The annual Medicaid Enterprise Systems Community (MESC) Conference brings together thought leaders from the public and private sectors to share ideas and information related to Medicaid systems and initiatives. Public Consulting Group (PCG) is a proud sponsor of MESC 2022. For over 35 years, PCG has been dedicated to one pursuit—providing solutions that matter. PCG offers services across the full lifecycle of your Medicaid modernization project. We look forward to engaging with state Medicaid agencies in discussions focused on the modernization journey.
What we’ll be up to this year at MESC!
Tennessee's Secret Sauce—Our Recipe for Seamless Vendor Partner Collaboration
Monday, August 15, 2022, 3:30PM, Room E220ABC
Speakers: Hugh Hale, TennCare CIO
David Rodriguez, KPMG Managing Director
Eva Taylor, NTT DATA Project Director
Mike Connors, Deloitte Account Executive
Mike Horowitz, Public Consulting Group Program Manager
Prakash Motagi, Gainwell Account General Manager
About the Session: TennCare works with over 20 vendor partners to continually modernize its MES systems. In order for this modernization to be successful, TennCare realized that everyone needed to share in a Core set of guiding principles or “Secret Sauce.”
The key ingredient of the Secret Sauce of the Secret Sauce is the Partner Summits which began in 2015. This panel discussion will provide tips on how to combine the other ingredients so that just the right combination of flavors come through. It will discuss how to store the sauce so that it is maintained at the proper temperature. Lastly, tips on how to create your own sauce in your State will be discussed.
The Multi-Vendor/Module Management track was selected because in a multi-vendor environment, creating a culture of One Team with One Logo all focused on One Goal can be almost impossible. This abstract will present an approach that has been matured over time in Tennessee. Some would say it is Tennessee's "Secret Sauce.”
Key takeaways:
1. How to create a One Team with One Logo focused on One Goal culture
2. Key activities for keeping this culture flourishing
Implementing and Managing EVV in a Multi-vendor Environment
Tuesday, August 16, 2022, 3:30 PM, Room E219 BC
Speakers: Rick Washabaugh, Cabinet of Health and Family Services, Commonwealth of Kentucky
John Hoffmann, Cabinet of Health and Family Services, Commonwealth of Kentucky
Jackie Phan, Public Consulting Group
About the Session: Implementing the Kentucky Electronic Visit Verification (EVV) module into the Kentucky Medicaid Enterprise System (MES) environment depended on multiple vendors. As a result, much work was needed to make the operational processes function smoothly. In addition, dealing with multiple vendors brought challenges to the EVV project. Therefore, multi-vendor management was key to the project’s success and cohesion across the MES.
Kentucky’s objective with EVV implementation was to sort out the main challenges and obstacles through the cooperation of vendors and work with them to improve these areas. Specifically, active engagement through the certification process required that we encourage communication, teamwork, and collaboration between our EVV, MMIS, Provider, Eligibility vendors, and other third-party EVV vendors. As a result, we achieved essential knowledge and understanding of working in a multi-vendor environment to carry forward as additional modules are procured and implemented.
Kentucky will discuss challenges, successes, and lessons learned in managing multiple vendors to implement the EVV module. This includes our approach to ensuring accountability from the EVV vendor where there were gray areas in the contract and our lessons learned.
Engaging Federal Partner Funding through a Multi-Operational APD to support State Agencies in Implementing integrated and Person-Centric Systems
Thursday, August 18, 2022, 10:00 AM, Room E219 BC
Speakers: Linda Gonzales, New Mexico
Joseph Tighe, New Mexico
Dawn Gelle, netlogx
About the Session: New Mexico is undertaking a transformational project enhancing technologies, processes, and delivery of services. Encompassing multiple projects, removing information-sharing barriers, transforming business processes, enabling a person-centered, outcomes-focused approach with data-driven and policy-first systems for providing support. Designed to provide a holistic 360° customer view allowing agencies to better meet customer's needs working proactively to improve population health for over 1.7 million recipients.
Integrating Medicaid, child support, child welfare, TANF, LIHEAP, and SNAP, along with New Mexico state programs, administered by four federal partners: ACF, OCSE, CMS, and FNS. A modular, flexible approach makes functionality available to departments and divisions on a rolling schedule as functionality completes—with full integration by 2026. In January 2022, New Mexico's IAPDU received formal approval for this unique blend of funding supporting multi-program and multi-agency collaborations.
New Mexico leveraged netlogx's assistance to manage the collaboration of state agencies, and/or departments within agencies responsible for programs within the project's vision. The state developed the IAPDU in a collaborative, efficient manner meeting state and federal requirements, while at the same time conveying the scope and schedule in sufficient detail to provide federal partners with the transparency needed to understand what aspects of the project they were being asked to fund.
Ensuring fair, accurate, and unduplicated funding was achieved by leveraging the ACF Cost Allocation Methodology tool. Supporting the budget, we developed a narrative structure breaking out functionality by module, program, state agency and/or department and federal agency. New Mexico organized multiple agencies and continually communicated together and with federal partners to obtain an approved multi-operational IAPDU.
Come visit us!
Visit us at Booth #525 to learn more about how PCG’s services can assist you across the full life cycle of your Medicaid modernization project. Get in touch with us below and we’ll find a time to connect at the conference.
What’s New at PCG!
- Learn more about PCG Certification Management (PCM) and the full spectrum of quality Information Technology (IT) services we provide our user base.
- See how PCG can assist you in testing and release management for your next large-scale system implementation.
Meet our team at MESC!
