MESC 2024 Tracks and Themes

Track 1: Modernizing the Medicaid Enterprise - Challenges and Opportunities

Abstracts under this track would include effective or innovative procurement strategies, RFP development strategies, including multi-state collaborative procurements, implementation best practices, testing related sessions, as well as Streamlined Modular Certification (SMC) sessions.

Track 2: Managing and Operating Your MES

Abstracts submitted under this track would highlight best practices and lessons learned during the operational phase of a project, including managing multi-vendors/multi-modules, on-going monitoring of projects, best practices for transitioning from implementation to operations, as well as organization change management (OCM) considerations.

Compliance with State and Federal requirements, including CMS Interoperability and Patient Access Final Rule (CMS-9115-F) and CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F), T-MSIS, and the addition of modules and/or innovative capabilities to your MES (e.g., Social Determinants of Health Information Exchange, functional assessment tools, alternative payment solutions) would also be topics for this track.

Track 3: Health Information Technology (HIT)

Abstracts under this track would be focused on the relationship of the Medicaid program to Health Information Technology, including the incorporation of Public Health data, Social Determinants of Health/Health-Related Social Needs systems, Medicaid claims and health information exchange (HIE) integration, as well as using data to improve outcomes.

Abstracts would also include discussions related to ONC Interoperability efforts, including the implementation of the information blocking regulations, as well as topics related to the Trusted Exchange Framework and Common Agreement (TEFCA).

Track 4: Integrated Eligibility & Enrollment

Abstracts submitted for this track would include strategies to address barriers to successful implementation of IE&E systems, including data sharing challenges, and system interoperability issues.

Abstracts would also include strategies for streamlining the eligibility determination process, the use of self-service tools to improve program efficiency, as well as how data analytics can be leveraged to identify eligibility trends, target outreach efforts, and optimize program outcomes.

Track 5: Program Integrity / COB / Cost Avoidance / TPL

Abstracts should be focused on the role of technology and data sharing in support of program integrity initiatives. This includes best practices for Coordination of Benefits (COB), Pay and Chase, Cost Avoidance, and Third-Party Liability (TPL) programs.

Track 6: Innovative Ideas

Abstracts under this track should highlight innovative ideas and their impacts on the MES. Topics could include Artificial Intelligence (AI), Robotic Process Automation (RPA), Human Centered Design, as well as other emerging technologies.

All proposals for Educational Sessions must be submitted using our online tool
by 11:59 PM ET on April 4, 2024.

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