Enterprise IV&V for Vermont’s Medicaid Enterprise System Modernization

The Vermont Agency of Human Services and the Department of Vermont Health Access selected CSG to provide IV&V services for services for the design, development, and implementation of Vermont’s Medicaid Enterprise System Modernization Project, which includes the Medicaid Management Information System, Integrated Eligibility and Enrollment system, and Health Information Exchange.

Enterprise IV&V

As Vermont’s Enterprise IV&V partner, CSG provides assessment and monitoring of Medicaid program operations, procurements, implementation activities, and adherence to the Centers for Medicare and Medicaid Services system certification requirements for federal funding. Our assessments and recommendations span the entire Enterprise, supporting reuse of common components or services across modules and informing State leadership of portfolio and project-specific risks. The CSG team also validates that systems satisfy CMS requirements and reviews evidence that demonstrates that the modules achieves certification compliance. So far, the Pharmacy Benefits Management, Care Management, Electronic Visit Verification, Provider Management, and Health Information Exchange modules have achieved final certification.

Montpelier, Vermont
Montpelier, Vermont

Vermont is committed to improving its health and human services programs by achieving efficiencies through an interoperable enterprise approach. CSG is here to help with this strategic initiative.

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