MECL 07 - Appendix F - MITA eSelf Assessment Scorecard

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MECT / MECL 2016 Documentation Toolkit
Welcome_to_MECT_2016
MECL_01_-_Medicaid_Enterprise_Certification_Life_Cycle
MECL_02_-_Appendix_A_-_MECL_and_At_a_Glance_Sheets
MECL_03_-_Appendix_B_-_Required_Artifacts_List
MECL_04_-_Appendix_C_-_Std_IV&V_Language
MECL_05_-_Appendix_D_-_Certification_Progress_Report_Template
MECL_06_-_Appendix_E_-_MMIS_Concept_of_Operations_Template
MECL_07_-_Appendix_F_-_MITA_eSelf_Assessment_Scorecard
MECL_08_-_Appendix_G_-_2007_Criteria_to_2016_Checklist_Map
MECL_09_-_Appendix_H_-_Uniform_RFP_Guide
MECL_10_-_Appendix_I_-_MMIS_Certification_Request_Letter_Template
  • It is not advisable to use this page as a template... the authors of this wiki display this information for archival or informational purposes only ... download the original file from welcome to MECT 2016.
  • {sic} used when necessary.

Instructions

"Instructions for filling out the electronic State Self-Assessment (eSS-A) Scorecards (v0.4 April 2015): " • "This Workbook (aka eSS-A Scorecard Template) contains five tabs: Instructions (this tab), BA-Scorecard (Business Architecture), IA-Scorecard (Information Architecture), TA-Scorecard (Technical Architecture),and S&C for Medicaid IT -Scorecard (Standards and Conditions for Medicaid IT) " • "The tab names are fixed and should not be renamed. These are used by CMS for processing of the eSS-A Scorecards " • "When first opening a Scorecard tab, the appropriate Assessment Program and State should be set. This is done by clicking and selecting values in two (2) drop-down menus shown in Row 2 of each Scorecard tab. When a program is selected, the display will automatically update to show only the required rows (i.e. the required Business Areas for the selected Assessment Program)

        -   Assessment Program enables tailoring of the MITA Business Processes based on the scope of the SMA programs under assessment. There  are 15 MITA Business Processes identified that are related to the HITECH program, therefore 15 Business processes will automatically be displayed when HITECH is selected in the Assessment Program Drop-down menu. If the Assessment Program selected is Enterprise, then all 10 Business Areas and all 80 business processes will be displayed in the BA Worksheet"	

• "Complete the following columns for each worksheet: BA-Scorecard, columns D through I IA-Scorecard, columns C through F TA- Scorecard, columns D through G Standards and Condiotions{sic} for Medicaid IT -Scorecard, columns D through G " • The last two columns in each Scorecard tab contain formulas which automatically compute the "As-Is" and "To-Be" architecture Profiles as these values are entered by user " -     For more information on MITA Architecture Profiles, please refer to SS-A Companion Guide. " • Save the completed workbook when data entry is complete. Append state full name (or state abbreviation enclosed in parenthesis) to the file name when saving the workbook for identification (e.g. for the State of Utah, save file as Scorecard_Templates_Utah.xlsm or Scorecard_Templates_(UT).xlsm)

• "Send the completed Scorecards back to CMCS. "


Business Architecture Tables

Business Area Business Category Business Process Business Capability Question Business Capability Description/Quality Performance Measure Supporting Evidence Business Capability Level Assessment
As-Is To-Be As-Is To-Be Date
Business Relationship Management Standards Management BR01 Establish Business Relationship Is the process primarily manual or automatic? Business Capability Description
Business Relationship Management Standards Management BR01 Establish Business Relationship Does State Medicaid Agency use standards in the process? Business Capability Description
Business Relationship Management Standards Management BR01 Establish Business Relationship How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Business Relationship Management Standards Management BR01 Establish Business Relationship How timely is this end-to-end process? Timeliness of Process
Business Relationship Management Standards Management BR01 Establish Business Relationship How accurate is the information in the process? Data Access and Accuracy
Business Relationship Management Standards Management BR01 Establish Business Relationship How accessible is the information in the process? Data Access and Accuracy
Business Relationship Management Standards Management BR01 Establish Business Relationship What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Business Relationship Management Standards Management BR01 Establish Business Relationship How efficient is the process? Effort to Perform; Efficiency
Business Relationship Management Standards Management BR01 Establish Business Relationship How accurate are the results of the process? Accuracy of Process Results
Business Relationship Management Standards Management BR01 Establish Business Relationship Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Business Relationship Management Standards Management BR02 Manage Business Relationship Communication Is the process primarily manual or automatic? Business Capability Description
Business Relationship Management Standards Management BR02 Manage Business Relationship Communication Is communication linguistically, culturally, and competency appropriate? Business Capability Description
Business Relationship Management Standards Management BR02 Manage Business Relationship Communication Does State Medicaid Agency use standards in the process? Business Capability Description
Business Relationship Management Standards Management BR02 Manage Business Relationship Communication Does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Business Relationship Management Standards Management BR02 Manage Business Relationship Communication How timely is this end-to-end process? Timeliness of Process
Business Relationship Management Standards Management BR02 Manage Business Relationship Communication How accurate is the information in the process? Data Access and Accuracy
Business Relationship Management Standards Management BR02 Manage Business Relationship Communication How accessible is the information in the process? Data Access and Accuracy
Business Relationship Management Standards Management BR02 Manage Business Relationship Communication What is the cost to perform the process compared to the benefits of the results? Cost-Effectiveness
Business Relationship Management Standards Management BR02 Manage Business Relationship Communication How efficient is the process? Effort to Perform; Efficiency
Business Relationship Management Standards Management BR02 Manage Business Relationship Communication How accurate are the results of the process? Accuracy of Process Results
Business Relationship Management Standards Management BR02 Manage Business Relationship Communication Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Business Relationship Management Standards Management BR03 Manage Business Relationship Information Is the process primarily manual or automatic? Business Capability Description
Business Relationship Management Standards Management BR03 Manage Business Relationship Information Does State Medicaid Agency use standards in the process? Business Capability Description
Business Relationship Management Standards Management BR03 Manage Business Relationship Information Does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Business Relationship Management Standards Management BR03 Manage Business Relationship Information How timely is this end-to-end process? Timeliness of Process
Business Relationship Management Standards Management BR03 Manage Business Relationship Information How accurate is the information in the process? Data Access and Accuracy
Business Relationship Management Standards Management BR03 Manage Business Relationship Information How accessible is the information in the process? Data Access and Accuracy
Business Relationship Management Standards Management BR03 Manage Business Relationship Information What is the cost to perform the process compared to the benefits of the results? Cost-Effectiveness
Business Relationship Management Standards Management BR03 Manage Business Relationship Information How efficient is the process? Effort to Perform; Efficiency
Business Relationship Management Standards Management BR03 Manage Business Relationship Information How accurate are the results of the process? Accuracy of Process Results
Business Relationship Management Standards Management BR03 Manage Business Relationship Information Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Business Relationship Management Standards Management BR04 Terminate Business Relationship Is the process primarily manual or automatic? Business Capability Description
Business Relationship Management Standards Management BR04 Terminate Business Relationship Does State Medicaid Agency use standards in the process? Business Capability Description
Business Relationship Management Standards Management BR04 Terminate Business Relationship How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Business Relationship Management Standards Management BR04 Terminate Business Relationship How timely is this end-to-end process? Timeliness of Process
Business Relationship Management Standards Management BR04 Terminate Business Relationship How accurate is the information in the process? Data Access and Accuracy
Business Relationship Management Standards Management BR04 Terminate Business Relationship How accessible is the information in the process? Data Access and Accuracy
Business Relationship Management Standards Management BR04 Terminate Business Relationship What is the cost to perform the process compared to the benefits of the results? Cost-Effectiveness
Business Relationship Management Standards Management BR04 Terminate Business Relationship How efficient is the process? Effort to Perform; Efficiency
Business Relationship Management Standards Management BR04 Terminate Business Relationship How accurate are the results of the process? Accuracy of Process Results
Business Relationship Management Standards Management BR04 Terminate Business Relationship Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Care Management Case Management CM01 Establish Case Is the process primarily manual or automatic? Business Capability Description
Care Management Case Management CM01 Establish Case Does the State Medicaid Agency use standards in the process? Business Capability Description
Care Management Case Management CM01 Establish Case How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Care Management Case Management CM01 Establish Case How timely is this end-to-end process? Timeliness of Process
Care Management Case Management CM01 Establish Case How accurate is the information in the process? Data Access and Accuracy
Care Management Case Management CM01 Establish Case How accessible is the information in the process? Data Access and Accuracy
Care Management Case Management CM01 Establish Case What is the cost to perform the process compared to the benefits of the results? Cost-Effectiveness
Care Management Case Management CM01 Establish Case How efficient is the process? Effort to Perform; Efficiency
Care Management Case Management CM01 Establish Case How accurate are the results of the process? Accuracy of Process Results
Care Management Case Management CM01 Establish Case Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Care Management Case Management CM02 Manage Case Information Is the process primarily manual or automatic? Business Capability Description
Care Management Case Management CM02 Manage Case Information Does State Medicaid Agency use standards in the process? Business Capability Description
Care Management Case Management CM02 Manage Case Information How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Care Management Case Management CM02 Manage Case Information How timely is this end-to-end process? Timeliness of Process
Care Management Case Management CM02 Manage Case Information How accurate is the information in the process? Data Access and Accuracy
Care Management Case Management CM02 Manage Case Information How accessible is the information in the process? Data Access and Accuracy
Care Management Case Management CM02 Manage Case Information What is the cost to perform the process compared to the benefits of the results? Cost-Effectiveness
Care Management Case Management CM02 Manage Case Information How efficient is the process? Effort to Perform; Efficiency
Care Management Case Management CM02 Manage Case Information How accurate are the results of the process? Accuracy of Process Results
Care Management Case Management CM02 Manage Case Information Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Care Management Case Management CM03 Manage Population Health Outreach Is the process primarily manual or automatic? Business Capability Description
Care Management Case Management CM03 Manage Population Health Outreach Does the State Medicaid Agency use standards in the process? Business Capability Description
Care Management Case Management CM03 Manage Population Health Outreach How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Care Management Case Management CM03 Manage Population Health Outreach How timely is this end-to-end process? Timeliness of Process
Care Management Case Management CM03 Manage Population Health Outreach How accurate is the information in the process? Data Access and Accuracy
Care Management Case Management CM03 Manage Population Health Outreach How accessible is the information in the process? Data Access and Accuracy
Care Management Case Management CM03 Manage Population Health Outreach What is the cost to perform the process compared to the benefits of the results? Cost-Effectiveness
Care Management Case Management CM03 Manage Population Health Outreach How efficient is the process? Effort to Perform; Efficiency
Care Management Case Management CM03 Manage Population Health Outreach How accurate are the results of the process? Accuracy of Process Results
Care Management Case Management CM03 Manage Population Health Outreach Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Care Management Case Management CM04 Manage Registry Is the process primarily manual or automatic? Business Capability Description
Care Management Case Management CM04 Manage Registry Does the State Medicaid Agency use standards in the process? Business Capability Description
Care Management Case Management CM04 Manage Registry How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Care Management Case Management CM04 Manage Registry How timely is this end-to-end process? Timeliness of Process
Care Management Case Management CM04 Manage Registry How accurate is the information in the process? Data Access and Accuracy
Care Management Case Management CM04 Manage Registry How accessible is the information in the process? Data Access and Accuracy
Care Management Case Management CM04 Manage Registry What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Care Management Case Management CM04 Manage Registry How efficient is the process? Effort to Perform; Efficiency
Care Management Case Management CM04 Manage Registry How accurate are the results of the process? Accuracy of Process Results
Care Management Case Management CM04 Manage Registry Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Care Management Case Management CM05 Perform Screening and Assessment Is the process primarily manual or automatic? Business Capability Description
Care Management Case Management CM05 Perform Screening and Assessment Does the State Medicaid Agency use standards in the process? Business Capability Description
Care Management Case Management CM05 Perform Screening and Assessment How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Care Management Case Management CM05 Perform Screening and Assessment How timely is this end-to-end process? Timeliness of Process
Care Management Case Management CM05 Perform Screening and Assessment How accurate is the information in the process? Data Access and Accuracy
Care Management Case Management CM05 Perform Screening and Assessment How accessible is the information in the process? Data Access and Accuracy
Care Management Case Management CM05 Perform Screening and Assessment What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Care Management Case Management CM05 Perform Screening and Assessment How efficient is the process? Effort to Perform; Efficiency
Care Management Case Management CM05 Perform Screening and Assessment How accurate are the results of the process? Accuracy of Process Results
Care Management Case Management CM05 Perform Screening and Assessment Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Care Management Case Management CM06 Manage Treatment Plan and Outcomes Is the process primarily manual or automatic? Business Capability Description
Care Management Case Management CM06 Manage Treatment Plan and Outcomes Does the State Medicaid Agency use standards in the process? Business Capability Description
Care Management Case Management CM06 Manage Treatment Plan and Outcomes Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Care Management Case Management CM06 Manage Treatment Plan and Outcomes How timely is this end-to-end process? Timeliness of Process
Care Management Case Management CM06 Manage Treatment Plan and Outcomes How accurate is the information in the process? Data Access and Accuracy
Care Management Case Management CM06 Manage Treatment Plan and Outcomes How accessible is the information in the process? Data Access and Accuracy
Care Management Case Management CM06 Manage Treatment Plan and Outcomes What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Care Management Case Management CM06 Manage Treatment Plan and Outcomes How efficient is the process? Effort to Perform; Efficiency
Care Management Case Management CM06 Manage Treatment Plan and Outcomes How accurate are the results of the process? Accuracy of Process Results
Care Management Case Management CM06 Manage Treatment Plan and Outcomes Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Care Management Authorization Determination CM07 Authorize Referral Is the process primarily manual or automatic? Business Capability Description
Care Management Authorization Determination CM07 Authorize Referral Does the State Medicaid Agency use standards in the process? Business Capability Description
Care Management Authorization Determination CM07 Authorize Referral How easy is it to change the business rules of Authorize Referral? Business Capability Description
Care Management Authorization Determination CM07 Authorize Referral How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Care Management Authorization Determination CM07 Authorize Referral How timely is this end-to-end process? Timeliness of Process
Care Management Authorization Determination CM07 Authorize Referral How accurate is the information in the process? Data Access and Accuracy
Care Management Authorization Determination CM07 Authorize Referral How accessible is the information in the process? Data Access and Accuracy
Care Management Authorization Determination CM07 Authorize Referral What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Care Management Authorization Determination CM07 Authorize Referral How efficient is the process? Effort to Perform; Efficiency
