final certification of the Waiver Case Management and Partner Portal modules, and a transition to Streamlined Modular Certification. To date, the CSG team has provided IV&V oversight for the Commonwealth’s MEMS project, Eligibility and Enrollment Services project, Partner Portal Project, KY HEALTH 1115 Waiver project, and Waiver Case Management system.

Frankfort, Kentucky
Frankfort

Together, CHFS and CSG are working to meet the agency’s goals and provide superior Medicaid services to Kentuckians.

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