
| ID | 18-092 |
|---|---|
| # of Openings | 1 |
| Job Location | Baltimore, MD |
| Posted Date | 20-Aug-2018 |
|---|---|
| Closure Date | 18-Sep-2018 |
In 2012, Maryland Department of Health (MDH) launched the Long - Term Services and support (LTSS) system in order to enhance case management for over 10,000 recipients in the Maryland Medical Assistance (Medicaid) program. LTSS interfaces directly with the Medicaid Management Information System (MMIS) to exchange client, provider, and claims information for many of MDH’s Medicaid Waiver programs. The system supports a full spectrum of case management activities including eligibility assessments, program enrollment, and case management billing. LTSS is a vital tool for case managers, nurse monitors, Medicaid providers, and MDH as they coordinate services for the state’s Medicaid recipients.
In addition to case management, the state relies on the In-Home Supports Assurance System (ISAS), a module of LTSS for Electronic Visit Verification (EVV) and billing. Caregivers record their visits through an Integrated Voice Response (IVR) system, and visits are matched against participant and provider data stored in LTSS. ISAS records caregivers’ pre-authorized visits and automatically generates and submits claims MMIS for payment. Federal requirements for quality monitoring and assurance cannot be met without technology support to gather, manage, and analyze data. The LTSS system is delivered utilizing the modular development concept. Currently, the LTSS System supports modules for the Money Follows the Person (MFP) Demonstration, Waiver for Brain Injury (BI), Community Options Waiver (CO), Community Personal Assistance Services (CPAS), and Community First Choice (CFC). MDH is continuing to grow the programs that are integrated into the LTSS application and will add the Medical Day Care Waiver (MDC), the Developmental Disabilities Administration (DDA) program, and Rare and Expensive Case Management (REM) program, among others.
The LTSS System is a custom-developed software solution for the State of Maryland designed to be expanded to support MDH’s various business units. As such, modification and expansion of the underlying technology (i.e. custom and COTS software, networking gear, hardware and other technical infrastructure elements) are integral elements that support the expanding business functionality in the LTSS System. As the number and complexity of state waiver programs included in LTSS grows, so does the need for a flexible, responsive technology solution to manage the large volumes of data stored and accessed within the system and meet the state’s evolving business needs.
The project manager shall provide ongoing support relating to the LTSS Maryland systems and functions. The resource to be secured under this RFR will serve as part of the State’s project team. The project manager will support the Office of Health Services (OHS) throughout the project life cycle, providing project leadership through the LTSS system’s ongoing operations and maintenance in addition to the planned expansions.