Care Management Authorization Determination CM07 Authorize Referral How accurate are the results of the process? Accuracy of Process Results
Care Management Authorization Determination CM07 Authorize Referral Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Care Management Authorization Determination CM08 Authorize Service Is the process primarily manual or automatic? Business Capability Description
Care Management Authorization Determination CM08 Authorize Service Does the State Medicaid Agency use standards in the process? Business Capability Description
Care Management Authorization Determination CM08 Authorize Service How easy is it to change the business rules of Authorize Referral? Business Capability Description
Care Management Authorization Determination CM08 Authorize Service How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Care Management Authorization Determination CM08 Authorize Service How timely is this end-to-end process? Timeliness of Process
Care Management Authorization Determination CM08 Authorize Service How accurate is the information in the process? Data Access and Accuracy
Care Management Authorization Determination CM08 Authorize Service How accessible is the information in the process? Data Access and Accuracy
Care Management Authorization Determination CM08 Authorize Service What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Care Management Authorization Determination CM08 Authorize Service How efficient is the process? Effort to Perform; Efficiency
Care Management Authorization Determination CM08 Authorize Service How accurate are the results of the process? Accuracy of Process Results
Care Management Authorization Determination CM08 Authorize Service Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Care Management Authorization Determination CM09 Authorize Treatment Plan Is the process primarily manual or automatic? Business Capability Description
Care Management Authorization Determination CM09 Authorize Treatment Plan Does the State Medicaid Agency use standards in the process? Business Capability Description
Care Management Authorization Determination CM09 Authorize Treatment Plan How easy is it to change the business rules of Authorize Referral? Business Capability Description
Care Management Authorization Determination CM09 Authorize Treatment Plan How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Care Management Authorization Determination CM09 Authorize Treatment Plan How timely is this end-to-end process? Timeliness of Process
Care Management Authorization Determination CM09 Authorize Treatment Plan How accurate is the information in the process? Data Access and Accuracy
Care Management Authorization Determination CM09 Authorize Treatment Plan How accessible is the information in the process? Data Access and Accuracy
Care Management Authorization Determination CM09 Authorize Treatment Plan What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Care Management Authorization Determination CM09 Authorize Treatment Plan How efficient is the process? Effort to Perform; Efficiency
Care Management Authorization Determination CM09 Authorize Treatment Plan How accurate are the results of the process? Accuracy of Process Results
Care Management Authorization Determination CM09 Authorize Treatment Plan Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Contractor Management Contractor Information Management CO01 Manage Contractor Information Is the process primarily manual or automatic? Business Capability Description
Contractor Management Contractor Information Management CO01 Manage Contractor Information How is the information regarding the Contractor information validated? Business Capability Description
Contractor Management Contractor Information Management CO01 Manage Contractor Information Does the State Medicaid Agency use standards in the process? Business Capability Description
Contractor Management Contractor Information Management CO01 Manage Contractor Information How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Contractor Management Contractor Information Management CO01 Manage Contractor Information How timely is this end-to-end process? Timeliness of Process
Contractor Management Contractor Information Management CO01 Manage Contractor Information How accurate is the information in the process? Data Access and Accuracy
Contractor Management Contractor Information Management CO01 Manage Contractor Information How accessible is the information in the process? Data Access and Accuracy
Contractor Management Contractor Information Management CO01 Manage Contractor Information What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Contractor Management Contractor Information Management CO01 Manage Contractor Information How efficient is the process? Effort to Perform; Efficiency
Contractor Management Contractor Information Management CO01 Manage Contractor Information How accurate are the results of the process? Accuracy of Process Results
Contractor Management Contractor Information Management CO01 Manage Contractor Information Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Contractor Management Contractor Support CO02 Manage Contractor Communication Is the process primarily manual or automatic? Business Capability Description
Contractor Management Contractor Support CO02 Manage Contractor Communication Is communication linguistically, culturally, and competency appropriate? Business Capability Description
Contractor Management Contractor Support CO02 Manage Contractor Communication Does the State Medicaid Agency use standards in the process? Business Capability Description
Contractor Management Contractor Support CO02 Manage Contractor Communication How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Contractor Management Contractor Support CO02 Manage Contractor Communication How timely is this end-to-end process? Timeliness of Process
Contractor Management Contractor Support CO02 Manage Contractor Communication How accurate is the information in the process? Data Access and Accuracy
Contractor Management Contractor Support CO02 Manage Contractor Communication How accessible is the information in the process? Data Access and Accuracy
Contractor Management Contractor Support CO02 Manage Contractor Communication What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Contractor Management Contractor Support CO02 Manage Contractor Communication How efficient is the process? Effort to Perform; Efficiency
Contractor Management Contractor Support CO02 Manage Contractor Communication How accurate are the results of the process? Accuracy of Process Results
Contractor Management Contractor Support CO02 Manage Contractor Communication How satisfied are the stakeholders with the process? Utility or Value to Stakeholder
Contractor Management Contractor Support CO03 Perform Contractor Outreach Is the process primarily manual or automatic? Business Capability Description
Contractor Management Contractor Support CO03 Perform Contractor Outreach Is communication linguistically, culturally, and competency appropriate? Business Capability Description
Contractor Management Contractor Support CO03 Perform Contractor Outreach Does the State Medicaid Agency use standards in the process? Business Capability Description
Contractor Management Contractor Support CO03 Perform Contractor Outreach How formalized is the process? Business Capability Description
Contractor Management Contractor Support CO03 Perform Contractor Outreach How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Contractor Management Contractor Support CO03 Perform Contractor Outreach How timely is this end-to-end process? Timeliness of Process
Contractor Management Contractor Support CO03 Perform Contractor Outreach How accurate is the information in the process? Data Access and Accuracy
Contractor Management Contractor Support CO03 Perform Contractor Outreach How accessible is the information in the process? Data Access and Accuracy
Contractor Management Contractor Support CO03 Perform Contractor Outreach What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Contractor Management Contractor Support CO03 Perform Contractor Outreach How efficient is the process? Effort to Perform; Efficiency
Contractor Management Contractor Support CO03 Perform Contractor Outreach How accurate are the results of the process? Accuracy of Process Results
Contractor Management Contractor Support CO03 Perform Contractor Outreach How satisfied are the stakeholders with the process? Utility or Value to Stakeholder
Contractor Management Contractor Information Management CO04 Inquire Contractor Information Is the process primarily manual or automatic? Business Capability Description
Contractor Management Contractor Information Management CO04 Inquire Contractor Information Does the State Medicaid Agency use standards in the process? Business Capability Description
Contractor Management Contractor Information Management CO04 Inquire Contractor Information What information does the inquiry and response convey? Business Capability Description
Contractor Management Contractor Information Management CO04 Inquire Contractor Information How formalized is the process? Business Capability Description
Contractor Management Contractor Information Management CO04 Inquire Contractor Information How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Contractor Management Contractor Information Management CO04 Inquire Contractor Information How timely is this end-to-end process? Timeliness of Process
Contractor Management Contractor Information Management CO04 Inquire Contractor Information How accurate is the information in the process? Data Access and Accuracy
Contractor Management Contractor Information Management CO04 Inquire Contractor Information How accessible is the information in the process? Data Access and Accuracy
Contractor Management Contractor Information Management CO04 Inquire Contractor Information What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Contractor Management Contractor Information Management CO04 Inquire Contractor Information How efficient is the process? Effort to Perform; Efficiency
Contractor Management Contractor Information Management CO04 Inquire Contractor Information How accurate are the results of the process? Accuracy of Process Results
Contractor Management Contractor Information Management CO04 Inquire Contractor Information Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Contractor Management Contract Management CO05 Produce Solicitation How integrated or central is the process? Business Capability Description
Contractor Management Contract Management CO05 Produce Solicitation Is the process primarily manual or automatic? Business Capability Description
Contractor Management Contract Management CO05 Produce Solicitation What is the primary mechanism for publication of the solicitation and communication with potential respondents? Business Capability Description
Contractor Management Contract Management CO05 Produce Solicitation Does the State Medicaid Agency use standards in the process? Business Capability Description
Contractor Management Contract Management CO05 Produce Solicitation How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Contractor Management Contract Management CO05 Produce Solicitation How timely is this end-to-end process? Timeliness of Process
Contractor Management Contract Management CO05 Produce Solicitation How accurate is the information in the process? Data Access and Accuracy
Contractor Management Contract Management CO05 Produce Solicitation How accessible is the information in the process? Data Access and Accuracy
Contractor Management Contract Management CO05 Produce Solicitation What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Contractor Management Contract Management CO05 Produce Solicitation How efficient is the process? Effort to Perform; Efficiency
Contractor Management Contract Management CO05 Produce Solicitation How accurate are the results of the process? Accuracy of Process Results
Contractor Management Contract Management CO05 Produce Solicitation Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Contractor Management Contract Management CO06 Award Contract Is the process primarily manual or automatic? Business Capability Description
Contractor Management Contract Management CO06 Award Contract What is the primary mechanism for receipt of proposals and communication with respondents? Business Capability Description
Contractor Management Contract Management CO06 Award Contract Does the State Medicaid Agency use standards in the process? Business Capability Description
Contractor Management Contract Management CO06 Award Contract How does the State Medicaid Agency verify proposal information? Business Capability Description
Contractor Management Contract Management CO06 Award Contract How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Contractor Management Contract Management CO06 Award Contract How timely is this end-to-end process? Timeliness of Process
Contractor Management Contract Management CO06 Award Contract How accurate is the information available to the process? Data Access and Accuracy
Contractor Management Contract Management CO06 Award Contract How accessible is the information in the process? Data Access and Accuracy
Contractor Management Contract Management CO06 Award Contract What is the cost of the process compared to the benefits of its results? Cost-Effectiveness
Contractor Management Contract Management CO06 Award Contract How efficient is the process? Effort to Perform; Efficiency
Contractor Management Contract Management CO06 Award Contract How accurate are the results of the process? Accuracy of Process Results
Contractor Management Contract Management CO06 Award Contract Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Contractor Management Contract Management CO07 Manage Contract How integrated or central is the process? Business Capability Description
Contractor Management Contract Management CO07 Manage Contract Is the process primarily manual or automatic? Business Capability Description
Contractor Management Contract Management CO07 Manage Contract What is the primary mechanism for exchange of contract information? Business Capability Description
Contractor Management Contract Management CO07 Manage Contract Does the State Medicaid Agency use standards in the process? Business Capability Description
Contractor Management Contract Management CO07 Manage Contract How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Contractor Management Contract Management CO07 Manage Contract How timely is the end-to-end process? Timeliness of Process
Contractor Management Contract Management CO07 Manage Contract How accurate is the information in the process? Data Access and Accuracy
Contractor Management Contract Management CO07 Manage Contract How accessible is the information in the process? Data Access and Accuracy
Contractor Management Contract Management CO07 Manage Contract What is the cost of the process compared to the benefits of its results? Cost-Effectiveness
Contractor Management Contract Management CO07 Manage Contract How efficient is the process? Effort to Perform; Efficiency
Contractor Management Contract Management CO07 Manage Contract How accurate are the results of the process? Accuracy of Process Results
Contractor Management Contract Management CO07 Manage Contract Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Contractor Management Contract Management CO08 Close Out Contract How integrated or central is the process? Business Capability Description
Contractor Management Contract Management CO08 Close Out Contract Is the process primarily manual or automatic? Business Capability Description
Contractor Management Contract Management CO08 Close Out Contract What is the primary mechanism for exchange of contract information? Business Capability Description
Contractor Management Contract Management CO08 Close Out Contract Does the State Medicaid Agency use standards in the process? Business Capability Description
Contractor Management Contract Management CO08 Close Out Contract How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Contractor Management Contract Management CO08 Close Out Contract How timely is this end-to-end process? Timeliness of Process
Contractor Management Contract Management CO08 Close Out Contract How accurate is the information in the process? Data Access and Accuracy
Contractor Management Contract Management CO08 Close Out Contract How accessible is the information in the process? Data Access and Accuracy
Contractor Management Contract Management CO08 Close Out Contract What is the cost of the process compared to the benefits of its results? Cost-Effectiveness
Contractor Management Contract Management CO08 Close Out Contract How efficient is the process? Effort to Perform; Efficiency
Contractor Management Contract Management CO08 Close Out Contract How accurate are the results of the process? Accuracy of Process Results
Contractor Management Contract Management CO08 Close Out Contract Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Contractor Management Contractor Support CO09 Manage Contractor Grievance and Appeal Is the process primarily manual or automatic? Business Capability Description
Contractor Management Contractor Support CO09 Manage Contractor Grievance and Appeal How central is the grievance and appeals process? Business Capability Description
Contractor Management Contractor Support CO09 Manage Contractor Grievance and Appeal Do contractors know how to access the grievance and appeals process? Business Capability Description
Contractor Management Contractor Support CO09 Manage Contractor Grievance and Appeal How does the State Medicaid Agency manage the process? Business Capability Description
Contractor Management Contractor Support CO09 Manage Contractor Grievance and Appeal Does the State Medicaid Agency use standards in the process? Business Capability Description
Contractor Management Contractor Support CO09 Manage Contractor Grievance and Appeal How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Contractor Management Contractor Support CO09 Manage Contractor Grievance and Appeal How timely is this end-to-end process? Timeliness of Process
Contractor Management Contractor Support CO09 Manage Contractor Grievance and Appeal How accurate is the information in the process? Data Access and Accuracy
Contractor Management Contractor Support CO09 Manage Contractor Grievance and Appeal How accessible is the information in the process? Data Access and Accuracy
Contractor Management Contractor Support CO09 Manage Contractor Grievance and Appeal What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Contractor Management Contractor Support CO09 Manage Contractor Grievance and Appeal How efficient is the process? Effort to Perform; Efficiency
Contractor Management Contractor Support CO09 Manage Contractor Grievance and Appeal How accurate are the results of the process? Accuracy of Process Results
Contractor Management Contractor Support CO09 Manage Contractor Grievance and Appeal Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Eligibility and Enrollment Management Member Enrollment EE01 Determine Member Eligibility Is the process primarily manual or automatic? Business Capability Description
