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Medicaid IT Architecture (MITA)
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Article Content
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| What it is |
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The Medicaid Information Technology Architecture (MITA) is a national initiative promulgated by the federal Centers for Medicare and Medicaid Services (CMS), that provides a framework and guidance to state Medicaid agencies as those agencies seek to improve business operations and supporting information technology.
The MITA initiative began in 2005 with the concept of moving the design and development of Medicaid information systems away from the typical siloed, sub-system components and moving to a Service Oriented Architecture (SOA) framework. This supports the core principle that business processes drive the implementation of business services. The MITA initiative produced an architecture framework – business, technical, and information - along with the MITA Maturity Model (MMM), which guides process improvements and the planning of technology and infrastructure build-outs to meet the changing business needs of Medicaid Programs.
In addition, CMS has recently issued regulations (CMS-2010-0251) that establish a set of standards and conditions that States must meet in order for Medicaid technology investments to be eligible for enhanced match funding. Medicaid technology investments include traditional claims processing systems, as well as eligibility systems.
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| What it means to Oregon |
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The MITA initiative starts by completing a MITA State Self-Assessment (SS-A), where the State uses the components of the MITA Business Architecture (BA) to establish current capabilities and maturity levels and to chose future levels of maturity as the targets for improvement. States will provide to CMS a MITA Maturity Model Roadmap that addresses goals and objectives, key activities and milestones, covering a 5 year outlook that anticipates the timing for full MITA maturity, with annual updates.
CMS intends to apply the new conditions and standards to each Medicaid technology investment, and each request will be viewed in light of existing, interrelated assets and their level of maturity. These conditions and standards apply to grants and other federal initiatives, as well as enhancements mandated by a States business needs.
Oregon has expanded the MITA SS-A to include the MITA-Behavioral Health business processes and intends to apply the assessment to all OHA Health Care Programs.
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| Why it is Important |
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CMS has recently issued regulations (CMS-2010-0251) that establish a set of standards and conditions that States must meet in order for Medicaid technology investments to be eligible for enhanced match funding. Medicaid technology investments include traditional claims processing systems, as well as eligibility systems.
In addition, the State Self-Assessment will provide OHA with the tools necessary to strategically plan the vision for future business processes and the IT infrastructure to support integration and transformation of Oregon’s Health Care Enterprise.
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| Resources |
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The links below provide more information on the MITA Project and related topics.
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