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Streamlined Modular Certification

CMS issued a State Medicaid Directors Letter and Guidance (both referred to as the SMDL) that sunsets the Medicaid Enterprise Certification Toolkit (MECT) and the Medicaid Eligibility and Enrollment Toolkit (MEET) and introduces a significantly streamlined modular certification (SMC) process.

With the introduction of SMC, CMS moves further toward Outcomes-Based Certification (OBC) for MES and provides more consistency and accountability in CMS’s certification process to promote effective stewardship of federal funds.

SMC introduces a new set of elements:

  • CMS-Required Outcomes are based on statutory or regulatory requirements and provide a baseline for what is required of a MES (Appendix B).
  • State-Specific Outcomes are developed by states and should be measurable, achievable, and reflect the short-term goals of the MES project.
  • Metrics provide measurable evidence that the outcomes are achieved on an ongoing basis. States are required to report on the system’s performance to CMS as a condition for receiving enhanced funding.
  • Required Artifacts are still required for certification, but the SMC SMDL reduces the number from 29 to 7 (Appendix C).

SMC applies throughout the Medicaid Information Technology (IT) investment lifecycle.

Medicaid IT Investment Lifecycle Engagement and Certification Process

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States should follow the SMDL for all Medicaid IT projects going forward and should reach out to their State Officers for more information.