Eligibility and Enrollment Management Member Enrollment EE01 Determine Member Eligibility Does the State Medicaid Agency use standards in the process? Business Capability Description
Eligibility and Enrollment Management Member Enrollment EE01 Determine Member Eligibility How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Eligibility and Enrollment Management Member Enrollment EE01 Determine Member Eligibility How timely is this end-to-end process? Timeliness of Process
Eligibility and Enrollment Management Member Enrollment EE01 Determine Member Eligibility How accurate is the information in the process? Data Access and Accuracy
Eligibility and Enrollment Management Member Enrollment EE01 Determine Member Eligibility How accessible is the information in the process? Data Access and Accuracy
Eligibility and Enrollment Management Member Enrollment EE01 Determine Member Eligibility What is the ratio for the cost of eligibility determination compared to the value of the results? Cost-Effectiveness
Eligibility and Enrollment Management Member Enrollment EE01 Determine Member Eligibility How efficient is the process? Effort to Perform; Efficiency
Eligibility and Enrollment Management Member Enrollment EE01 Determine Member Eligibility How accurate are the results of the process? Accuracy of Process Results
Eligibility and Enrollment Management Member Enrollment EE01 Determine Member Eligibility How satisfied are the stakeholders? Utility or Value to Stakeholder
Eligibility and Enrollment Management Member Enrollment EE02 Enroll Member Is the process primarily manual or automated? Business Capability Description
Eligibility and Enrollment Management Member Enrollment EE02 Enroll Member Does the State Medicaid Agency use standards in the process? Business Capability Description
Eligibility and Enrollment Management Member Enrollment EE02 Enroll Member How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Eligibility and Enrollment Management Member Enrollment EE02 Enroll Member How timely is this end-to-end process? Timeliness of Process
Eligibility and Enrollment Management Member Enrollment EE02 Enroll Member How accurate is the information in the process? Data Access and Accuracy
Eligibility and Enrollment Management Member Enrollment EE02 Enroll Member How accessible is the information in the process? Data Access and Accuracy
Eligibility and Enrollment Management Member Enrollment EE02 Enroll Member What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Eligibility and Enrollment Management Member Enrollment EE02 Enroll Member How efficient is the process? Effort to Perform; Efficiency
Eligibility and Enrollment Management Member Enrollment EE02 Enroll Member How accurate are the results of the process? Accuracy of Process Results
Eligibility and Enrollment Management Member Enrollment EE02 Enroll Member How satisfied are the stakeholders? Utility or Value to Stakeholder
Eligibility and Enrollment Management Member Enrollment EE03 Disenroll Member Is the process primarily manual or automated? Business Capability Description
Eligibility and Enrollment Management Member Enrollment EE03 Disenroll Member Does the State Medicaid Agency use standards in the process? Business Capability Description
Eligibility and Enrollment Management Member Enrollment EE03 Disenroll Member How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Eligibility and Enrollment Management Member Enrollment EE03 Disenroll Member How timely is this end-to-end process? Timeliness of Process
Eligibility and Enrollment Management Member Enrollment EE03 Disenroll Member How accurate is the information in the process? Data Access and Accuracy
Eligibility and Enrollment Management Member Enrollment EE03 Disenroll Member How accessible is the information in the process? Data Access and Accuracy
Eligibility and Enrollment Management Member Enrollment EE03 Disenroll Member What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Eligibility and Enrollment Management Member Enrollment EE03 Disenroll Member How efficient is the process? Effort to Perform; Efficiency
Eligibility and Enrollment Management Member Enrollment EE03 Disenroll Member How accurate are the results of the process? Accuracy of Process Results
Eligibility and Enrollment Management Member Enrollment EE03 Disenroll Member How satisfied are the stakeholders? Utility or Value to Stakeholder
Eligibility and Enrollment Management Member Enrollment EE04 Inquire Member Eligibility Is the process primarily manual or automated? Business Capability Description
Eligibility and Enrollment Management Member Enrollment EE04 Inquire Member Eligibility Does the State Medicaid Agency use standards in the process? Business Capability Description
Eligibility and Enrollment Management Member Enrollment EE04 Inquire Member Eligibility How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Eligibility and Enrollment Management Member Enrollment EE04 Inquire Member Eligibility How timely is this end-to-end process? Timeliness of Process
Eligibility and Enrollment Management Member Enrollment EE04 Inquire Member Eligibility How accurate is the information in the process? Data Access and Accuracy
Eligibility and Enrollment Management Member Enrollment EE04 Inquire Member Eligibility How accessible is the information in the process? Data Access and Accuracy
Eligibility and Enrollment Management Member Enrollment EE04 Inquire Member Eligibility What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Eligibility and Enrollment Management Member Enrollment EE04 Inquire Member Eligibility How efficient is the process? Effort to Perform; Efficiency
Eligibility and Enrollment Management Member Enrollment EE04 Inquire Member Eligibility How accurate are the results of the process? Accuracy of Process Results
Eligibility and Enrollment Management Member Enrollment EE04 Inquire Member Eligibility How satisfied are the stakeholders? Utility or Value to Stakeholder
Eligibility and Enrollment Management Provider Enrollment EE05 Determine Provider Eligibility Does enrollment process meet state and federal regulations or policies? Business Capability Description
Eligibility and Enrollment Management Provider Enrollment EE05 Determine Provider Eligibility Is the process primarily manual or automatic? Business Capability Description
Eligibility and Enrollment Management Provider Enrollment EE05 Determine Provider Eligibility Does the State Medicaid Agency use standards in the process? Business Capability Description
Eligibility and Enrollment Management Provider Enrollment EE05 Determine Provider Eligibility Does the State Medicaid Agency use required screening requirements? Business Capability Description
Eligibility and Enrollment Management Provider Enrollment EE05 Determine Provider Eligibility What provider identifier is used? Business Capability Description
Eligibility and Enrollment Management Provider Enrollment EE05 Determine Provider Eligibility How does the State Medicaid Agency verify credentials (e.g., college degree, license, certification, NPI, Employer Identification Number (EIN), Social Security Number (SSN))? Business Capability Description
Eligibility and Enrollment Management Provider Enrollment EE05 Determine Provider Eligibility Is there a process for revalidation of credentials? Business Capability Description
Eligibility and Enrollment Management Provider Enrollment EE05 Determine Provider Eligibility How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Eligibility and Enrollment Management Provider Enrollment EE05 Determine Provider Eligibility How timely is the end-to-end process? Timeliness of Process
Eligibility and Enrollment Management Provider Enrollment EE05 Determine Provider Eligibility How accurate is the information in the process? Data Access and Accuracy
Eligibility and Enrollment Management Provider Enrollment EE05 Determine Provider Eligibility How accessible is the information in the process? Data Access and Accuracy
Eligibility and Enrollment Management Provider Enrollment EE05 Determine Provider Eligibility What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Eligibility and Enrollment Management Provider Enrollment EE05 Determine Provider Eligibility How efficient is the process? Effort to Perform; Efficiency
Eligibility and Enrollment Management Provider Enrollment EE05 Determine Provider Eligibility How accurate are the results of the process? Accuracy of Process Results
Eligibility and Enrollment Management Provider Enrollment EE05 Determine Provider Eligibility Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Eligibility and Enrollment Management Provider Enrollment EE06 Enroll Provider Does enrollment process meet state and federal regulations or policies? Business Capability Description
Eligibility and Enrollment Management Provider Enrollment EE06 Enroll Provider Is the process primarily manual or automatic? Business Capability Description
Eligibility and Enrollment Management Provider Enrollment EE06 Enroll Provider How does the applicant complete and submit the application? Business Capability Description
Eligibility and Enrollment Management Provider Enrollment EE06 Enroll Provider Does the State Medicaid Agency use standards in the process? Business Capability Description
Eligibility and Enrollment Management Provider Enrollment EE06 Enroll Provider How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Eligibility and Enrollment Management Provider Enrollment EE06 Enroll Provider How timely is the end-to-end process? Timeliness of Process
Eligibility and Enrollment Management Provider Enrollment EE06 Enroll Provider How accurate is the information in the process? Data Access and Accuracy
Eligibility and Enrollment Management Provider Enrollment EE06 Enroll Provider How accessible is the information in the process? Data Access and Accuracy
Eligibility and Enrollment Management Provider Enrollment EE06 Enroll Provider What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Eligibility and Enrollment Management Provider Enrollment EE06 Enroll Provider How efficient is the process? Effort to Perform; Efficiency
Eligibility and Enrollment Management Provider Enrollment EE06 Enroll Provider How accurate are the results of the process? Accuracy of Process Results
Eligibility and Enrollment Management Provider Enrollment EE06 Enroll Provider Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Eligibility and Enrollment Management Provider Enrollment EE07 Disenroll Provider Is the process primarily manual or automatic? Business Capability Description
Eligibility and Enrollment Management Provider Enrollment EE07 Disenroll Provider Does the State Medicaid Agency use standards in the process? Business Capability Description
Eligibility and Enrollment Management Provider Enrollment EE07 Disenroll Provider How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Eligibility and Enrollment Management Provider Enrollment EE07 Disenroll Provider How timely is this end-to-end process? Timeliness of Process
Eligibility and Enrollment Management Provider Enrollment EE07 Disenroll Provider How accurate is the information in the process? Data Access and Accuracy
Eligibility and Enrollment Management Provider Enrollment EE07 Disenroll Provider How accessible is the information in the process? Data Access and Accuracy
Eligibility and Enrollment Management Provider Enrollment EE07 Disenroll Provider What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Eligibility and Enrollment Management Provider Enrollment EE07 Disenroll Provider How efficient is the process? Effort to Perform; Efficiency
Eligibility and Enrollment Management Provider Enrollment EE07 Disenroll Provider How accurate are the results of the process? Accuracy of Process Results
Eligibility and Enrollment Management Provider Enrollment EE07 Disenroll Provider Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Eligibility and Enrollment Management Provider Enrollment EE08 Inquire Provider Information Is the process primarily manual or automatic? Business Capability Description
Eligibility and Enrollment Management Provider Enrollment EE08 Inquire Provider Information Does the State Medicaid Agency use standards in the process? Business Capability Description
Eligibility and Enrollment Management Provider Enrollment EE08 Inquire Provider Information How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Eligibility and Enrollment Management Provider Enrollment EE08 Inquire Provider Information How timely is the end-to-end process? Timeliness of Process
Eligibility and Enrollment Management Provider Enrollment EE08 Inquire Provider Information How accurate is the information in the process? Data Access and Accuracy
Eligibility and Enrollment Management Provider Enrollment EE08 Inquire Provider Information How accessible is the information in the process? Data Access and Accuracy
Eligibility and Enrollment Management Provider Enrollment EE08 Inquire Provider Information What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Eligibility and Enrollment Management Provider Enrollment EE08 Inquire Provider Information How efficient is the process? Effort to Perform; Efficiency
Eligibility and Enrollment Management Provider Enrollment EE08 Inquire Provider Information How accurate are the results of the process? Accuracy of Process Results
Eligibility and Enrollment Management Provider Enrollment EE08 Inquire Provider Information Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Financial Management Accounts Receivable Management FM01 Manage Provider Recoupment Is the process primarily manual or automatic? Business Capability Description
Financial Management Accounts Receivable Management FM01 Manage Provider Recoupment What is the mode of communication? Business Capability Description
Financial Management Accounts Receivable Management FM01 Manage Provider Recoupment How does the State Medicaid Agency requests recoupment of monies in third party liability situations requested? Business Capability Description
Financial Management Accounts Receivable Management FM01 Manage Provider Recoupment How integrated or central is the process? Business Capability Description
Financial Management Accounts Receivable Management FM01 Manage Provider Recoupment Does the State Medicaid Agency use standards in the process? Business Capability Description
Financial Management Accounts Receivable Management FM01 Manage Provider Recoupment How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Financial Management Accounts Receivable Management FM01 Manage Provider Recoupment How timely is this end-to-end process? Timeliness of Process
Financial Management Accounts Receivable Management FM01 Manage Provider Recoupment How accurate is the information in the process? Data Access and Accuracy
Financial Management Accounts Receivable Management FM01 Manage Provider Recoupment How accessible is the information in the process? Data Access and Accuracy
Financial Management Accounts Receivable Management FM01 Manage Provider Recoupment What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Financial Management Accounts Receivable Management FM01 Manage Provider Recoupment How efficient is the process? Effort to Perform; Efficiency
Financial Management Accounts Receivable Management FM01 Manage Provider Recoupment How accurate are the results of the process? Accuracy of Process Results
Financial Management Accounts Receivable Management FM01 Manage Provider Recoupment Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Financial Management Accounts Receivable Management FM02 Manage TPL Recovery Is the process primarily manual or automatic? Business Capability Description
Financial Management Accounts Receivable Management FM02 Manage TPL Recovery How does the State Medicaid Agency validate Third Party Liability (TPL) information? Business Capability Description
Financial Management Accounts Receivable Management FM02 Manage TPL Recovery How integrated is the process? Business Capability Description
Financial Management Accounts Receivable Management FM02 Manage TPL Recovery Does the State Medicaid Agency use standards in the process? Business Capability Description
Financial Management Accounts Receivable Management FM02 Manage TPL Recovery How does the State Medicaid Agency conduct coordination of benefits (COB)? Business Capability Description
Financial Management Accounts Receivable Management FM02 Manage TPL Recovery How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Financial Management Accounts Receivable Management FM02 Manage TPL Recovery How timely is the end-to-end process? Timeliness of Process
Financial Management Accounts Receivable Management FM02 Manage TPL Recovery How accurate is the information in the process? Data Access and Accuracy
Financial Management Accounts Receivable Management FM02 Manage TPL Recovery How accessible is the information in the process? Data Access and Accuracy
Financial Management Accounts Receivable Management FM02 Manage TPL Recovery What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Financial Management Accounts Receivable Management FM02 Manage TPL Recovery How efficient is the process? Effort to Perform; Efficiency
Financial Management Accounts Receivable Management FM02 Manage TPL Recovery How accurate are the results of the process? Accuracy of Process Results
Financial Management Accounts Receivable Management FM02 Manage TPL Recovery Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Financial Management Accounts Receivable Management FM03 Manage Estate Recovery Is the process primarily manual or automatic? Business Capability Description
Financial Management Accounts Receivable Management FM03 Manage Estate Recovery What is the media of communication with stakeholders involved in the recovery? Business Capability Description
Financial Management Accounts Receivable Management FM03 Manage Estate Recovery How integrated is the process? Business Capability Description
Financial Management Accounts Receivable Management FM03 Manage Estate Recovery Does the State Medicaid Agency use standards in the process? Business Capability Description
Financial Management Accounts Receivable Management FM03 Manage Estate Recovery How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Financial Management Accounts Receivable Management FM03 Manage Estate Recovery How timely is the end-to-end process? Note: Due to the variables involved in estate recovery process (i.e., wills, lawsuits, claims and other procedural steps inherent in the probate process), it is difficult to estimate the end-to-end timeline Timeliness of Process
Financial Management Accounts Receivable Management FM03 Manage Estate Recovery How accurate is the information in the process? Data Access and Accuracy
Financial Management Accounts Receivable Management FM03 Manage Estate Recovery What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Financial Management Accounts Receivable Management FM03 Manage Estate Recovery How efficient is the process? Effort to Perform; Efficiency
Financial Management Accounts Receivable Management FM03 Manage Estate Recovery How accurate are the results of the process? Accuracy of Process Results
Financial Management Accounts Receivable Management FM03 Manage Estate Recovery Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Financial Management Accounts Receivable Management FM04 Manage Drug Rebate Is the process primarily manual or automatic? Business Capability Description
