2019 State HIT Connect Summit

Modernizing your Medicaid system can present many challenges and can often impact the very citizens you are trying to help, such as when errors occur in determining eligibility for Medicaid. Although MAGI Medicaid was implemented for Arkansas in 2013, the non-MAGI Medicaid continued to reside on the mainframe-based legacy system with both systems providing independent feeds to MMIS.  This resulted in an unacceptably high percentage of eligibility errors.
 
This session will discuss how a single streaming process was designed and developed by eSystems for Arkansas DHS, where the MAGI-Medicaid system intercepted the legacy Non-MAGI segments, verified, cleansed and compiled them along with the MAGI segments into a single stream, and then sent them to MMIS. This project has been a huge success and has reduced error rates from an average of 10% to 1-2%.