The below tables include the descriptions and links to documentation vendors can reference to understand additional details surrounding the Medicaid Modernization current-state and ongoing approach.
| Current-State Documentation |
|---|
| File Name | Description |
|---|---|
| Medicaid Guide | A consolidated source of MMIS information |
| DED - Listing Variants | A data dictionary of all data elements stored on the Agency's MMIS mainframe |
| DED - Valid Values | The reference data decode values for all coded elements in the Agency's MMIS mainframe |
| DSD - Provider | A design document describing the current functions of the Provider subsystem of the Agency's mainframe |
| Provider Master File Layout |
The copybook format of the provider master file, which is the format used to store the provider data in the MMIS system |
| Future-State Business Rule Examples |
|---|
| File Name | Description |
|---|---|
| BP001 | A sample process flow providing a potential solution example for the enrollment of a physician-type provider. This process flow provides a reference to the remaining example business rule specification documents |
| SPEC001 | Taxomony reference data and associated sample business rules |
| SPEC002 | The data dictionary of provider master file data elements and their definitions in spreadsheet form (also found in DED - Listing Variants and Provider Master File Layout) |
| SPEC003 | Sample business rules applied when processing new provider enrollment submissions |
| SPEC004 | Sample data validation rules for processing submitted provider enrollment application data |
| SPEC005 | Sample document upload validation rules |
| SPEC006 |
Sample provider enrollment submission actions proposed for automation upon provider application submission |
| Approved Federal Funding Documents |
|---|
| File Name | Description |
|---|---|
| MEME PAPD | The purpose of the Planning Advance Planning Document (PAPD) is to obtain prior approval from the Centers for Medicare and Medicaid Services (CMS) for enhanced Federal Financial Participation (FFP) for planning activities related to modernization of Iowa’s Medicaid Management Information System (MMIS). |
| Misc. Documents |
|---|
| File Name | Description |
|---|---|
| Providers Outcomes RFI | The request for information seeking input and feedback on MEME’s proposed provider outcomes approach. |
| The Game of MES Outcomes (PDF) |
A PDF version of The Game of MES Outcomes presented in the MESC poser session. |