Sean Huse, Manager / Health
Sean Huse (MBA, CHFP), a Partner at Public Consulting Group, is an experienced health management consultant who focuses on financial management, strategic planning, policy analysis, information technology assessments, and management reporting for Medicaid agencies. He currently serves as the Center of Excellence (COE) lead for PCG’s Health Innovation, Policy, and Information Technology (HIPIT) unit. The HIPIT unit leads the firm’s national efforts in Health Delivery System Transformation, Health Policy, and Health Information Technology consulting. He has been working with Medicaid and Health and Human Services Agencies for more than 20 years.
Eugene (Geno) Astarita, Vice President / Technology Consulting
Geno Astarita serves as a vice president on the Technology Consulting team. In this role, Geno is responsible for software and application development project leadership and regulatory business requirements solutioning for largely Medicaid based, enterprise-wide, public-facing government sector projects. Geno has over 20 years of experience working with government clients in both the public and private sector at all levels, from municipalities to the federal government, across the U.S.
Tony Curatola, Manager of Information Technology / Health
Tony Curatola, a manager with PCG, currently leads the Health Information Technology (HIT) team within the PCG Health Practice Area. The HIT team leads the firm’s national efforts in Health information technology and works with state and government agencies, focusing on Medicaid, Insurance Exchanges, EHR and health information exchanges. The team offers project management, testing, IT strategy, requirements gathering, and vendor procurement services. Tony is a certified PMP, has more than 30 years of experience in the Information Systems industry with over 25 years in project management and 20 years in Medicaid.
Andrew Heaney, Associate Manager / Health
Areas of Expertise:
- HIE/HIT
- EHR Implementations
- Program/Project Management
- Procurement Support and Management
Brian Nagy, Vice President / Technology Consulting
Brian Nagy currently serves as a vice president on the Technology Consulting team. In this role, Brian leads multiple teams with focuses on delivering IV&V, project management, and federal certification support services, primarily within the Health and Human Services domain. Brian also serves as the Co-Chair of Technology Consulting’s Project Assurance Major Business Line and has led the IV&V Center of Excellence for the last six years.
Mark English, IT Project Manager / Health
Areas of Expertise:
- Program/Project Management
- Data Analytics
- Electronic Visit Verification (EVV)
Jackie Phan, IT Project Manager / Health
Areas of Expertise:
- Program/Project Management
- Data Analytics
- Electronic Visit Verification (EVV)
Rhonda Brinkoeter, Director / Technology Consulting
Areas of Expertise:
- Supporting Medicaid Eligibility and Enrollment Systems and Medicaid Management Information System Modernization Efforts
- Independent Verification and Validation (IV&V)
- Project Management
Mike Horowitz, Project Manager / Health
Areas of Expertise:
- Medicaid Enterprise Systems
- Program Management
- Vendor/Client relationship development and maintenance
- Quality Assurance
Ruben Ramos, Director / Technology Consulting
Areas of Expertise:
- Service: PMO, Feasibility Studies, IV&V
- Program: Healthcare, Child Support, Child Welfare, SNAP/TANF
Salil Shibad, Program Manager / Health
Areas of Expertise:
- Medicaid Enterprise Systems
- Program Management
- SBE Implementations
- Infrastructure Deployment
Sylvia Mitchem, Director / Technology Consulting
Areas of Expertise:
- Human, social, and nutrition services programs
- Independent Verification and Validation (IV&V)
- Quality Assurance (QA)
- Project Management
Bobby D’Olympio, Senior Consultant / Health
Areas of Expertise:
- Business Process Re-engineering
- Program/Project Management
- Release management
LeAnne Scott, Senior Advisor / Technology Consulting
Areas of Expertise:
- MES, MMIS, and E&E Implementations
- CMS Investment Life Cycle and Certification
- Program/Project Management
- Medicaid business operations
Kristie Marshall, Solutions Architect / Technology Consulting
Areas of Expertise:
- Medicare & Medicaid Services (CMS)
- Organizational Transformation & Change Leadership
- Solutions Architecture, Development and Analysis
- Project Management and Team Leadership
- Agile Management, Development and Analysis
- Enterprise Architecture, Planning and Development
- Information Technology Consulting and Management
Melissa Keagle, Senior Consultant / Health
Areas of Expertise:
- Business Process Re-engineering
- Program/Project Management
- Testing and Release Management
Robbie Barnes, Senior Analyst / Technology Consulting
Areas of Expertise:
- Independent Verification and Validation (IV&V)
- Quality Assurance (QA)
- Data Analytics
Suresh Nagarajan, Solutions Architect / Technology Consulting
Areas of Expertise:
- System and Application Integration Management
- Solution Architecture
- Technical IV&V Analysis
- Security Standards compliance
- Project Management
Jamila Crockett, Senior Consultant / Technology Consulting
Areas of Expertise:
- Managing Independent Verification and Validation (IV&V) Projects
- Leading PCG's Certification Management Center of Excellence and Outcomes Based (OBC) / Streamlined Modular Certification (SMC) Workgroup
- Advising large-scale Medicaid System Projects through Centers for Medicare & Medicaid Services (CMS) Certification processes
Jason Kelly, Senior Consultant / Technology Consulting
Areas of Expertise:
- CMS Certification (SMC/OBC)
- Medicaid Information Technology Architecture (MITA)
- MES Modular Strategic/Roadmap development
- Business Process Improvement
- Program Management/Business Analysis
- Claims/Encounters Operations
Heather Caldwell, Associate Manager / Health
Areas of Expertise:
- Cost Allocation
- Time Studies
- APDs
- Administrative Claiming
- System Development and Implementation
- Program Integrity