Financial Management Accounts Receivable Management FM04 Manage Drug Rebate How integrated is the process? Business Capability Description
Financial Management Accounts Receivable Management FM04 Manage Drug Rebate Does the State Medicaid Agency use standards in the process? Business Capability Description
Financial Management Accounts Receivable Management FM04 Manage Drug Rebate How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Financial Management Accounts Receivable Management FM04 Manage Drug Rebate How timely is this end-to-end process? Timeliness of Process
Financial Management Accounts Receivable Management FM04 Manage Drug Rebate How accurate is the information in the process? Data Access and Accuracy
Financial Management Accounts Receivable Management FM04 Manage Drug Rebate How accessible is the information in the process? Data Access and Accuracy
Financial Management Accounts Receivable Management FM04 Manage Drug Rebate What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Financial Management Accounts Receivable Management FM04 Manage Drug Rebate How efficient is the process? Effort to Perform; Efficiency
Financial Management Accounts Receivable Management FM04 Manage Drug Rebate How accurate are the results of the process? Accuracy of Process Results
Financial Management Accounts Receivable Management FM04 Manage Drug Rebate Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Financial Management Accounts Receivable Management FM05 Manage Cost Settlement How integrated is the process? Business Capability Description
Financial Management Accounts Receivable Management FM05 Manage Cost Settlement Is the process primarily manual or automatic? Business Capability Description
Financial Management Accounts Receivable Management FM05 Manage Cost Settlement Does the State Medicaid Agency use standards in the process? Business Capability Description
Financial Management Accounts Receivable Management FM05 Manage Cost Settlement How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Financial Management Accounts Receivable Management FM05 Manage Cost Settlement How timely is this end-to-end process? Timeliness of Process
Financial Management Accounts Receivable Management FM05 Manage Cost Settlement How accurate is the information in the process? Data Access and Accuracy
Financial Management Accounts Receivable Management FM05 Manage Cost Settlement How accessible is the information in the process? Data Access and Accuracy
Financial Management Accounts Receivable Management FM05 Manage Cost Settlement What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Financial Management Accounts Receivable Management FM05 Manage Cost Settlement How efficient is the process? Effort to Perform; Efficiency
Financial Management Accounts Receivable Management FM05 Manage Cost Settlement How accurate are the results of the process? Accuracy of Process Results
Financial Management Accounts Receivable Management FM05 Manage Cost Settlement Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Financial Management Accounts Receivable Management FM06 Manage Accounts Receivable Information How integrated is the process? Business Capability Description
Financial Management Accounts Receivable Management FM06 Manage Accounts Receivable Information Is the process primarily manual or automatic? Business Capability Description
Financial Management Accounts Receivable Management FM06 Manage Accounts Receivable Information Does the State Medicaid Agency use standards in the process? Business Capability Description
Financial Management Accounts Receivable Management FM06 Manage Accounts Receivable Information How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Financial Management Accounts Receivable Management FM06 Manage Accounts Receivable Information How timely is this end-to-end process? Timeliness of Process
Financial Management Accounts Receivable Management FM06 Manage Accounts Receivable Information How accurate is the information in the process? Data Access and Accuracy
Financial Management Accounts Receivable Management FM06 Manage Accounts Receivable Information How accessible is the information in the process? Data Access and Accuracy
Financial Management Accounts Receivable Management FM06 Manage Accounts Receivable Information What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Financial Management Accounts Receivable Management FM06 Manage Accounts Receivable Information How efficient is the process? Effort to Perform; Efficiency
Financial Management Accounts Receivable Management FM06 Manage Accounts Receivable Information How accurate are the results of the process? Accuracy of Process Results
Financial Management Accounts Receivable Management FM06 Manage Accounts Receivable Information Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Financial Management Accounts Receivable Management FM07 Manage Accounts Receivable Funds Is the process primarily manual or automatic? Business Capability Description
Financial Management Accounts Receivable Management FM07 Manage Accounts Receivable Funds Does the State Medicaid Agency use standards in the process? Business Capability Description
Financial Management Accounts Receivable Management FM07 Manage Accounts Receivable Funds How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Financial Management Accounts Receivable Management FM07 Manage Accounts Receivable Funds How timely is this end-to-end process? Timeliness of Process
Financial Management Accounts Receivable Management FM07 Manage Accounts Receivable Funds How accurate is the information in the process? Data Access and Accuracy
Financial Management Accounts Receivable Management FM07 Manage Accounts Receivable Funds How accessible is the information in the process? Data Access and Accuracy
Financial Management Accounts Receivable Management FM07 Manage Accounts Receivable Funds What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Financial Management Accounts Receivable Management FM07 Manage Accounts Receivable Funds How efficient is the process? Effort to Perform; Efficiency
Financial Management Accounts Receivable Management FM07 Manage Accounts Receivable Funds How accurate are the results of the process? Accuracy of Process Results
Financial Management Accounts Receivable Management FM07 Manage Accounts Receivable Funds Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Financial Management Accounts Receivable Management FM08 Prepare Member Premium Invoice Is the process primarily manual or automatic? Business Capability Description
Financial Management Accounts Receivable Management FM08 Prepare Member Premium Invoice Does the State Medicaid Agency use standards in the process? Business Capability Description
Financial Management Accounts Receivable Management FM08 Prepare Member Premium Invoice How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Financial Management Accounts Receivable Management FM08 Prepare Member Premium Invoice How timely is this end-to-end process? Timeliness of Process
Financial Management Accounts Receivable Management FM08 Prepare Member Premium Invoice How accurate is the information in the process? Data Access and Accuracy
Financial Management Accounts Receivable Management FM08 Prepare Member Premium Invoice How accessible is the information in the process? Data Access and Accuracy
Financial Management Accounts Receivable Management FM08 Prepare Member Premium Invoice What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Financial Management Accounts Receivable Management FM08 Prepare Member Premium Invoice How efficient is the process? Effort to Perform; Efficiency
Financial Management Accounts Receivable Management FM08 Prepare Member Premium Invoice How accurate are the results of the process? Accuracy of Process Results
Financial Management Accounts Receivable Management FM08 Prepare Member Premium Invoice Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Financial Management Accounts Payable Management FM09 Manage Contractor Payment Is the process primarily manual or automatic? Business Capability Description
Financial Management Accounts Payable Management FM09 Manage Contractor Payment Does the State Medicaid Agency use standards in the process? Business Capability Description
Financial Management Accounts Payable Management FM09 Manage Contractor Payment How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Financial Management Accounts Payable Management FM09 Manage Contractor Payment How timely is this end-to-end process? Timeliness of Process
Financial Management Accounts Payable Management FM09 Manage Contractor Payment How accurate is the information in the process? Data Access and Accuracy
Financial Management Accounts Payable Management FM09 Manage Contractor Payment How accessible is the information in the process? Data Access and Accuracy
Financial Management Accounts Payable Management FM09 Manage Contractor Payment What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Financial Management Accounts Payable Management FM09 Manage Contractor Payment How efficient is the process? Effort to Perform; Efficiency
Financial Management Accounts Payable Management FM09 Manage Contractor Payment How accurate are the results of the process? Accuracy of Process Results
Financial Management Accounts Payable Management FM09 Manage Contractor Payment Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Financial Management Accounts Payable Management FM10 Manage Member Financial Participation Is the process primarily manual or automatic? Business Capability Description
Financial Management Accounts Payable Management FM10 Manage Member Financial Participation Does the State Medicaid Agency use standards in the process? Business Capability Description
Financial Management Accounts Payable Management FM10 Manage Member Financial Participation How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Financial Management Accounts Payable Management FM10 Manage Member Financial Participation How timely is the end-to-end process? Timeliness of Process
Financial Management Accounts Payable Management FM10 Manage Member Financial Participation How accurate is the information in the process? Data Access and Accuracy
Financial Management Accounts Payable Management FM10 Manage Member Financial Participation How accessible is the information in the process? Data Access and Accuracy
Financial Management Accounts Payable Management FM10 Manage Member Financial Participation What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Financial Management Accounts Payable Management FM10 Manage Member Financial Participation How efficient is the process? Effort to Perform; Efficiency
Financial Management Accounts Payable Management FM10 Manage Member Financial Participation How accurate are the results of the process? Accuracy of Process Results
Financial Management Accounts Payable Management FM10 Manage Member Financial Participation Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Financial Management Accounts Payable Management FM11 Manage Capitation Payment Is the process primarily manual or automatic? Business Capability Description
Financial Management Accounts Payable Management FM11 Manage Capitation Payment Does the State Medicaid Agency use standards in the process? Business Capability Description
Financial Management Accounts Payable Management FM11 Manage Capitation Payment What methodology does SMA use to prepare the Capitation Premium payments? Business Capability Description
Financial Management Accounts Payable Management FM11 Manage Capitation Payment How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Financial Management Accounts Payable Management FM11 Manage Capitation Payment How timely is this end-to-end process? Timeliness of Process
Financial Management Accounts Payable Management FM11 Manage Capitation Payment How accurate is the information in the process? Data Access and Accuracy
Financial Management Accounts Payable Management FM11 Manage Capitation Payment How accessible is the information in the process? Data Access and Accuracy
Financial Management Accounts Payable Management FM11 Manage Capitation Payment What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Financial Management Accounts Payable Management FM11 Manage Capitation Payment How efficient is the process? Effort to Perform; Efficiency
Financial Management Accounts Payable Management FM11 Manage Capitation Payment How accurate are the results of the process? Accuracy of Process Results
Financial Management Accounts Payable Management FM11 Manage Capitation Payment Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Financial Management Accounts Payable Management FM12 Manage Incentive Payment Is the process primarily manual or automatic? Business Capability Description
Financial Management Accounts Payable Management FM12 Manage Incentive Payment Does the State Medicaid Agency use standards in the process? Business Capability Description
Financial Management Accounts Payable Management FM12 Manage Incentive Payment How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Financial Management Accounts Payable Management FM12 Manage Incentive Payment How timely is this end-to-end process? Timeliness of Process
Financial Management Accounts Payable Management FM12 Manage Incentive Payment How accurate is the information in the process? Data Access and Accuracy
Financial Management Accounts Payable Management FM12 Manage Incentive Payment How accessible is the information in the process? Data Access and Accuracy
Financial Management Accounts Payable Management FM12 Manage Incentive Payment What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Financial Management Accounts Payable Management FM12 Manage Incentive Payment How efficient is the process? Effort to Perform; Efficiency
Financial Management Accounts Payable Management FM12 Manage Incentive Payment How accurate are the results of the process? Accuracy of Process Results
Financial Management Accounts Payable Management FM12 Manage Incentive Payment Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Financial Management Accounts Payable Management FM13 Manage Accounts Payable Information How integrated is the process? Business Capability Description
Financial Management Accounts Payable Management FM13 Manage Accounts Payable Information Is the process primarily manual or automatic? Business Capability Description
Financial Management Accounts Payable Management FM13 Manage Accounts Payable Information Does the State Medicaid Agency use standards in the process? Business Capability Description
Financial Management Accounts Payable Management FM13 Manage Accounts Payable Information What is the source of the information? Business Capability Description
Financial Management Accounts Payable Management FM13 Manage Accounts Payable Information How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Financial Management Accounts Payable Management FM13 Manage Accounts Payable Information How timely is this end-to-end process? Timeliness of Process
Financial Management Accounts Payable Management FM13 Manage Accounts Payable Information How accurate is the information in the process? Data Access and Accuracy
Financial Management Accounts Payable Management FM13 Manage Accounts Payable Information How accessible is the information in the process? Data Access and Accuracy
Financial Management Accounts Payable Management FM13 Manage Accounts Payable Information What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Financial Management Accounts Payable Management FM13 Manage Accounts Payable Information How efficient is the process? Effort to Perform; Efficiency
Financial Management Accounts Payable Management FM13 Manage Accounts Payable Information How accurate are the results of the process? Accuracy of Process Results
Financial Management Accounts Payable Management FM13 Manage Accounts Payable Information Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Financial Management Accounts Payable Management FM14 Manage Accounts Payable Disbursement What format does SMA use for payments? Business Capability Description
Financial Management Accounts Payable Management FM14 Manage Accounts Payable Disbursement Is the process primarily manual or automatic? Business Capability Description
Financial Management Accounts Payable Management FM14 Manage Accounts Payable Disbursement Does the State Medicaid Agency use standards in the process? Business Capability Description
Financial Management Accounts Payable Management FM14 Manage Accounts Payable Disbursement How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Financial Management Accounts Payable Management FM14 Manage Accounts Payable Disbursement How timely is this end-to-end process? Timeliness of Process
Financial Management Accounts Payable Management FM14 Manage Accounts Payable Disbursement How accurate is the information in the process? Data Access and Accuracy
Financial Management Accounts Payable Management FM14 Manage Accounts Payable Disbursement How accessible is the information in the process? Data Access and Accuracy
Financial Management Accounts Payable Management FM14 Manage Accounts Payable Disbursement What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Financial Management Accounts Payable Management FM14 Manage Accounts Payable Disbursement How efficient is the process? Effort to Perform; Efficiency
Financial Management Accounts Payable Management FM14 Manage Accounts Payable Disbursement How accurate are the results of the process? Accuracy of Process Results
Financial Management Accounts Payable Management FM14 Manage Accounts Payable Disbursement Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Financial Management Accounts Payable Management FM15 Manage 1099 Is the process primarily manual or automatic? Business Capability Description
Financial Management Accounts Payable Management FM15 Manage 1099 Does the State Medicaid Agency use standards in the process? Business Capability Description
Financial Management Accounts Payable Management FM15 Manage 1099 How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Financial Management Accounts Payable Management FM15 Manage 1099 How timely is this end-to-end process? Timeliness of Process
Financial Management Accounts Payable Management FM15 Manage 1099 How accurate is the information in the process? Data Access and Accuracy
Financial Management Accounts Payable Management FM15 Manage 1099 How accessible is the information in the process? Data Access and Accuracy
Financial Management Accounts Payable Management FM15 Manage 1099 What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Financial Management Accounts Payable Management FM15 Manage 1099 How efficient is the process? Effort to Perform; Efficiency
Financial Management Accounts Payable Management FM15 Manage 1099 How accurate are the results of the process? Accuracy of Process Results
Financial Management Accounts Payable Management FM15 Manage 1099 Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Financial Management Fiscal Management FM16 Formulate Budget Is the process primarily manual or automatic? Business Capability Description
Financial Management Fiscal Management FM16 Formulate Budget Does the State Medicaid Agency use standards in the process? Business Capability Description
Financial Management Fiscal Management FM16 Formulate Budget How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Financial Management Fiscal Management FM16 Formulate Budget How timely is this end-to-end process? Timeliness of Process
