MECT is an Acronym that stands for the Medicaid Enterprise Certification Toolkit.
The Medicaid Enterprise Certification Toolkit (here after referred to as the Toolkit) was developed by the Centers for Medicare & Medicaid Services (CMS) Center for Medicaid and State Operations (CMSO) to respond to the many changes that have transformed the Medicaid Management Information System (MMIS) over the past 30 years. CMS is utilizing the Toolkit to provide a revised approach to Medicaid enterprise certifications and to assist States as they work to modernize and improve today’s MMIS.
The purpose of the Toolkit is to provide a more consistent and more detailed process to certify an MMIS and to help States prepare for the Federally required certification review of a State’s MMIS. Use of the Toolkit will help ensure that the new MMIS meets all Federal requirements and that it satisfies the objectives described in the State’s Advance Planning Document (APD). The new focus of the new Toolkit is no longer based on functions of components of the MMIS, but on Medicaid business areas.
While the MMIS certification process formerly focused almost exclusively on the onsite visit itself, which occurs at the end of a multi-year project, the Toolkit is designed to assist States at every stage of the development process, beginning with the process of setting goals and objectives for the new MMIS.
CMS staff will use the material contained in this document as a standard for review that supersedes all of the previous Certification Protocol documents. State personnel and their consultants and contractors working on systems that are subject to CMS’ review, approval, and/or certification should also use the Toolkit.
In developing this Toolkit, CMS requested, received, and evaluated comments from both Central Office (CO) and Regional Office (RO) staff. These comments have been incorporated into the Toolkit. However, the true test of this manual is in how well it supports the States during the systems development and operational life cycles. CMS expects to revise this document periodically based on the results of its use by both CMS and the States.