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HEALTH & HUMAN SERVICES

Technology Assessment for Ohio Benefits System

Technology Assessment for Ohio Benefits System

 

Ohio Integrated Eligibility (IE) and Business Intelligence (BI) project, referred to as Ohio Benefits, streamlines and simplifies eligibility and enrollment processes for Ohioans seeking to enroll in Medicaid. SNAP [Supplemental Nutrition Services Program] and TANF [Temporary Assistance to Families] programs. The Ohio Benefits system is co-managed by the Ohio Department of Administrative Services [DAS], Ohio Department of Medicaid (ODM), and Ohio Department of Job & Family Services (ODJFS).


Business Case

In the past, many of these individuals physically met with caseworkers for Eligibility applications processing. Currently, Ohio Benefits can determine eligibility and enroll individuals for Ohio Medicaid, SNAP, and TANF programs. The goal of the Ohio Benefits IE project was to create an eligibility system that is consumer-centric, easy to navigate, promotes care coordination, improves administrative efficiencies, and enhances the delivery of health care services that are specific to an individual’s needs.

With the system now operational, Ohio wanted an independent third-party assessment of the program to meet the following objectives:

  • Review program infrastructure. Document the risks due to physical hardware, system software version/configuration, availability, performance, and capacity. Provide recommendations to address infrastructure risks based on best practices and industry standards for each risk identified.
  • Review the program application. Document any risks due to design and code. Provide recommendations to address application risks based on best practices and industry standards for each risk identified.
  • Review the management of the program system, including new functionality implementation and run operations. Provide actionable recommendations to improve the system's operation based on best practices and industry standards for each risk identified.

The Solution

CMA has provided enterprise-level management consulting, technology assessment, and systems integration services to Health and Human Service state agencies since 1984. We’ve gained national recognition as an enterprise service provider for our public sector clients.

Among CMA’s premier implementations and ongoing operations and strategic enhancements clients over the past 10+ years has been the NYS Medicaid Data Warehouse (MDW), presently the largest MDW in the country. This was relevant to the Ohio Benefits IT Assessment project because the technology platforms and infrastructure is of a size and complexity comparable to the technologies and sizing needing assessments.

CMA’s experience with assessments and improvements to enterprise-level IT environments is unparalleled. We know the needs of a high-traffic, highly-secured, state HHS agency. So, Ohio chose us to do the technology assessments.


The Results

CMA is currently performing a comprehensive enterprise application, infrastructure, data, and operations assessment.

The discovery phase is complete. CMA explored and passed along an understanding of the existing system architecture, non-functional requirements, and current business and technical challenges in the systems.

 

Our team will comprehensively summarize each assessment area, detailing key observations and opportunities. Every observation will map to the business process’s potential impact. This mapping helps establish the findings of the assessment at all levels but also supports conclusive recommendations for agency consideration for present and continuous improvements that will promote a high-performance IT operating environment.

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