Financial Management Fiscal Management FM16 Formulate Budget How accurate is the information in the process? Data Access and Accuracy
Financial Management Fiscal Management FM16 Formulate Budget How accessible is the information in the process? Data Access and Accuracy
Financial Management Fiscal Management FM16 Formulate Budget What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Financial Management Fiscal Management FM16 Formulate Budget How efficient is the process? Effort to Perform; Efficiency
Financial Management Fiscal Management FM16 Formulate Budget How accurate are the results of the process? Accuracy of Process Results
Financial Management Fiscal Management FM16 Formulate Budget Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Financial Management Fiscal Management FM17 Manage Budget Information Is the process primarily manual or automatic? Business Capability Description
Financial Management Fiscal Management FM17 Manage Budget Information Does the State Medicaid Agency use standards in the process? Business Capability Description
Financial Management Fiscal Management FM17 Manage Budget Information How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Financial Management Fiscal Management FM17 Manage Budget Information How timely is this end-to-end process? Timeliness of Process
Financial Management Fiscal Management FM17 Manage Budget Information How accurate is the information in the process? Data Access and Accuracy
Financial Management Fiscal Management FM17 Manage Budget Information How accessible is the information in the process? Data Access and Accuracy
Financial Management Fiscal Management FM17 Manage Budget Information What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Financial Management Fiscal Management FM17 Manage Budget Information How efficient is the process? Effort to Perform; Efficiency
Financial Management Fiscal Management FM17 Manage Budget Information How accurate are the results of the process? Accuracy of Process Results
Financial Management Fiscal Management FM17 Manage Budget Information Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Financial Management Fiscal Management FM18 Manage Fund Is the process primarily manual or automatic? Business Capability Description
Financial Management Fiscal Management FM18 Manage Fund Does the State Medicaid Agency use standards in the process? Business Capability Description
Financial Management Fiscal Management FM18 Manage Fund How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Financial Management Fiscal Management FM18 Manage Fund How timely is this end-to-end process? Timeliness of Process
Financial Management Fiscal Management FM18 Manage Fund How accurate is the information in the process? Data Access and Accuracy
Financial Management Fiscal Management FM18 Manage Fund How accessible is the information in the process? Data Access and Accuracy
Financial Management Fiscal Management FM18 Manage Fund What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Financial Management Fiscal Management FM18 Manage Fund How efficient is the process? Effort to Perform; Efficiency
Financial Management Fiscal Management FM18 Manage Fund How accurate are the results of the process? Accuracy of Process Results
Financial Management Fiscal Management FM18 Manage Fund Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Financial Management Fiscal Management FM19 Generate Financial Report Is the process primarily manual or automatic? Business Capability Description
Financial Management Fiscal Management FM19 Generate Financial Report Does the State Medicaid Agency use standards in the process? Business Capability Description
Financial Management Fiscal Management FM19 Generate Financial Report How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Financial Management Fiscal Management FM19 Generate Financial Report How timely is this end-to-end process? Timeliness of Process
Financial Management Fiscal Management FM19 Generate Financial Report How accurate is the information in the process? Data Access and Accuracy
Financial Management Fiscal Management FM19 Generate Financial Report How accessible is the information in the process? Data Access and Accuracy
Financial Management Fiscal Management FM19 Generate Financial Report What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Financial Management Fiscal Management FM19 Generate Financial Report How efficient is the process? Effort to Perform; Efficiency
Financial Management Fiscal Management FM19 Generate Financial Report How accurate are the results of the process? Accuracy of Process Results
Financial Management Fiscal Management FM19 Generate Financial Report Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Member Management Member Support ME01 Manage Member Information (Under Development)
Member Management Member Support ME01 Manage Member Information (Under Development)
Member Management Member Support ME01 Manage Member Information (Under Development)
Member Management Member Support ME01 Manage Member Information (Under Development)
Member Management Member Support ME01 Manage Member Information (Under Development)
Member Management Member Support ME01 Manage Member Information (Under Development)
Member Management Member Support ME02 Manage Applicant and Member Communication (Under Development)
Member Management Member Support ME02 Manage Applicant and Member Communication (Under Development)
Member Management Member Support ME02 Manage Applicant and Member Communication (Under Development)
Member Management Member Support ME02 Manage Applicant and Member Communication (Under Development)
Member Management Member Support ME02 Manage Applicant and Member Communication (Under Development)
Member Management Member Support ME02 Manage Applicant and Member Communication (Under Development)
Member Management Member Support ME03 Perform Population and Member Outreach (Under Development)
Member Management Member Support ME03 Perform Population and Member Outreach (Under Development)
Member Management Member Support ME03 Perform Population and Member Outreach (Under Development)
Member Management Member Support ME03 Perform Population and Member Outreach (Under Development)
Member Management Member Support ME03 Perform Population and Member Outreach (Under Development)
Member Management Member Support ME03 Perform Population and Member Outreach (Under Development)
Member Management Member Support ME08 Manage Member Grievance and Appeal (Under Development)
Member Management Member Support ME08 Manage Member Grievance and Appeal (Under Development)
Member Management Member Support ME08 Manage Member Grievance and Appeal (Under Development)
Member Management Member Support ME08 Manage Member Grievance and Appeal (Under Development)
Member Management Member Support ME08 Manage Member Grievance and Appeal (Under Development)
Member Management Member Support ME08 Manage Member Grievance and Appeal (Under Development)
Operations Management Claims Adjudication OM04 Submit Electronic Attachment Is the process primarily manual or automatic? Business Capability Description
Operations Management Claims Adjudication OM04 Submit Electronic Attachment How is clinical information requested and received when this information is required to process a transaction (claim, service authorization request, treatment plan) or for other processes? Business Capability Description
Operations Management Claims Adjudication OM04 Submit Electronic Attachment Does the State Medicaid Agency use standards in the process? Business Capability Description
Operations Management Claims Adjudication OM04 Submit Electronic Attachment Does the clinical information accompany the transaction? Business Capability Description
Operations Management Claims Adjudication OM04 Submit Electronic Attachment Are validation activities manual or automatic? Business Capability Description
Operations Management Claims Adjudication OM04 Submit Electronic Attachment How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Operations Management Claims Adjudication OM04 Submit Electronic Attachment How timely is the end-to-end process? Timeliness of Process
Operations Management Claims Adjudication OM04 Submit Electronic Attachment How accurate is the information in the process? Timeliness of Process
Operations Management Claims Adjudication OM04 Submit Electronic Attachment How accessible is the information in the process? Data Access and Accuracy
Operations Management Claims Adjudication OM04 Submit Electronic Attachment What is the cost of the process compared to the benefits of its results? Cost-Effectiveness
Operations Management Claims Adjudication OM04 Submit Electronic Attachment How efficient is the process? Effort to Perform; Efficiency
Operations Management Claims Adjudication OM04 Submit Electronic Attachment How accurate are the results of the process? Accuracy of Process Results
Operations Management Claims Adjudication OM04 Submit Electronic Attachment Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Operations Management Claims Adjudication OM05 Apply Mass Adjustment Is the process primarily manual or automatic? Business Capability Description
Operations Management Claims Adjudication OM05 Apply Mass Adjustment How does the State Medicaid Agency identify claims affected by a mass adjustment? Business Capability Description
Operations Management Claims Adjudication OM05 Apply Mass Adjustment How does the State Medicaid Agency apply adjustment to the claims? Business Capability Description
Operations Management Claims Adjudication OM05 Apply Mass Adjustment Does the State Medicaid Agency use standards in the process? Business Capability Description
Operations Management Claims Adjudication OM05 Apply Mass Adjustment How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Operations Management Claims Adjudication OM05 Apply Mass Adjustment How timely is the end-to-end process? Timeliness of Process
Operations Management Claims Adjudication OM05 Apply Mass Adjustment How accurate is the information in the process? Data Access and Accuracy
Operations Management Claims Adjudication OM05 Apply Mass Adjustment How accessible is the information in the process? Data Access and Accuracy
Operations Management Claims Adjudication OM05 Apply Mass Adjustment What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Operations Management Claims Adjudication OM05 Apply Mass Adjustment How efficient is the process? Effort to Perform; Efficiency
Operations Management Claims Adjudication OM05 Apply Mass Adjustment How accurate are the results of the process? Accuracy of Process Results
Operations Management Claims Adjudication OM05 Apply Mass Adjustment Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Operations Management Claims Adjudication OM07 Process Claims Is the process primarily manual or automatic? Business Capability Description
Operations Management Claims Adjudication OM07 Process Claims Does the State Medicaid Agency use standards in the process? Business Capability Description
Operations Management Claims Adjudication OM07 Process Claims How integrated is the process? Business Capability Description
Operations Management Claims Adjudication OM07 Process Claims How easy is it to change edit business rules and criteria? Business Capability Description
Operations Management Claims Adjudication OM07 Process Claims How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Operations Management Claims Adjudication OM07 Process Claims How timely is this end-to-end process? Timeliness of Process
Operations Management Claims Adjudication OM07 Process Claims How accurate is the information in the process? Data Access and Accuracy
Operations Management Claims Adjudication OM07 Process Claims How accessible is the information in the process? Data Access and Accuracy
Operations Management Claims Adjudication OM07 Process Claims What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Operations Management Claims Adjudication OM07 Process Claims How efficient is the process? Effort to Perform; Efficiency
Operations Management Claims Adjudication OM07 Process Claims How accurate are the results of the process? Accuracy of Process Results
Operations Management Claims Adjudication OM07 Process Claims Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Operations Management Payment and Reporting OM14 Generate Remittance Advice Is the process primarily manual or automatic? Business Capability Description
Operations Management Payment and Reporting OM14 Generate Remittance Advice Does the State Medicaid Agency use standards in the process? Business Capability Description
Operations Management Payment and Reporting OM14 Generate Remittance Advice How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Operations Management Payment and Reporting OM14 Generate Remittance Advice How timely is this end-to-end process? Timeliness of Process
Operations Management Payment and Reporting OM14 Generate Remittance Advice How accurate is the information in the process? Data Access and Accuracy
Operations Management Payment and Reporting OM14 Generate Remittance Advice How accessible is the information in the process? Data Access and Accuracy
Operations Management Payment and Reporting OM14 Generate Remittance Advice What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Operations Management Payment and Reporting OM14 Generate Remittance Advice How efficient is the process? Effort to Perform; Efficiency
Operations Management Payment and Reporting OM14 Generate Remittance Advice How accurate are the results of the process? Accuracy of Process Results
Operations Management Payment and Reporting OM14 Generate Remittance Advice Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Operations Management Payment and Reporting OM18 Inquire Payment Status Is the process primarily manual or automatic? Business Capability Description
Operations Management Payment and Reporting OM18 Inquire Payment Status Does the State Medicaid Agency use standards in the process? Business Capability Description
Operations Management Payment and Reporting OM18 Inquire Payment Status How integrated is the process? Business Capability Description
Operations Management Payment and Reporting OM18 Inquire Payment Status How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Operations Management Payment and Reporting OM18 Inquire Payment Status How timely is this end-to-end process? Timeliness of Process
Operations Management Payment and Reporting OM18 Inquire Payment Status How accurate is the information in the process? Data Access and Accuracy
Operations Management Payment and Reporting OM18 Inquire Payment Status How accessible is the information in the process? Data Access and Accuracy
Operations Management Payment and Reporting OM18 Inquire Payment Status What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Operations Management Payment and Reporting OM18 Inquire Payment Status How efficient is the process? Effort to Perform; Efficiency
Operations Management Payment and Reporting OM18 Inquire Payment Status How accurate are the results of the process? Accuracy of Process Results
Operations Management Payment and Reporting OM18 Inquire Payment Status Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Operations Management Claims Adjudication OM20 Calculate Spend-Down Amount Is the process primarily manual or automatic? Business Capability Description
Operations Management Claims Adjudication OM20 Calculate Spend-Down Amount What methodology is used for managing spend down calculations? Business Capability Description
Operations Management Claims Adjudication OM20 Calculate Spend-Down Amount How does the member present proof that it has incurred and/or paid health care bills? Business Capability Description
Operations Management Claims Adjudication OM20 Calculate Spend-Down Amount How does the State Medicaid Agency track payments for health care bills? Business Capability Description
Operations Management Claims Adjudication OM20 Calculate Spend-Down Amount How does the agency determine that the member has met the spend-down target? Business Capability Description
Operations Management Claims Adjudication OM20 Calculate Spend-Down Amount How does the State Medicaid Agency transmit that the member has met spend-down requirements to the claims payment processes and the provider community? Business Capability Description
Operations Management Claims Adjudication OM20 Calculate Spend-Down Amount Does the State Medicaid Agency use standards in the process? Business Capability Description
Operations Management Claims Adjudication OM20 Calculate Spend-Down Amount How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Operations Management Claims Adjudication OM20 Calculate Spend-Down Amount How timely is this end-to-end process? Timeliness of Process
Operations Management Claims Adjudication OM20 Calculate Spend-Down Amount How accurate is the information in the process? Data Access and Accuracy
Operations Management Claims Adjudication OM20 Calculate Spend-Down Amount How accessible is the information in the process? Data Access and Accuracy
Operations Management Claims Adjudication OM20 Calculate Spend-Down Amount What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Operations Management Claims Adjudication OM20 Calculate Spend-Down Amount How efficient is the process? Effort to Perform; Efficiency
Operations Management Claims Adjudication OM20 Calculate Spend-Down Amount How accurate are the results of the process? Accuracy of Process Results
Operations Management Claims Adjudication OM20 Calculate Spend-Down Amount Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Operations Management Payment and Reporting OM27 Prepare Provider Payment Is the process primarily manual or automatic? Business Capability Description
Operations Management Payment and Reporting OM27 Prepare Provider Payment Does the State Medicaid Agency use standards in the process? Business Capability Description
Operations Management Payment and Reporting OM27 Prepare Provider Payment How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Operations Management Payment and Reporting OM27 Prepare Provider Payment How timely is this end-to-end process? Timeliness of Process
Operations Management Payment and Reporting OM27 Prepare Provider Payment How accurate is the information in the process? Data Access and Accuracy
Operations Management Payment and Reporting OM27 Prepare Provider Payment How accessible is the information in the process? Data Access and Accuracy
Operations Management Payment and Reporting OM27 Prepare Provider Payment What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Operations Management Payment and Reporting OM27 Prepare Provider Payment How efficient is the process? Effort to Perform; Efficiency
Operations Management Payment and Reporting OM27 Prepare Provider Payment How accurate are the results of the process? Accuracy of Process Results
Operations Management Payment and Reporting OM27 Prepare Provider Payment Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Operations Management Payment and Reporting OM28 Manage Data Is the process primarily manual or automatic? Business Capability Description
Operations Management Payment and Reporting OM28 Manage Data Does the State Medicaid Agency use standards in the process? Business Capability Description
