CMS will be presenting the following sessions at MESC 2019. Except where indicated, all sessions will be presented twice during the conference. Be sure to check the Detailed Agenda regularly for the dates and times of the sessions.

Scaling the Florida Experiment: The MES State Officer Model
CMCS/DSG recently initiated a change in Medicaid IT operations with a focus on state flexibility, accountability, and in investing to help states achieve success with the roll out of the Medicaid Enterprise State Officer Team. As part of the new structure, states now interact with a singular CMS State officer point of contact, who is part of a larger Medicaid Enterprise team of analysts. The newly assigned state officer is the point of contact on all matters related to the state’s MMIS, E&E, and HITECH.
This change represents the culmination of pilot activities, process improvement initiatives, ongoing feedback, and lessons learned. The Florida and Tennessee Medicaid Enterprise System (MES) Pilots, which established cross-functional teams of CMS analysts that approached each state as an integrated Medicaid IT Enterprise, helped set the stage for the new approach. Today’s panel will explore the vision of the MES State Officer Model and highlight some of the lessons learned from the Florida experiment that helped pave the way for this newly and evolving MES structure.
With this new structure comes new learning opportunities, and it is going to take engagement and expertise from all CMS Medicaid IT staff and our state and territory partners to make this transition and new approach a success. Additionally, we are setting up a process to gather ongoing feedback on this transformational initiative in an effort to continually refine and improve this new model.

Speakers: Sam Schaffzin, CMS; John Allison, CMS; Gay Munyon, Florida
Moderated by: John Allison, CMS

Electronic Visit Verification (EVV) Outcomes-Based Certification Update
The Centers for Medicare and Medicaid Services (CMS) has been experimenting with transitioning the Electronic Visit Verification (EVV) certification process to an outcomes-based approach. The goals would be to reduce burden on states and achieve the business outcomes embodied in the 21st Century Cures Act. Since August 2018, CMS has worked in partnership with policy and state stakeholders to develop and pilot an outcomes-based EVV certification approach.
In this session, CMS will share the current status of the experiment and what this streamlined, outcomes-based certification process would mean for states. Participants will understand specifics about the outcomes-based EVV certification process, which leverages outcomes statements, evaluation criteria and key performance indicators (KPIs). Additionally, participants will learn where to find information about the outcomes-based EVV certification process and what to expect next.

Speakers: Eugene Gabriyelov, CMS; Jamie Miller, CMS
Moderated by: Eugene Gabriyelov, CMS

Enabling Modularity through Outcomes; Experiments
Facilitated discussion on the experience and recent results of implementations where the goal was to solve discreet program problems within 12-18 months. Each panelist will talk about how by focusing on the outcomes the program was trying to achieve, identifying the best measures to use and monitoring the progress toward achieving these goals has resulted in successful modular solutions.

Speakers: Ed Dolly, CMS; Invited: Puerto Rico (MES), Ohio (EVV), Florida (ENS)
Moderated by: Ed Dolly, CMS

Computers are Good at Math – eAPD
CMS and 18F have been working together to create and pilot the eAPD application. With this undertaking, we applied human-centered design and modern, cost-efficient project/software development techniques in an effort to transform the Medicaid APD process. Last year we identified our approach to developing the eAPD and the goals for application. This session we’ll provide an update on where we are now, and we’ll also hear from states about their experience using the app to create an electronic APD. And finally, we’ll map out how the eAPD can be leveraged for E&E and MMIS submissions in the near future. This session is for anyone involved in the APD creation or review process.

Speakers: Nick Aretakis, CMS; Jerome Lee, CMS; Nikki Lee, 18F;  Invited State Pilot User(s)
Moderated by: Nick Aretakis, CMS

Human-Centered Design and Re-Use
All of the products that we build for use in the Medicaid and CHIP programs are used by humans as the consumers of the product.  Whether the consumers are applicants, enrollees, case workers, or administrative staff – they are all important to ensuring that we build products that make their tasks as straightforward and easy as possible. Human-centered design (HCD) is a method that places the people you’re designing for in the center of a product development solution to end up with new solutions that are tailor made to suit their needs.  HCD is about building a deep empathy with the people you’re designing for; generating ideas; building prototypes; sharing what you’ve made with the people you’re designing for; and eventually putting your innovative new solution out in the world.   In this session, we will present lessons learned from two human-centered design efforts, for the CMS MACF in product, and Code for America’s Integrated Benefits Initiative, and discuss opportunities to re-use the learning from both of these efforts in other Medicaid and CHIP technology projects.

Speakers: Laura Ramos, Code for America; Dona Coffman, CMS
Moderated by: Dona Coffman, CMS

Data Quality: A Continuous Improvement Journey *
The migration from MSIS to T-MSIS has been completed and CMS efforts are fully focused on using T-MSIS data to inform policy decisions.  Utilizing this huge dataset for analytics and decision-making will require on-going data quality efforts.  In this session, we will provide a brief overview of the data quality improvement efforts, the current status of T-MSIS data quality as well as future expectations for a state’s data quality reporting.  Emphasis will be made to connect the data quality efforts to the application of the data in analyses.  An invited State will provide a walk-through of their continuous improvement journey.  They will share some of their struggles as well as their lessons learned.

Speakers: Cathy Benoit, CMS; Brian Johnston, Mathematica Policy Research, Mitzi Hoccheiser, Louisiana Department of Health
Moderated by: Cathy Benoit, CMS

It’s Show Time: Releasing and Using T-MSIS data for Data-Driven Decision-Making *
CMS plans to publicly release the first set of T-MSIS Analytic Files later this year. The agency and other are beginning to use these data in its work. This panel presentation will focus on CMS’s plans for releasing T-MSIS data, provide insights into profiling of T-MSIS data and discuss reports that are aimed at reducing state reporting burden. Come find out how you can get involved in using these data to drive better health outcomes and smarter spending in Medicaid and CHIP.

Speakers: Barbara Richards, CMS; Carol Irvin, Mathematica Policy Research
Moderated by: Barbara Richards, CMS

*Session scheduled once during conference.