Medicaid Modernization Initiative Document Library

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.