The Wisconsin Department of Health Services (DHS) has recently selected PCG to provide Independent Verification and Validation (IV&V) services for an independent and unbiased perspective on the progress of Wisconsin’s Medicaid Enterprise Systems (MES) Project, and operation of the systems and modules.
Wisconsin DHS is the designated Medicaid agency for Wisconsin. DHS intends to enhance its current Medicaid Enterprise Systems to improve the overall quality of health services in the state, used by nearly 5.8 million people.
PCG’s IV&V responsibilities will include oversight of the design, development, and implementation (DDI) phase and the first year of maintenance and operations for Medicaid Management Information System (MMIS) enhancements, enterprise data warehouse and data analytics/reporting modules, and the program integrity module. The state may extend or amend the contract to include other responsibilities at the discretion of DHS.
As part of the engagement, PCG will represent the interests of the Centers for Medicare & Medicaid Services (CMS), and present a third-party evaluation of the project’s progress. PCG will take part in System Development Life Cycle (SDLC) gate reviews, which are milestones during the project where certain criteria must be met to move the next stage of the project. PCG will inform CMS of significant risks or issues as the MMIS and its modules are developed and deployed. PCG‘s IV&V services and project deliverables will support the Medicaid Enterprise Certification Lifecycle (MECL) in alignment with the guidelines in the Medicaid Enterprise Certification Toolkit (MECT). PCG will remain part of the project from the planning stage through implementation and operations, helping to ensure that the state’s MES Project solution obtains and maintains CMS certification.
“We look forward to building upon PCG’s successful history with the great state of Wisconsin,” said Technology Consulting Vice President Gary Reimers. “We are honored to have been selected, and excited to start working with DHS to help assure the project and federal certification goals are met.”
PCG looks forward to developing collaborative working relationships with DHS and its’ project management office, technical advisory services personnel, system integrators, and design, development and implementation teams.