Operations Management Payment and Reporting OM28 Manage Data How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Operations Management Payment and Reporting OM28 Manage Data How timely is this end-to-end process? Timeliness of Process
Operations Management Payment and Reporting OM28 Manage Data How accurate is the information in the process? Data Access and Accuracy
Operations Management Payment and Reporting OM28 Manage Data How accessible is the information in the process? Data Access and Accuracy
Operations Management Payment and Reporting OM28 Manage Data What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Operations Management Payment and Reporting OM28 Manage Data How efficient is the process? Effort to Perform; Efficiency
Operations Management Payment and Reporting OM28 Manage Data How accurate are the results of the process? Accuracy of Process Results
Operations Management Payment and Reporting OM28 Manage Data Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Operations Management Claims Adjudication OM29 Process Encounters Is the process primarily manual or automatic? Business Capability Description
Operations Management Claims Adjudication OM29 Process Encounters Does the State Medicaid Agency use standards in the process? Business Capability Description
Operations Management Claims Adjudication OM29 Process Encounters How integrated is the process? Business Capability Description
Operations Management Claims Adjudication OM29 Process Encounters How easy is it to change edit business rules and criteria? Business Capability Description
Operations Management Claims Adjudication OM29 Process Encounters How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Operations Management Claims Adjudication OM29 Process Encounters How timely is this end-to-end process? Timeliness of Process
Operations Management Claims Adjudication OM29 Process Encounters How accurate is the information in the process? Data Access and Accuracy
Operations Management Claims Adjudication OM29 Process Encounters How accessible is the information in the process? Data Access and Accuracy
Operations Management Claims Adjudication OM29 Process Encounters What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Operations Management Claims Adjudication OM29 Process Encounters How efficient is the process? Effort to Perform; Efficiency
Operations Management Claims Adjudication OM29 Process Encounters How accurate are the results of the process? Accuracy of Process Results
Operations Management Claims Adjudication OM29 Process Encounters Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Performance Management Compliance Management PE01 Identify Utilization Anomalies How integrated is the process? Business Capability Description
Performance Management Compliance Management PE01 Identify Utilization Anomalies Is the process primarily manual or automatic? Business Capability Description
Performance Management Compliance Management PE01 Identify Utilization Anomalies Does the State Medicaid Agency use standards in the process? Business Capability Description
Performance Management Compliance Management PE01 Identify Utilization Anomalies How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Performance Management Compliance Management PE01 Identify Utilization Anomalies How timely is the end-to-end process? Timeliness of Process
Performance Management Compliance Management PE01 Identify Utilization Anomalies How accurate is the information in the process? Data Access and Accuracy
Performance Management Compliance Management PE01 Identify Utilization Anomalies How accessible is the information in the process? Data Access and Accuracy
Performance Management Compliance Management PE01 Identify Utilization Anomalies What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Performance Management Compliance Management PE01 Identify Utilization Anomalies How efficient is the process? Effort to Perform; Efficiency
Performance Management Compliance Management PE01 Identify Utilization Anomalies How accurate are the results of the process? Accuracy of Process Results
Performance Management Compliance Management PE01 Identify Utilization Anomalies Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Performance Management Compliance Management PE02 Establish Compliance Incident How integrated or central is the process? Business Capability Description
Performance Management Compliance Management PE02 Establish Compliance Incident Is the process primarily manual or automatic? Business Capability Description
Performance Management Compliance Management PE02 Establish Compliance Incident Does the State Medicaid Agency use standards in the process? Business Capability Description
Performance Management Compliance Management PE02 Establish Compliance Incident How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Performance Management Compliance Management PE02 Establish Compliance Incident How timely is the end-to-end process? Timeliness of Process
Performance Management Compliance Management PE02 Establish Compliance Incident How accurate is the information in the process? Data Access and Accuracy
Performance Management Compliance Management PE02 Establish Compliance Incident How accessible is the information in the process? Data Access and Accuracy
Performance Management Compliance Management PE02 Establish Compliance Incident What is the cost of the process compared to the benefits of its results? Cost-Effectiveness
Performance Management Compliance Management PE02 Establish Compliance Incident How efficient is the process? Effort to Perform; Efficiency
Performance Management Compliance Management PE02 Establish Compliance Incident How accurate are the results of the process? Accuracy of Process Results
Performance Management Compliance Management PE02 Establish Compliance Incident Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Performance Management Compliance Management PE03 Manage Compliance Incident Information How integrated or central is the process? Business Capability Description
Performance Management Compliance Management PE03 Manage Compliance Incident Information Is the process primarily manual or automatic? Business Capability Description
Performance Management Compliance Management PE03 Manage Compliance Incident Information Does the State Medicaid Agency use standards in the process? Business Capability Description
Performance Management Compliance Management PE03 Manage Compliance Incident Information How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Performance Management Compliance Management PE03 Manage Compliance Incident Information How timely is the end-to-end process? Timeliness of Process
Performance Management Compliance Management PE03 Manage Compliance Incident Information How accurate is the information in the process? Data Access and Accuracy
Performance Management Compliance Management PE03 Manage Compliance Incident Information How accessible is the information in the process? Data Access and Accuracy
Performance Management Compliance Management PE03 Manage Compliance Incident Information What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Performance Management Compliance Management PE03 Manage Compliance Incident Information How efficient is the process? Effort to Perform; Efficiency
Performance Management Compliance Management PE03 Manage Compliance Incident Information How accurate are the results of the process? Accuracy of Process Results
Performance Management Compliance Management PE03 Manage Compliance Incident Information Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Performance Management Compliance Management PE04 Determine Adverse Action Incident How integrated or central is the process? Business Capability Description
Performance Management Compliance Management PE04 Determine Adverse Action Incident Is the process primarily manual or automatic? Business Capability Description
Performance Management Compliance Management PE04 Determine Adverse Action Incident Does the State Medicaid Agency use standards in the process? Business Capability Description
Performance Management Compliance Management PE04 Determine Adverse Action Incident How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Performance Management Compliance Management PE04 Determine Adverse Action Incident How timely is the end-to-end process? Timeliness of Process
Performance Management Compliance Management PE04 Determine Adverse Action Incident How accurate is the information in the process? Data Access and Accuracy
Performance Management Compliance Management PE04 Determine Adverse Action Incident How accessible is the information in the process? Data Access and Accuracy
Performance Management Compliance Management PE04 Determine Adverse Action Incident What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Performance Management Compliance Management PE04 Determine Adverse Action Incident How efficient is the process? Effort to Perform; Efficiency
Performance Management Compliance Management PE04 Determine Adverse Action Incident How accurate are the results of the process? Accuracy of Process Results
Performance Management Compliance Management PE04 Determine Adverse Action Incident Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Performance Management Compliance Management PE05 Prepare REOMB Is the process primarily manual or automatic? Business Capability Description
Performance Management Compliance Management PE05 Prepare REOMB Does the State Medicaid Agency use standards in the process? Business Capability Description
Performance Management Compliance Management PE05 Prepare REOMB If sampling is used, what sampling algorithm is used? Business Capability Description
Performance Management Compliance Management PE05 Prepare REOMB Is communication linguistically, culturally, and competency appropriate? Business Capability Description
Performance Management Compliance Management PE05 Prepare REOMB How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Performance Management Compliance Management PE05 Prepare REOMB How timely is the end-to-end process? Timeliness of Process
Performance Management Compliance Management PE05 Prepare REOMB How accurate is the information in the process? Data Access and Accuracy
Performance Management Compliance Management PE05 Prepare REOMB What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Performance Management Compliance Management PE05 Prepare REOMB How efficient is the process? Effort to Perform; Efficiency
Performance Management Compliance Management PE05 Prepare REOMB How accurate are the results of the process? Accuracy of Process Results
Performance Management Compliance Management PE05 Prepare REOMB Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Plan Management Plan Administration PL01 Develop Agency Goals and Objectives Is the process primarily manual or automatic? Business Capability Description
Plan Management Plan Administration PL01 Develop Agency Goals and Objectives How adaptable is the process to change? Business Capability Description
Plan Management Plan Administration PL01 Develop Agency Goals and Objectives Are goals and objectives traceable throughout the organization? Business Capability Description
Plan Management Plan Administration PL01 Develop Agency Goals and Objectives Does the State Medicaid Agency use standards in the process? Business Capability Description
Plan Management Plan Administration PL01 Develop Agency Goals and Objectives How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Plan Management Plan Administration PL01 Develop Agency Goals and Objectives How timely is the end-to-end process? Timeliness of Process
Plan Management Plan Administration PL01 Develop Agency Goals and Objectives How accurate is the information in the process? Data Access and Accuracy
Plan Management Plan Administration PL01 Develop Agency Goals and Objectives How accessible is the information in the process? Data Access and Accuracy
Plan Management Plan Administration PL01 Develop Agency Goals and Objectives What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Plan Management Plan Administration PL01 Develop Agency Goals and Objectives How efficient is the process? Effort to Perform; Efficiency
Plan Management Plan Administration PL01 Develop Agency Goals and Objectives How accurate are the results of the process? Accuracy of Process Results
Plan Management Plan Administration PL01 Develop Agency Goals and Objectives Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Plan Management Plan Administration PL02 Maintain Program Policy Is the process primarily manual or automatic? Business Capability Description
Plan Management Plan Administration PL02 Maintain Program Policy How adaptable is the process to change? Business Capability Description
Plan Management Plan Administration PL02 Maintain Program Policy Are policies traceable throughout the organization? Business Capability Description
Plan Management Plan Administration PL02 Maintain Program Policy Does the State Medicaid Agency use standards in the process? Business Capability Description
Plan Management Plan Administration PL02 Maintain Program Policy How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Plan Management Plan Administration PL02 Maintain Program Policy How timely is the end-to-end process? Timeliness of Process
Plan Management Plan Administration PL02 Maintain Program Policy How accurate is the information in the process? Data Access and Accuracy
Plan Management Plan Administration PL02 Maintain Program Policy How accessible is the information in the process? Data Access and Accuracy
Plan Management Plan Administration PL02 Maintain Program Policy What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Plan Management Plan Administration PL02 Maintain Program Policy How efficient is the process? Effort to Perform; Efficiency
Plan Management Plan Administration PL02 Maintain Program Policy How accurate are the results of the process? Accuracy of Process Results
Plan Management Plan Administration PL02 Maintain Program Policy Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Plan Management Plan Administration PL03 Maintain State Plan Is the process primarily manual or automatic? Business Capability Description
Plan Management Plan Administration PL03 Maintain State Plan How adaptable is the process to change? Business Capability Description
Plan Management Plan Administration PL03 Maintain State Plan Is Medicaid State Plan traceable throughout the organization? Business Capability Description
Plan Management Plan Administration PL03 Maintain State Plan Does the State Medicaid Agency use standards in the process? Business Capability Description
Plan Management Plan Administration PL03 Maintain State Plan How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Plan Management Plan Administration PL03 Maintain State Plan How timely is the end-to-end process? Timeliness of Process
Plan Management Plan Administration PL03 Maintain State Plan How accurate is the information in the process? Data Access and Accuracy
Plan Management Plan Administration PL03 Maintain State Plan How accessible is the information in the process? Data Access and Accuracy
Plan Management Plan Administration PL03 Maintain State Plan What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Plan Management Plan Administration PL03 Maintain State Plan How efficient is the process? Effort to Perform; Efficiency
Plan Management Plan Administration PL03 Maintain State Plan How accurate are the results of the process? Accuracy of Process Results
Plan Management Plan Administration PL03 Maintain State Plan Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Plan Management Health Plan Administration PL04 Manage Health Plan Information Is the process primarily manual or automatic? Business Capability Description
Plan Management Health Plan Administration PL04 Manage Health Plan Information Does the State Medicaid Agency use standards in the process? Business Capability Description
Plan Management Health Plan Administration PL04 Manage Health Plan Information How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Plan Management Health Plan Administration PL04 Manage Health Plan Information How timely is this end-to-end process? Timeliness of Process
Plan Management Health Plan Administration PL04 Manage Health Plan Information How accurate is the information in the process? Data Access and Accuracy
Plan Management Health Plan Administration PL04 Manage Health Plan Information How accessible is the information in the process? Data Access and Accuracy
Plan Management Health Plan Administration PL04 Manage Health Plan Information What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Plan Management Health Plan Administration PL04 Manage Health Plan Information How efficient is the process? Effort to Perform; Efficiency
Plan Management Health Plan Administration PL04 Manage Health Plan Information How accurate are the results of the process? Accuracy of Process Results
Plan Management Health Plan Administration PL04 Manage Health Plan Information Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Plan Management Health Plan Administration PL05 Manage Performance Measures Is the process primarily manual or automatic? Business Capability Description
Plan Management Health Plan Administration PL05 Manage Performance Measures Does the State Medicaid Agency use standards in the process? Business Capability Description
Plan Management Health Plan Administration PL05 Manage Performance Measures Does the State Medicaid Agency use Plan of Action with Milestones (POAM)? Business Capability Description
Plan Management Health Plan Administration PL05 Manage Performance Measures How does the State Medicaid Agency publish performance measures? Business Capability Description
Plan Management Health Plan Administration PL05 Manage Performance Measures How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Plan Management Health Plan Administration PL05 Manage Performance Measures How timely is this end-to-end process? Timeliness of Process
Plan Management Health Plan Administration PL05 Manage Performance Measures How accurate is the information in the process? Data Access and Accuracy
Plan Management Health Plan Administration PL05 Manage Performance Measures How accessible is the information in the process? Data Access and Accuracy
Plan Management Health Plan Administration PL05 Manage Performance Measures What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Plan Management Health Plan Administration PL05 Manage Performance Measures How efficient is the process? Effort to Perform; Efficiency
Plan Management Health Plan Administration PL05 Manage Performance Measures How accurate are the results of the process? Accuracy of Process Results
Plan Management Health Plan Administration PL05 Manage Performance Measures Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Plan Management Health Plan Administration PL06 Manage Health Benefit Information Is the process primarily manual or automatic? Business Capability Description
Plan Management Health Plan Administration PL06 Manage Health Benefit Information Does the State Medicaid Agency use standards in the process? Business Capability Description
Plan Management Health Plan Administration PL06 Manage Health Benefit Information How flexible are the contents of the health benefit package? Business Capability Description
