August, 2012 – Volume XVII
Be sure to follow us on twitter and/or be sure to check our blog for any future updates AHS-DVHA blog (http://vermont-ahs-dvha.blogspot.com/) and twitter (@DVHAVermont).
The following efforts are underway within the Agency of Human Services (AHS) with significant management by the Department of Vermont Health Access (DVHA) and in particular, the Division of Health Reform (DHR):
· Vermont will be re-releasing the RFP for Eligibility and Enrollment Rules Writing assistance during the latter half of August.
· Vermont is currently evaluating the bids received for the RFP for analysis regarding Disassembling Health Care from ACCESS*
· Vermont continues to work on the design and build out of its Infrastructure along with planning on additional Scopes of Work (SOW) and RFPs to address the needs of our Health Services Enterprise supporting HIX, E&E, and MMIS components and functionality. Future RFPs will be released throughout calendar quarters 3 and 4, 2012. Some of these RFPs may include (or could be combined):
o Eligibility and Enrollment System (E&E) components
o Medicaid Enterprise Solution (MES) components
o Provider Management services that includes building of a Provider Directory
o Program Integrity needs (Data Warehouse and DSS Services)
Vermont staff will be attending the Medicaid Enterprise Systems (MES) Conference in Boston, MA (Aug. 19-23). Please engage and discuss opening your creative visions and new ideas as we continue the build out of our Health Services Enterprise. We are looking for partners that are innovators and visionaries and who have a desire to “roll up the sleeves” and work together on the abundance of great changes going on with Health Reform in VT.
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● The Division of Health Reform (DHR) is the unit within the Department of Vermont Health Access (DVHA) that is responsible for coordination and management of Health Reform activities. Members of this unit are now all located in the ground floor of DVHA offices at 289 Hurricane Lane, Williston, VT
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Vermont continues to work closely with CMS and other States on a variety of issues and levels. As identified in CMS’ Seven Standards and Conditions, we need services and processes that are flexible, scalable and can be leveraged/shared across boundaries. These services and processes can be integrated in a variety of ways to address the needs of the systems we currently refer to as “MMIS, VIEWS and HIX” but in the future are all part of our Health Enterprise Network. It is essential that we engage contractors who understand the enormous undertaking ahead of us and who grasp the interdependencies and intricacies of how we must proceed to be successful.
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RFPs related to DHR work can be viewed at:
Thank you.
*Glossary:
MES Medicaid Enterprise Solution
Replacement of Vermont’s Medicaid Management Information System (MMIS)
VIEWS Vermont’s Integrated Eligibility Workflow System (VIEWS)
Replacement of Vt’s ACCESS system – AHS’ legacy eligibility and enrollment system
HIX Health Insurance Exchange
Implementation of Vt’s Insurance Exchange as part of Affordable Care Act (ACA)
HIE Heath Information Exchange
Further expansion and build out of Vermont’s health information exchange
ACCESS Department for Children and Families’ eligibility and enrollment legacy system
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