Connecticut Medicaid Enterprise Technology System (CT METS) Project

Overview

Note: The Organizational Change Management (OCM) RFP is now open and may be accessed through the Department of Administrative Services’ BizNet site.  Please follow this link for information and link to the RFP.

 

Note: The IV&V services RFP is now “Closed” and the status of the RFP will remain “Under Evaluation” until a successful contract is established. Please follow this link for more information.



The Connecticut Medicaid Enterprise Technology System (CT METS) is a large-scale business process improvement and technology program to improve services and outcomes for residents served by Medicaid and other programs.  CT METS, which is led by the Department of Social Services (DSS), is expected to replace existing systems with new, modular technologies and services to enable person-centered service delivery across DSS and other state agencies that administer Medicaid services.

CTMETS logo Gif version
The CT METS program is expected to extend over several years, beginning with a two year effort to optimize business processes and organizational structures, and to develop a plan for an enterprise platform and acquisition of modular systems and services.  These systems/services will replace the existing Medicaid Management Information System (MMIS), which processes claims and other transactions for over 800,000 Connecticut residents annually.  Other smaller-scale systems supporting Medicaid are also expected to be consolidated into CT METS. 
       

The CT METS effort will insure adherence to Medicaid Information Technology Architecture (MITA) standards as required by federal Centers for Medicare and Medicaid Services (CMS) requirements for enhanced funding support of Medicaid systems.  The effort is expected to positively impact multiple stakeholders including Medicaid members, providers, and partners, as benefits accrue from streamlined operations, new self-service functions, and improved access to data.

  • CMS approved funding for Phase 1 of the CT METS project on 7/24/2018. 


CT METS Program Goals & Objectives


CTMETS Timeline

CTMETS will be implemented in phases. 

  • Phase 1 – Foundational Work – 2018 to 2020
    • Onboard project staffing (technical, business)
    • Independent Verification and Validation
    • Organizational Change Management
    • System Integrator
  • Phase 2 – Implementation  – 2020 to 2025

    • Integration build out
    • Acquisition/implementation of modular components and services
    • Legacy Data Conversion
    • Testing
    • Implementation by modules

The above is information is tentative and subject to change.   Please check back on this page often, as information will be updated as it becomes available for release.

 

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The Connecticut Department of Social Services (DSS) provides the Connecticut Medicaid Enterprise Technology System (CT METS) Web site as a service to the public.

DSS is not responsible for, and expressly disclaims all liability for, damages of any kind arising out of use, reference to, or reliance on any information contained within the site. While the information contained within the site is periodically updated, no guarantee is given that the information provided in this Web site is correct, complete, and up-to-date.

Although the DSS Web site may include links providing direct access to other Internet resources, including Web sites, DSS is not responsible for the accuracy or content of information contained in these sites.

Links from DSS to third-party sites do not constitute an endorsement by DSS of the parties or their products and services.