Department of Social and Health Services MMIS Reprocurement Project

1
Department of Social and Health ServicesMMIS
Re-procurement Project

• ISB Staff Report
• May 12, 2005
• Tom Parma

2
Agenda

• Medicaid Management Information System (MMIS)
  Status
• ISB Staff Assessment Conclusions
• ISB Staff Recommendations

3
MMIS Status

• DSHS began interface analysis in May 2004
• Work with vendor, CNSI, began in late February
  2005
• Focus has been on startup activities
• CNSI project staffing
• Collaborative Application Design (CAD) sessions
  180 DSHS personnel in 30 groups planning for 12
  functional areas
• Governance and project management deliverables

4
MMIS Status cont.

• CNSI proposed 30 months instead of 24
• Project budget for Phase 1 is 110.5M instead of
  70M approved by ISB
• Vendor proposal higher than DSHS estimated
• Certain costs moved into Design, Development,
  Implementation from Maintenance Operations
  (higher federal match)
• Sterling Associates retained as QA vendor

5
ISB Staff Assessment Conclusions

• Strong alignment with DSHS Enterprise
  Architecture Program
• DSHS has appropriate governance organization in
  place to make decisions quickly
• Recent addition of CNSI deputy project manager
  has been beneficial
• CNSI has been very responsive to DSHS requests
  for personnel and process changes

6
ISB Staff Assessment Conclusions cont.

• CNSI project management has been slow
  addressing/escalating certain issues
• Quality or expertise of specific CAD facilitators
  
• Quality of initial deliverables
• Review of deliverables has taken longer than
  planned
• Other DSHS projects have been resistant to the
  enterprise approach of MMIS as enterprise medical
  payment system

7
ISB Staff Recommendations

• ISB approve DSHS amended investment plan for
• Investment cost increase from 70M to 110M
• Project schedule extension from 24 to 30 months
• ISB require other DSHS projects to make use of
  MMIS as agency-wide payment system to the
  greatest extent possible (DSHS Enterprise
  Architecture)

8
ISB Staff Recommendations cont

• DSHS set firm dates for all deliverables and hold
  CNSI to those dates
• DSHS require CNSI to staff Collaborative
  Application Design (CAD) sessions with
  knowledgeable and experienced facilitators

9
Questions?

• Robin Arnold-Williams, DSHS Secretary
• Doug Porter, Assistant Secretary, Medical
  Assistance Administration (MAA)
• Heidi Robbins Brown, Deputy Assistant Secretary,
  MAA
• John Anderson, MMIS Project Manager
• Gena Cruciani, MMIS Deputy Project Manager