Plan Management Health Plan Administration PL06 Manage Health Benefit Information How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Plan Management Health Plan Administration PL06 Manage Health Benefit Information How timely is the end-to-end process? Timeliness of Process
Plan Management Health Plan Administration PL06 Manage Health Benefit Information How accurate is the information in the process? Data Access and Accuracy
Plan Management Health Plan Administration PL06 Manage Health Benefit Information How accessible is the information in the process? Data Access and Accuracy
Plan Management Health Plan Administration PL06 Manage Health Benefit Information What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Plan Management Health Plan Administration PL06 Manage Health Benefit Information How efficient is the process? Effort to Perform; Efficiency
Plan Management Health Plan Administration PL06 Manage Health Benefit Information How accurate are the results of the process? Accuracy of Process Results
Plan Management Health Plan Administration PL06 Manage Health Benefit Information Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Plan Management Health Plan Administration PL07 Manage Reference Information Is the process primarily manual or automatic? Business Capability Description
Plan Management Health Plan Administration PL07 Manage Reference Information Does the State Medicaid Agency use standards in the process? Business Capability Description
Plan Management Health Plan Administration PL07 Manage Reference Information How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Plan Management Health Plan Administration PL07 Manage Reference Information How timely is this end-to-end process? Timeliness of Process
Plan Management Health Plan Administration PL07 Manage Reference Information How accurate is the information in the process? Data Access and Accuracy
Plan Management Health Plan Administration PL07 Manage Reference Information How accessible is the information in the process? Data Access and Accuracy
Plan Management Health Plan Administration PL07 Manage Reference Information What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Plan Management Health Plan Administration PL07 Manage Reference Information How efficient is the process? Effort to Perform; Efficiency
Plan Management Health Plan Administration PL07 Manage Reference Information How accurate are the results of the process? Accuracy of Process Results
Plan Management Health Plan Administration PL07 Manage Reference Information Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Plan Management Health Plan Administration PL08 Manage Rate Setting Is the process primarily manual or automatic? Business Capability Description
Plan Management Health Plan Administration PL08 Manage Rate Setting Does the State Medicaid Agency use standards in the process? Business Capability Description
Plan Management Health Plan Administration PL08 Manage Rate Setting How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Plan Management Health Plan Administration PL08 Manage Rate Setting How timely is the end-to-end process? Timeliness of Process
Plan Management Health Plan Administration PL08 Manage Rate Setting How accurate is the information in the process? Data Access and Accuracy
Plan Management Health Plan Administration PL08 Manage Rate Setting How accessible is the information in the process? Data Access and Accuracy
Plan Management Health Plan Administration PL08 Manage Rate Setting What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Plan Management Health Plan Administration PL08 Manage Rate Setting How efficient is the process? Effort to Perform; Efficiency
Plan Management Health Plan Administration PL08 Manage Rate Setting How accurate are the results of the process? Accuracy of Process Results
Plan Management Health Plan Administration PL08 Manage Rate Setting Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Provider Management Provider Information Management PM01 Manage Provider Information Is the process primarily manual or automatic? Business Capability Description
Provider Management Provider Information Management PM01 Manage Provider Information How does the State Medicaid Agency validate application information? Business Capability Description
Provider Management Provider Information Management PM01 Manage Provider Information Does the State Medicaid Agency use standards in the process? Business Capability Description
Provider Management Provider Information Management PM01 Manage Provider Information How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Provider Management Provider Information Management PM01 Manage Provider Information How timely is the end-to-end process? Timeliness of Process
Provider Management Provider Information Management PM01 Manage Provider Information How accurate is the information in the process? Data Access and Accuracy
Provider Management Provider Information Management PM01 Manage Provider Information How accessible is the information in the process? Data Access and Accuracy
Provider Management Provider Information Management PM01 Manage Provider Information What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Provider Management Provider Information Management PM01 Manage Provider Information How efficient is the process? Effort to Perform; Efficiency
Provider Management Provider Information Management PM01 Manage Provider Information How accurate are the results of the process? Accuracy of Process Results
Provider Management Provider Information Management PM01 Manage Provider Information Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Provider Management Provider Support PM02 Manage Provider Communication Is the process primarily manual or automatic? Business Capability Description
Provider Management Provider Support PM02 Manage Provider Communication Is communication linguistically, culturally, and competency appropriate? Business Capability Description
Provider Management Provider Support PM02 Manage Provider Communication Does the State Medicaid Agency use standards in the process? Business Capability Description
Provider Management Provider Support PM02 Manage Provider Communication How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Provider Management Provider Support PM02 Manage Provider Communication How timely is the end-to-end process? Timeliness of Process
Provider Management Provider Support PM02 Manage Provider Communication How accurate is the information in the process? Data Access and Accuracy
Provider Management Provider Support PM02 Manage Provider Communication How accessible is the information in the process? Data Access and Accuracy
Provider Management Provider Support PM02 Manage Provider Communication What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Provider Management Provider Support PM02 Manage Provider Communication How efficient is the process? Effort to Perform; Efficiency
Provider Management Provider Support PM02 Manage Provider Communication How accurate are the results of the process? Accuracy of Process Results
Provider Management Provider Support PM02 Manage Provider Communication Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Provider Management Provider Support PM03 Perform Provider Outreach Is the process manual or automatic? Business Capability Description
Provider Management Provider Support PM03 Perform Provider Outreach Is communication linguistically, culturally, and competency appropriate? Business Capability Description
Provider Management Provider Support PM03 Perform Provider Outreach Does the State Medicaid Agency use standards in the process? Business Capability Description
Provider Management Provider Support PM03 Perform Provider Outreach How formalized is the process? Business Capability Description
Provider Management Provider Support PM03 Perform Provider Outreach How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Provider Management Provider Support PM03 Perform Provider Outreach How timely is the end-to-end process? Timeliness of Process
Provider Management Provider Support PM03 Perform Provider Outreach How accurate is the information in the process? Data Access and Accuracy
Provider Management Provider Support PM03 Perform Provider Outreach How accessible is the information in the process? Data Access and Accuracy
Provider Management Provider Support PM03 Perform Provider Outreach What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Provider Management Provider Support PM03 Perform Provider Outreach How efficient is the process? Effort to Perform; Efficiency
Provider Management Provider Support PM03 Perform Provider Outreach How accurate are the results of the process? Accuracy of Process Results
Provider Management Provider Support PM03 Perform Provider Outreach Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Provider Management Provider Support PM07 Manage Provider Grievance and Appeal Is the process primarily manual or automatic? Business Capability Description
Provider Management Provider Support PM07 Manage Provider Grievance and Appeal How central is the grievance and appeals process? Business Capability Description
Provider Management Provider Support PM07 Manage Provider Grievance and Appeal Do providers know how to access the grievance and appeals process? Business Capability Description
Provider Management Provider Support PM07 Manage Provider Grievance and Appeal How does the State Medicaid Agency manage the process? Business Capability Description
Provider Management Provider Support PM07 Manage Provider Grievance and Appeal Does the State Medicaid Agency use standards in the process? Business Capability Description
Provider Management Provider Support PM07 Manage Provider Grievance and Appeal How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Provider Management Provider Support PM07 Manage Provider Grievance and Appeal How timely is the end-to-end process? Timeliness of Process
Provider Management Provider Support PM07 Manage Provider Grievance and Appeal How accurate is the information in the process? Data Access and Accuracy
Provider Management Provider Support PM07 Manage Provider Grievance and Appeal How accessible is the information required for the process? Data Access and Accuracy
Provider Management Provider Support PM07 Manage Provider Grievance and Appeal What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Provider Management Provider Support PM07 Manage Provider Grievance and Appeal How efficient is the process? Effort to Perform; Efficiency
Provider Management Provider Support PM07 Manage Provider Grievance and Appeal How accurate are the results of the process? Accuracy of Process Results
Provider Management Provider Support PM07 Manage Provider Grievance and Appeal Does the business process satisfy stakeholders? Utility or Value to Stakeholder
Provider Management Provider Information Management PM08 Terminate Provider Is the process primarily manual or automatic? Business Capability Description
Provider Management Provider Information Management PM08 Terminate Provider Does the State Medicaid Agency use standards in the process? Business Capability Description
Provider Management Provider Information Management PM08 Terminate Provider How does the State Medicaid Agency collaborate with other agencies or entities in performing the process? Business Capability Description
Provider Management Provider Information Management PM08 Terminate Provider How timely is this end-to-end process? Timeliness of Process
Provider Management Provider Information Management PM08 Terminate Provider How accurate is the information in the process? Data Access and Accuracy
Provider Management Provider Information Management PM08 Terminate Provider How accessible is the information in the process? Data Access and Accuracy
Provider Management Provider Information Management PM08 Terminate Provider What is the cost of the process compared to the benefits of the results? Cost-Effectiveness
Provider Management Provider Information Management PM08 Terminate Provider How efficient is the process? Effort to Perform; Efficiency
Provider Management Provider Information Management PM08 Terminate Provider How accurate are the results of the process? Accuracy of Process Results
Provider Management Provider Information Management PM08 Terminate Provider Does the business process satisfy stakeholders? Utility or Value to Stakeholder

Information Architecture Tables

Business Area IA Component Name Supporting Evidence Component Capability Level Assessment
As-Is To-Be Date
Business Relationship Management Data Management
Business Relationship Management Conceptual Data Model
Business Relationship Management Logical Data Model
Business Relationship Management Data Standards
Care Management Data Management
Care Management Conceptual Data Model
Care Management Logical Data Model
Care Management Data Standards
Contractor Management Data Management
Contractor Management Conceptual Data Model
Contractor Management Logical Data Model
Contractor Management Data Standards
Eligibility and Enrollment Management Data Management
Eligibility and Enrollment Management Conceptual Data Model
Eligibility and Enrollment Management Logical Data Model
Eligibility and Enrollment Management Data Standards
Financial Management Data Management
Financial Management Conceptual Data Model
Financial Management Logical Data Model
Financial Management Data Standards
Member Management Data Management
Member Management Conceptual Data Model
Member Management Logical Data Model
Member Management Data Standards
Operations Management Data Management
Operations Management Conceptual Data Model
Operations Management Logical Data Model
Operations Management Data Standards
Performance Management Data Management
Performance Management Conceptual Data Model
Performance Management Logical Data Model
Performance Management Data Standards
Plan Management Data Management
Plan Management Conceptual Data Model
Plan Management Logical Data Model
Plan Management Data Standards
Provider Management Data Management
Provider Management Conceptual Data Model
Provider Management Logical Data Model
Provider Management Data Standards

Technical Architecture Scorecards

Business Area Technical Service Area Technical Service Classification Supporting Evidence Technical Service Level Assessment
As-Is To-Be Date
Business Relationship Management Access and Delivery Client Support
Business Relationship Management Access and Delivery Business Intelligence
Business Relationship Management Access and Delivery Forms and Reporting
Business Relationship Management Access and Delivery Performance Measurement
Business Relationship Management Access and Delivery Security and Privacy
Business Relationship Management Intermediary and Interface Business Process Management
Business Relationship Management Intermediary and Interface Relationship Management
Business Relationship Management Intermediary and Interface Data Connectivity
Business Relationship Management Intermediary and Interface Service-Oriented Architecture
Business Relationship Management Intermediary and Interface System Extensibility
Business Relationship Management Integration and Utility Configuration Management
Business Relationship Management Integration and Utility Data Access & Management
Business Relationship Management Integration and Utility Decision Management
Business Relationship Management Integration and Utility Logging
Business Relationship Management Integration and Utility Utility
Care Management Access and Delivery Client Support
Care Management Access and Delivery Business Intelligence
Care Management Access and Delivery Forms and Reporting
Care Management Access and Delivery Performance Measurement
Care Management Access and Delivery Security and Privacy
Care Management Intermediary and Interface Business Process Management
Care Management Intermediary and Interface Relationship Management
Care Management Intermediary and Interface Data Connectivity
Care Management Intermediary and Interface Service-Oriented Architecture
Care Management Intermediary and Interface System Extensibility
Care Management Integration and Utility Configuration Management
Care Management Integration and Utility Data Access & Management
Care Management Integration and Utility Decision Management
Care Management Integration and Utility Logging
Care Management Integration and Utility Utility
Contractor Management Access and Delivery Client Support
Contractor Management Access and Delivery Business Intelligence
Contractor Management Access and Delivery Forms and Reporting
Contractor Management Access and Delivery Performance Measurement
Contractor Management Access and Delivery Security and Privacy
Contractor Management Intermediary and Interface Business Process Management
Contractor Management Intermediary and Interface Relationship Management
Contractor Management Intermediary and Interface Data Connectivity
Contractor Management Intermediary and Interface Service-Oriented Architecture
Contractor Management Intermediary and Interface System Extensibility
Contractor Management Integration and Utility Configuration Management
Contractor Management Integration and Utility Data Access & Management
Contractor Management Integration and Utility Decision Management
Contractor Management Integration and Utility Logging
Contractor Management Integration and Utility Utility
Eligibility and Enrollment Management Access and Delivery Client Support
Eligibility and Enrollment Management Access and Delivery Business Intelligence
Eligibility and Enrollment Management Access and Delivery Forms and Reporting
Eligibility and Enrollment Management Access and Delivery Performance Measurement
Eligibility and Enrollment Management Access and Delivery Security and Privacy
Eligibility and Enrollment Management Intermediary and Interface Business Process Management
Eligibility and Enrollment Management Intermediary and Interface Relationship Management
Eligibility and Enrollment Management Intermediary and Interface Data Connectivity
Eligibility and Enrollment Management Intermediary and Interface Service-Oriented Architecture
Eligibility and Enrollment Management Intermediary and Interface System Extensibility
Eligibility and Enrollment Management Integration and Utility Configuration Management
Eligibility and Enrollment Management Integration and Utility Data Access & Management
Eligibility and Enrollment Management Integration and Utility Decision Management
Eligibility and Enrollment Management Integration and Utility Logging
Eligibility and Enrollment Management Integration and Utility Utility
Financial Management Access and Delivery Client Support
Financial Management Access and Delivery Business Intelligence
Financial Management Access and Delivery Forms and Reporting
Financial Management Access and Delivery Performance Measurement
Financial Management Access and Delivery Security and Privacy
Financial Management Intermediary and Interface Business Process Management
Financial Management Intermediary and Interface Relationship Management
Financial Management Intermediary and Interface Data Connectivity
Financial Management Intermediary and Interface Service-Oriented Architecture
Financial Management Intermediary and Interface System Extensibility
Financial Management Integration and Utility Configuration Management
Financial Management Integration and Utility Data Access & Management
