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* Medicaid and CHIP Quality Resource Library
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* Releases & Announcements
* Enrollment Strategies
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* Continuous Eligibility
* Express Lane Eligibility
* Lawfully Residing Immigrant Children & Pregnant Women
* Presumptive Eligibility
* Home & Community Based Services
* Home & Community Based Services
* Home & Community Based Services Authorities
* HCBS Training
* Guidance
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* Coronavirus Disease 2019 (COVID-19): Section 1115 Demonstrations
* Health Related Social Needs
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* Enrollment Report
* Managed Care Entities
* Guidance
* Managed LTSS
* Profiles & Program Features
* Technical Assistance
* Eligibility
* Eligibility
* Estate Recovery
* MAGI Conversion Plan
* Seniors & Medicare and Medicaid Enrollees
* Verification Plans
* Minimum Essential Coverage
* Spousal Impoverishment
* Medicaid Third Party Liability & Coordination of Benefits
* Medicaid Eligibility Quality Control Program
* Financial Management
* Financial Management
* Payment Limit Demonstrations
* Upper Payment Limit FAQs
* Disproportionate Share Hospitals
* Medicaid Administrative Claiming
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Services
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* Vision and Hearing Screening Services for Children and Adolescents
* Lead Screening
* Hospice Benefits
* Mandatory & Optional Medicaid Benefits
* Prevention
* Telehealth
* Assurance of Transportation
* Prescription Drugs
* Prescription Drugs
* Branded Prescription Drug Fee Program
* Drug Utilization Review
* Federal Upper Limit
* Medicaid Drug Policy
* Medicaid Drug Rebate Program
* Pharmacy Pricing
* Program Releases
* Retail Price Survey
* State Drug Utilization Data
* State Prescription Drug Resources
* Long Term Services & Supports
* Long Term Services & Supports
* Health Homes
* Person-Centered Hospital Discharge Model
* Person-Centered Planning Grants
* State Profile Tool Grant
* Balancing Long Term Services & Supports
* Integrating Care
* Employment Initiatives
* Institutional Long Term Care
* Money Follows the Person
* PACE
* Alternatives to Psychiatric Residential Treatment Facilities
Demonstration
* Reports & Evaluations
* Self-Directed Services
* Testing Experience & Functional Tools demonstration
* Direct Care Workforce
* CHIP
* CHIP
* Benefits
* Eligibility Standards
* Eligibility Standards
* Waiting Periods
* Cost Sharing
* Financing
* CHIPRA
* CHIPRA
* CHIPRA Awards & Performance Bonus
* CHIP State Program Information
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* CHIP State Plan Amendments
* Reports & Evaluations
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1. Home
2. Medicaid
3. Data & Systems
4. Medicaid Enterprise Certification Toolkit
MEDICAID ENTERPRISE CERTIFICATION TOOLKIT
CMS is dedicated to keeping current with federal regulations and Medicaid
priorities and will continue to publish updated versions of the Medicaid
Enterprise Certification Toolkit (MECT) to reflect key changes. It is
recommended that states and vendors review and understand the latest guidance in
the MECT to ensure alignment.
CMS developed the Medicaid Enterprise Certification Toolkit (MECT) in 2007 to
assist states as they plan, develop, test, and implement their Medicaid
Management Information Systems (MMIS). Since the initial release of MECT, CMS
has updated the toolkit to accommodate modular and agile development, refined
certification criteria, developed a new approach to CMS-state partnership,
updated criteria to reflect the latest regulations and guidance, and provided
templates and tools to assist states and their contractors in the certification
process.
A cornerstone of the toolkit is the Medicaid Enterprise Certification Life Cycle
(MECL). MECL includes milestone reviews throughout the MMIS life cycle so the
state receives early feedback about issues that may impede certification. MECL
is flexible to fit various state approaches such as agile, waterfall, or
outsourcing of Medicaid services. The MECL and certification checklists ensure
alignment with Medicaid Information Technology and Architecture (MITA), and the
standards and conditions for Medicaid IT.
CMS offers a list of MMIS-related questions and answers on
its Frequently Asked Questions page.
MEDICAID ENTERPRISE CERTIFICATION TOOLKIT VERSION 2.3
CMS has released the newest version of the toolkit (v2.3). The only exception
for using this toolkit is for Electronic Visit Verification (EVV) certification.
States should use the streamlined and outcomes-based certification process for
EVV found at Electronic Visit Verification (EVV) Certification.
* Medicaid Enterprise Certification Toolkit 2.3 (ZIP 5.81 MB)
* 00 MECT 2.3 Welcome Release Notes
* 01 MECT 2.3 Medicaid Enterprise Certification Life Cycle
* 02 MECT 2.3 Appendix A_MECL and At a Glance Sheets
* 03 MECT 2.3 Appendix B_Required Artifacts List
* 04 MECT 2.3 Appendix C_Std IVV Language
* 05 MECT 2.3 Appendix D_MMIS IVV Progress Report Template
* 06 MECT 2.3 Appendix E_MMIS ConOps Template
* 07 MECT 2.3 Appendix F_ MITA eSelf Assessment Scorecard
* 08 MECT 2.3 Appendix G_2007 Criteria to MECT 2.3 Criteria Map
* 09 MECT 2.3 Appendix H_PPU Template
* 10 MECT 2.3 Appendix I_Uniform RFP Guide
* 11 MECT 2.3 Appendix J_MMIS Certification Request Letter Template
* 12 MECT 2.3 Appendix K_Map of MITA Business Areas to Criteria
* 13 MECT 2.3 Appendix L_Milestone Review Preparation Guide
* MECT 2.3 MMIS Module Checklist Set (ZIP 1.7 MB)
Updates in MECT 2.3 include, but are not limited to:
* The MITA Business Area Module Checklist Set has been removed.
* A mapping from MITA business areas to each MMIS Module Checklist Set
criterion has been added as Appendix K.
* A guide that explains what to expect from a milestone review and how a state
can prepare for them (Appendix L) has been added.
* Guidance tabs have been added to the Pharmacy and Provider Management
checklists.
* Guidance for the five core checklists has been enhanced. The core checklist
are Information Architecture, Standards and Conditions (S&C) for Medicaid IT,
Technical Architecture (TA) Access & Delivery (A&D), TA Intermediary &
Interface (I&I), and TA Integration & Utility (I&U).
* Electronic Visit Verification criteria have been added to the Program
Integrity checklist.
* The CMS email address has changed to MES@cms.hhs.gov(link sends email).
The toolkit was last updated August 1, 2018.
* Medicaid Enterprise Certification Toolkit
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