Financial Management Integration and Utility Decision Management
Financial Management Integration and Utility Logging
Financial Management Integration and Utility Utility
Member Management Access and Delivery Client Support
Member Management Access and Delivery Business Intelligence
Member Management Access and Delivery Forms and Reporting
Member Management Access and Delivery Performance Measurement
Member Management Access and Delivery Security and Privacy
Member Management Intermediary and Interface Business Process Management
Member Management Intermediary and Interface Relationship Management
Member Management Intermediary and Interface Data Connectivity
Member Management Intermediary and Interface Service-Oriented Architecture
Member Management Intermediary and Interface System Extensibility
Member Management Integration and Utility Configuration Management
Member Management Integration and Utility Data Access & Management
Member Management Integration and Utility Decision Management
Member Management Integration and Utility Logging
Member Management Integration and Utility Utility
Operations Management Access and Delivery Client Support
Operations Management Access and Delivery Business Intelligence
Operations Management Access and Delivery Forms and Reporting
Operations Management Access and Delivery Performance Measurement
Operations Management Access and Delivery Security and Privacy
Operations Management Intermediary and Interface Business Process Management
Operations Management Intermediary and Interface Relationship Management
Operations Management Intermediary and Interface Data Connectivity
Operations Management Intermediary and Interface Service-Oriented Architecture
Operations Management Intermediary and Interface System Extensibility
Operations Management Integration and Utility Configuration Management
Operations Management Integration and Utility Data Access & Management
Operations Management Integration and Utility Decision Management
Operations Management Integration and Utility Logging
Operations Management Integration and Utility Utility
Performance Management Access and Delivery Client Support
Performance Management Access and Delivery Business Intelligence
Performance Management Access and Delivery Forms and Reporting
Performance Management Access and Delivery Performance Measurement
Performance Management Access and Delivery Security and Privacy
Performance Management Intermediary and Interface Business Process Management
Performance Management Intermediary and Interface Relationship Management
Performance Management Intermediary and Interface Data Connectivity
Performance Management Intermediary and Interface Service-Oriented Architecture
Performance Management Intermediary and Interface System Extensibility
Performance Management Integration and Utility Configuration Management
Performance Management Integration and Utility Data Access & Management
Performance Management Integration and Utility Decision Management
Performance Management Integration and Utility Logging
Performance Management Integration and Utility Utility
Plan Management Access and Delivery Client Support
Plan Management Access and Delivery Business Intelligence
Plan Management Access and Delivery Forms and Reporting
Plan Management Access and Delivery Performance Measurement
Plan Management Access and Delivery Security and Privacy
Plan Management Intermediary and Interface Business Process Management
Plan Management Intermediary and Interface Relationship Management
Plan Management Intermediary and Interface Data Connectivity
Plan Management Intermediary and Interface Service-Oriented Architecture
Plan Management Intermediary and Interface System Extensibility
Plan Management Integration and Utility Configuration Management
Plan Management Integration and Utility Data Access & Management
Plan Management Integration and Utility Decision Management
Plan Management Integration and Utility Logging
Plan Management Integration and Utility Utility
Provider Management Access and Delivery Client Support
Provider Management Access and Delivery Business Intelligence
Provider Management Access and Delivery Forms and Reporting
Provider Management Access and Delivery Performance Measurement
Provider Management Access and Delivery Security and Privacy
Provider Management Intermediary and Interface Business Process Management
Provider Management Intermediary and Interface Relationship Management
Provider Management Intermediary and Interface Data Connectivity
Provider Management Intermediary and Interface Service-Oriented Architecture
Provider Management Intermediary and Interface System Extensibility
Provider Management Integration and Utility Configuration Management
Provider Management Integration and Utility Data Access & Management
Provider Management Integration and Utility Decision Management
Provider Management Integration and Utility Logging
Provider Management Integration and Utility Utility

Seven Standards and Conditions Scorecard

Business Area 7 Standards and Conditions Type Of Architecture Supporting Evidence 7SC Capability Level Assessment
As-Is To-Be Date
Business Relationship Management Modularity Standard Business Architecture
Business Relationship Management Modularity Standard Information Architecture
Business Relationship Management Modularity Standard Technical Architecture
Business Relationship Management MITA Condition Business Architecture
Business Relationship Management MITA Condition Information Architecture
Business Relationship Management MITA Condition Technical Architecture
Business Relationship Management Industry Standards Condition Business Architecture
Business Relationship Management Industry Standards Condition Information Architecture
Business Relationship Management Industry Standards Condition Technical Architecture
Business Relationship Management Leverage Condition Business Architecture
Business Relationship Management Leverage Condition Information Architecture
Business Relationship Management Leverage Condition Technical Architecture
Business Relationship Management Business Results Condition Business Architecture
Business Relationship Management Business Results Condition Information Architecture
Business Relationship Management Business Results Condition Technical Architecture
Business Relationship Management Reporting Condition Business Architecture
Business Relationship Management Reporting Condition Information Architecture
Business Relationship Management Reporting Condition Technical Architecture
Business Relationship Management Interoperability Condition Business Architecture
Business Relationship Management Interoperability Condition Information Architecture
Business Relationship Management Interoperability Condition Technical Architecture
Care Management Modularity Standard Business Architecture
Care Management Modularity Standard Information Architecture
Care Management Modularity Standard Technical Architecture
Care Management MITA Condition Business Architecture
Care Management MITA Condition Information Architecture
Care Management MITA Condition Technical Architecture
Care Management Industry Standards Condition Business Architecture
Care Management Industry Standards Condition Information Architecture
Care Management Industry Standards Condition Technical Architecture
Care Management Leverage Condition Business Architecture
Care Management Leverage Condition Information Architecture
Care Management Leverage Condition Technical Architecture
Care Management Business Results Condition Business Architecture
Care Management Business Results Condition Information Architecture
Care Management Business Results Condition Technical Architecture
Care Management Reporting Condition Business Architecture
Care Management Reporting Condition Information Architecture
Care Management Reporting Condition Technical Architecture
Care Management Interoperability Condition Business Architecture
Care Management Interoperability Condition Information Architecture
Care Management Interoperability Condition Technical Architecture
Contractor Management Modularity Standard Business Architecture
Contractor Management Modularity Standard Information Architecture
Contractor Management Modularity Standard Technical Architecture
Contractor Management MITA Condition Business Architecture
Contractor Management MITA Condition Information Architecture
Contractor Management MITA Condition Technical Architecture
Contractor Management Industry Standards Condition Business Architecture
Contractor Management Industry Standards Condition Information Architecture
Contractor Management Industry Standards Condition Technical Architecture
Contractor Management Leverage Condition Business Architecture
Contractor Management Leverage Condition Information Architecture
Contractor Management Leverage Condition Technical Architecture
Contractor Management Business Results Condition Business Architecture
Contractor Management Business Results Condition Information Architecture
Contractor Management Business Results Condition Technical Architecture
Contractor Management Reporting Condition Business Architecture
Contractor Management Reporting Condition Information Architecture
Contractor Management Reporting Condition Technical Architecture
Contractor Management Interoperability Condition Business Architecture
Contractor Management Interoperability Condition Information Architecture
Contractor Management Interoperability Condition Technical Architecture
Eligibility and Enrollment Management Modularity Standard Business Architecture
Eligibility and Enrollment Management Modularity Standard Information Architecture
Eligibility and Enrollment Management Modularity Standard Technical Architecture
Eligibility and Enrollment Management MITA Condition Business Architecture
Eligibility and Enrollment Management MITA Condition Information Architecture
Eligibility and Enrollment Management MITA Condition Technical Architecture
Eligibility and Enrollment Management Industry Standards Condition Business Architecture
Eligibility and Enrollment Management Industry Standards Condition Information Architecture
Eligibility and Enrollment Management Industry Standards Condition Technical Architecture
Eligibility and Enrollment Management Leverage Condition Business Architecture
Eligibility and Enrollment Management Leverage Condition Information Architecture
Eligibility and Enrollment Management Leverage Condition Technical Architecture
Eligibility and Enrollment Management Business Results Condition Business Architecture
Eligibility and Enrollment Management Business Results Condition Information Architecture
Eligibility and Enrollment Management Business Results Condition Technical Architecture
Eligibility and Enrollment Management Reporting Condition Business Architecture
Eligibility and Enrollment Management Reporting Condition Information Architecture
Eligibility and Enrollment Management Reporting Condition Technical Architecture
Eligibility and Enrollment Management Interoperability Condition Business Architecture
Eligibility and Enrollment Management Interoperability Condition Information Architecture
Eligibility and Enrollment Management Interoperability Condition Technical Architecture
Financial Management Modularity Standard Business Architecture
Financial Management Modularity Standard Information Architecture
Financial Management Modularity Standard Technical Architecture
Financial Management MITA Condition Business Architecture
Financial Management MITA Condition Information Architecture
Financial Management MITA Condition Technical Architecture
Financial Management Industry Standards Condition Business Architecture
Financial Management Industry Standards Condition Information Architecture
Financial Management Industry Standards Condition Technical Architecture
Financial Management Leverage Condition Business Architecture
Financial Management Leverage Condition Information Architecture
Financial Management Leverage Condition Technical Architecture
Financial Management Business Results Condition Business Architecture
Financial Management Business Results Condition Information Architecture
Financial Management Business Results Condition Technical Architecture
Financial Management Reporting Condition Business Architecture
Financial Management Reporting Condition Information Architecture
Financial Management Reporting Condition Technical Architecture
Financial Management Interoperability Condition Business Architecture
Financial Management Interoperability Condition Information Architecture
Financial Management Interoperability Condition Technical Architecture
Member Management Modularity Standard Business Architecture
Member Management Modularity Standard Information Architecture
Member Management Modularity Standard Technical Architecture
Member Management MITA Condition Business Architecture
Member Management MITA Condition Information Architecture
Member Management MITA Condition Technical Architecture
Member Management Industry Standards Condition Business Architecture
Member Management Industry Standards Condition Information Architecture
Member Management Industry Standards Condition Technical Architecture
Member Management Leverage Condition Business Architecture
Member Management Leverage Condition Information Architecture
Member Management Leverage Condition Technical Architecture
Member Management Business Results Condition Business Architecture
Member Management Business Results Condition Information Architecture
Member Management Business Results Condition Technical Architecture
Member Management Reporting Condition Business Architecture
Member Management Reporting Condition Information Architecture
Member Management Reporting Condition Technical Architecture
Member Management Interoperability Condition Business Architecture
Member Management Interoperability Condition Information Architecture
Member Management Interoperability Condition Technical Architecture
Operations Management Modularity Standard Business Architecture
Operations Management Modularity Standard Information Architecture
Operations Management Modularity Standard Technical Architecture
Operations Management MITA Condition Business Architecture
Operations Management MITA Condition Information Architecture
Operations Management MITA Condition Technical Architecture
Operations Management Industry Standards Condition Business Architecture
Operations Management Industry Standards Condition Information Architecture
Operations Management Industry Standards Condition Technical Architecture
Operations Management Leverage Condition Business Architecture
Operations Management Leverage Condition Information Architecture
Operations Management Leverage Condition Technical Architecture
Operations Management Business Results Condition Business Architecture
Operations Management Business Results Condition Information Architecture
Operations Management Business Results Condition Technical Architecture
Operations Management Reporting Condition Business Architecture
Operations Management Reporting Condition Information Architecture
Operations Management Reporting Condition Technical Architecture
Operations Management Interoperability Condition Business Architecture
Operations Management Interoperability Condition Information Architecture
Operations Management Interoperability Condition Technical Architecture
Performance Management Modularity Standard Business Architecture
Performance Management Modularity Standard Information Architecture
Performance Management Modularity Standard Technical Architecture
Performance Management MITA Condition Business Architecture
Performance Management MITA Condition Information Architecture
Performance Management MITA Condition Technical Architecture
Performance Management Industry Standards Condition Business Architecture
Performance Management Industry Standards Condition Information Architecture
Performance Management Industry Standards Condition Technical Architecture
Performance Management Leverage Condition Business Architecture
Performance Management Leverage Condition Information Architecture
Performance Management Leverage Condition Technical Architecture
Performance Management Business Results Condition Business Architecture
Performance Management Business Results Condition Information Architecture
Performance Management Business Results Condition Technical Architecture
Performance Management Reporting Condition Business Architecture
Performance Management Reporting Condition Information Architecture
Performance Management Reporting Condition Technical Architecture
Performance Management Interoperability Condition Business Architecture
Performance Management Interoperability Condition Information Architecture
Performance Management Interoperability Condition Technical Architecture
Plan Management Modularity Standard Business Architecture
Plan Management Modularity Standard Information Architecture
Plan Management Modularity Standard Technical Architecture
Plan Management MITA Condition Business Architecture
Plan Management MITA Condition Information Architecture
Plan Management MITA Condition Technical Architecture
Plan Management Industry Standards Condition Business Architecture
Plan Management Industry Standards Condition Information Architecture
Plan Management Industry Standards Condition Technical Architecture
Plan Management Leverage Condition Business Architecture
Plan Management Leverage Condition Information Architecture
Plan Management Leverage Condition Technical Architecture
Plan Management Business Results Condition Business Architecture
Plan Management Business Results Condition Information Architecture
Plan Management Business Results Condition Technical Architecture
Plan Management Reporting Condition Business Architecture
Plan Management Reporting Condition Information Architecture
Plan Management Reporting Condition Technical Architecture
Plan Management Interoperability Condition Business Architecture
Plan Management Interoperability Condition Information Architecture
Plan Management Interoperability Condition Technical Architecture
Provider Management Modularity Standard Business Architecture
Provider Management Modularity Standard Information Architecture
Provider Management Modularity Standard Technical Architecture
Provider Management MITA Condition Business Architecture
Provider Management MITA Condition Information Architecture
Provider Management MITA Condition Technical Architecture
Provider Management Industry Standards Condition Business Architecture
Provider Management Industry Standards Condition Information Architecture
Provider Management Industry Standards Condition Technical Architecture
Provider Management Leverage Condition Business Architecture
Provider Management Leverage Condition Information Architecture
Provider Management Leverage Condition Technical Architecture
Provider Management Business Results Condition Business Architecture
Provider Management Business Results Condition Information Architecture
Provider Management Business Results Condition Technical Architecture
Provider Management Reporting Condition Business Architecture
Provider Management Reporting Condition Information Architecture
Provider Management Reporting Condition Technical Architecture
Provider Management Interoperability Condition Business Architecture
Provider Management Interoperability Condition Information Architecture
Provider Management Interoperability Condition Technical Architecture